Racial and ethnic disparities in cesarean deliveries among women with chronic health conditions
Results: The proportions of c/s delivery among all women with hypertensive disorders and diabetes was higher (47.4% and 46.4%, respectively) than overall; among black mothers, it was 51.2% and 53.9% respectively, higher than whites (46.7% and 46.6%). The overall odds of c/s is higher among black women (aOR=1.29, 95% CI=1.29-1.30) compared to white women. For hypertensive disorder, the odds are 1.25 (95% CI=1.22-1.28) and for diabetes, 1.37 (95% CI=1.32-1.42).
Conclusions: Black women had higher rates and odds of primary c/s. This disparity was similar among women identified with chronic conditions, controlling for other maternal, infant, and sociodemographic risk factors. These findings might suggest differential care among these populations or reflect some measure of severity related to condition.
Evaluate disparities in primary cesarean deliveries by race and ethnicity Describe racial and ethnic differences in primary cesarean deliveries for women with chronic conditions
Keyword(s): Health Disparities, Pregnancy Outcomes
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Any relevant financial relationships? No
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