Racial disparities in term induction of labor rates in Illinois

Medical Care
Karna MurthyJane L Holl

Abstract

To determine whether the increase in the rate of labor induction at term is significantly different among women of different races. Data from the National Center for Health Statistics were used to identify pregnant women with singletons at 37-41 weeks gestation from 1991 to 2003 in Illinois. The independent association between the induction rate at term and maternal race was evaluated using longitudinal regression. Covariates considered were maternal demographic and obstetrical characteristics; those that changed the estimated association between race and induction of labor by at least 20% were included in the final model. The mean annual induction rates rose significantly during the study period both for the entire population and for each racial group. After adjusting for maternal demographic characteristics, obstetrical risk factors for medically-indicated induction, and for county-level malpractice premium charges, each 1% increase in the proportion of the white and non-white/non-African American populations within a county was associated with significantly higher induction rates (74% and 92%, respectively) in the county. Although induction rates have increased for all women, the rate of rise has increased disproportionately...Continue Reading

References

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Citations

Dec 1, 2014·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Theresa Morris, Mia Schulman
Dec 3, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Isaac Blickstein
Feb 25, 2011·American Journal of Obstetrics and Gynecology·Karna MurthyJane L Holl
Aug 2, 2011·American Journal of Obstetrics and Gynecology·Karna MurthyWilliam A Grobman

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