The intersection of race and socioeconomic status is associated with inflammation patterns during pregnancy and adverse pregnancy outcomes

2021 ◽  
Author(s):  
Lauren Keenan‐Devlin ◽  
Britney P. Smart ◽  
William Grobman ◽  
Emma Adams ◽  
Alexa Freedman ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Pregnancy

scholarly journals Socioeconomic status of pregnancy outcomes in Chongqing, Southwest China

2019 ◽  
Author(s):  
Ting Zhang ◽  
Wei Zhou ◽  
Qiang Tan ◽  
Ping Tang ◽  
Tao Kuang ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Maternal Education ◽  
Southwest China ◽  
Adverse Pregnancy Outcomes ◽  
Large For Gestational Age ◽  
Logistic Regression Models ◽  
Maternal Occupation ◽  
Adverse Pregnancy

Abstract Background: The relationship between socioeconomic status (SES) and pregnancy outcomes has rarely been studied in Southwest China. Our aim was to investigate whether SES was associated with the risk of adverse pregnancy outcomes. Methods: Between 2015 and 2017, we analyzed data from 1273 women in Chongqing, China, enrolled in the Complex Lipids in Mothers and Babies (CLIMB) trial in which mothers received complex lipid supplementation during pregnancy. Information on SES (maternal educational level, participant and partner’s income and maternal occupation) was collected during face-to-face interviews using standard questionnaires. Pregnancy outcomes considered were gestational diabetes mellitus (GDM), premature rupture of membrane (PROM), cesarean section (C-section), preterm birth (PTB), macrosomia, low birth weight (LBW), large for gestational age (LGA), and small for gestational age (SGA). Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for pregnancy outcomes in relation to SES. Supplementation had no effect on pregnancy outcomes, so our analysis did not subdivide our participants on this basis. Results: Women who were managers or professionals were less likely to suffer from macrosomia and LGA. After adjustment for potential confounders, the ORs for macrosomia and LGA were 0.44 (95% CI: 0.21, 0.95) and 0.48 (95% CI: 0.26, 0.89), respectively. Other pregnancy outcomes were not affected by maternal occupation. Moreover, no significant relationships were observed between the other two SES indicators (participant and partner’s income and maternal education) and adverse pregnancy outcomes. Conclusions: Our findings suggested that maternal occupation was a more reliable predictor of pregnancy outcomes than maternal education and participant and partner’s income.

scholarly journals Socioeconomic status of pregnancy outcomes in Chongqing, Southwest China

2019 ◽  
Author(s):  
Ting Zhang ◽  
Wei Zhou ◽  
Qiang Tan ◽  
Ping Tang ◽  
Tao Kuang ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Educational Level ◽  
Maternal Education ◽  
Southwest China ◽  
Adverse Pregnancy Outcomes ◽  
Maternal Educational Level ◽  
Maternal Occupation ◽  
Adverse Pregnancy

Abstract Background: Findings of socioeconomic status (SES) effects on adverse pregnancy outcomes varies depending on pregnancy complications, SES indicators, countries, regions, and races. Our aim was to compare three SES indicators (maternal educational level, participant and partner’s income and maternal occupation) and to investigate the relationship with adverse pregnancy outcomes in Chongqing, Southwest China. Methods: Between 2015 and 2017, we analyzed data from 1273 women in Chongqing, China, enrolled in the Complex Lipids in Mothers and Babies (CLIMB) trial in which mothers received complex lipid supplementation during pregnancy. Information on SES (maternal educational level, participant and partner’s income and maternal occupation) was collected during face-to-face interviews using standard questionnaires. Pregnancy outcomes considered were gestational diabetes mellitus (GDM), premature rupture of membrane (PROM), cesarean section (C-section), preterm birth (PTB), macrosomia, low birth weight (LBW), large for gestational age (LGA), and small for gestational age (SGA). Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for pregnancy outcomes in relation to SES. Supplementation had no effect on pregnancy outcomes, so our analysis did not subdivide our participants on this basis. Results: Women who were managers or professionals were less likely to suffer from macrosomia and LGA. After adjustment for potential confounders, the ORs for macrosomia and LGA were 0.44 (95% CI: 0.21, 0.95) and 0.48 (95% CI: 0.26, 0.89), respectively. Other pregnancy outcomes were not affected by maternal occupation. Moreover, no significant relationships were observed between the other two SES indicators (participant and partner’s income and maternal education) and adverse pregnancy outcomes. Conclusions: Our findings suggested that maternal occupation was a more reliable predictor of pregnancy outcomes than maternal education and participant and partner’s income.

scholarly journals Association of socioeconomic disparity of the pregnant women with adverse pregnancy outcomes

2021 ◽  
Vol 12 (2) ◽  
pp. 1667-1671
Author(s):  
Vineela Nekkanti ◽  
Githa Kishore
Keyword(s):  
Socioeconomic Status ◽  
Preterm Birth ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Government Health ◽  
Lower Segment Cesarean Section ◽  
The Government ◽  
Adverse Pregnancy ◽  
Nicu Admission

Socioeconomic status of the pregnant women is a key determinant of the pregnancy outcomes. The government of India has started several health schemes to provide appropriate antenatal care for the pregnant women. The present study aimed to assess the association of socioeconomic status of pregnant women with adverse pregnancy outcomes after the implementation of these schemes. The present study used Kuppuswamy scale to determine the socio-economic status of the study subjects and pregnant women of both upper and lower SES class without major pregnancy complications were recruited into the study. These subjects were followed up until delivery, and their adverse pregnancy outcomes such as lower segment cesarean section (LSCS) delivery, preterm birth, low birth weight (LBW) and neonatal intensive care unit (NICU) admission were reported. In the present study, the rate of LSCS, preterm birth, LBW and NICU admission was high among the lower SES group as compared to the upper SES group women. However, NICU admission had a statistically significant association with SES of pregnant women at p=0.038. The difference in the occurrence of adverse pregnancy outcomes among the upper and lower SES pregnant women is minimal, which could be attributed to the enrolment of lower SES pregnant women to the government health schemes. Hence, to overcome the economic disparities among the pregnant women, the implementation of government health schemes should be strengthened by promoting the role of the accredited social health activist (ASHA) worker.

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