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Race and pregnancy outcomes.

Early access to prenatal care has not been enough to improve pregnancy outcomes among minorities, according to a study published in the March issue of Obstetrics and Gynecology. The study analyzed data from the First-and Second-Trimester Evaluation of Risk trial to look at perinatal loss among women who had early access prenatal care. Of the more than 35,000 pregnant women in the study, 1.3% of the pregnancies ended in miscarriage or newborn death. While blacks made up only 5% of the study population, they accounted for about 16% of the perinatal mortality. Even after the authors controlled for other demographic factors, race remained a significant predictor of perinatal mortality. "Prenatal care, although unequivocally helpful and necessary, remains insufficient in its present form for minority women," the researchers wrote. "Therefore, increasing early access to current prenatal care systems in the effort to minimize racial and ethnic disparities in perinatal mortality is insufficient."
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Title Annotation:POLICY & PRACTICE
Author:Schneider, Mary Ellen
Publication:OB GYN News
Date:Mar 15, 2006
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