Elizabeth Wall-Wieler1, Shalmali Bane2, Henry C Lee3, Suzan L Carmichael4. 1. Department of Pediatrics, Stanford University School of Medicine, Stanford, CA. Electronic address: ewallwie@stanford.edu. 2. Department of Epidemiology and Population Health, Stanford University, Stanford, CA. 3. Department of Pediatrics, Stanford University School of Medicine, Stanford, CA. 4. Department of Pediatrics, Stanford University School of Medicine, Stanford, CA; Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA.
Abstract
PURPOSE: The purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. METHODS: This study used linked hospital discharge and vital record data California to identify nulliparous Asian and Pacific Islander women from 1997 to 2012 (n = 453,525). We examined the risk of SMM for 15 Asian and Pacific Islander subgroups and compared the risk between U.S.- and foreign-born women. RESULTS: The risk of SMM was higher among Pacific Islander women than that among Asian women (148 and 127 cases per 10,000 births, respectively). Among Asian women, the risk of SMM ranged from 94 (Korean) to 165 (Filipina) cases per 10,000 births, and among Pacific Islander women, the risk ranged from 125 (Hawaiian) to 162 (Other). With the exception of Korean and Filipina women, relative risks of SMM for U.S.- versus foreign-born Asian and Pacific Islander women were similar. CONCLUSIONS: Differences in the risk of SMM exist between subgroups of the Asian and Pacific Islander community. These differences should be considered when conducting research on racial and ethnic differences of SMM and when counseling Asian and Pacific Islander women regarding their risk of SMM.
PURPOSE: The purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. METHODS: This study used linked hospital discharge and vital record data California to identify nulliparous Asian and Pacific Islander women from 1997 to 2012 (n = 453,525). We examined the risk of SMM for 15 Asian and Pacific Islander subgroups and compared the risk between U.S.- and foreign-born women. RESULTS: The risk of SMM was higher among Pacific Islander women than that among Asian women (148 and 127 cases per 10,000 births, respectively). Among Asian women, the risk of SMM ranged from 94 (Korean) to 165 (Filipina) cases per 10,000 births, and among Pacific Islander women, the risk ranged from 125 (Hawaiian) to 162 (Other). With the exception of Korean and Filipina women, relative risks of SMM for U.S.- versus foreign-born Asian and Pacific Islander women were similar. CONCLUSIONS: Differences in the risk of SMM exist between subgroups of the Asian and Pacific Islander community. These differences should be considered when conducting research on racial and ethnic differences of SMM and when counseling Asian and Pacific Islander women regarding their risk of SMM.
Authors: Elliott K Main; Anisha Abreo; Jennifer McNulty; William Gilbert; Colleen McNally; Debra Poeltler; Katarina Lanner-Cusin; Douglas Fenton; Theresa Gipps; Kathryn Melsop; Naomi Greene; Jeffrey B Gould; Sarah Kilpatrick Journal: Am J Obstet Gynecol Date: 2015-11-12 Impact factor: 8.661
Authors: Stephanie A Leonard; Elliott K Main; Karen A Scott; Jochen Profit; Suzan L Carmichael Journal: Ann Epidemiol Date: 2019-02-28 Impact factor: 3.797
Authors: Elizabeth Wall-Wieler; Suzan L Carmichael; Ronald S Gibbs; Deirdre J Lyell; Anna I Girsen; Yasser Y El-Sayed; Alexander J Butwick Journal: Obstet Gynecol Date: 2019-08 Impact factor: 7.661
Authors: Elizabeth A Howell; Haywood Brown; Jessica Brumley; Allison S Bryant; Aaron B Caughey; Andria M Cornell; Jacqueline H Grant; Kimberly D Gregory; Susan M Gullo; Katy B Kozhimannil; Jill M Mhyre; Paloma Toledo; Robyn D'Oria; Martha Ngoh; William A Grobman Journal: J Obstet Gynecol Neonatal Nurs Date: 2018-04-24