Ethnic differences in stillbirth and early neonatal mortality in The Netherlands

A. C J Ravelli, M. Tromp, M. Eskes, J. C. Droog, J. A M van der Post, K. J. Jager, B. W. Mol, J. B. Reitsma

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Ethnic disparities in perinatal mortality are well known. This study aimed to explore the contribution of demographic, socioeconomic, health behavioural and pre-existent medical risk factors among different ethnic groups on fetal and early neonatal mortality. Methods: We assessed perinatal mortality from 24.0 weeks' gestation onwards in 554 234 singleton pregnancies of nulliparous women in the linked Netherlands Perinatal Registry over the period 2000e2006. Logistic regression modelling was used. Results: Considerable ethnic differences in perinatal mortality exist especially in fetal mortality. Maternal age, socioeconomic status and pre-existent diseases could not explain these ethnic differences. Late booking visit could explain some differences. Compared with the Dutch, African women had an increased fetal mortality risk of OR 1.7 (95% CI 1.4 to 2.1); South Asian women, 1.8 (1.4 to 2.3); other non-Western women, 1.3 (1.1 to 1.6) and Turkish/Moroccan women, 1.3 (1.1 to 1.4). The risk on early neonatal mortality was only increased in other non-Western women, OR 1.3 (1.0 to 1.8). Ethnic differences were even present in the women without risk factors including preterm births. Mortality risk for East Asian and other Western women was lower or comparable with the Dutch. Conclusion: Important ethnic differences in fetal mortality exist, especially among women of African and South Asian origin. Ethnic minorities should be more acquainted with the significance of early start of prenatal care. Tailored prenatal care for women with African and South Asian origin seems necessary. More research on underlying cause of deaths is needed by ethnic group.

LanguageEnglish
Pages696-701
Number of pages6
JournalJournal of Epidemiology and Community Health
Volume65
Issue number8
DOIs
Publication statusPublished - 1 Aug 2011

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Ravelli, A. C. J., Tromp, M., Eskes, M., Droog, J. C., van der Post, J. A. M., Jager, K. J., ... Reitsma, J. B. (2011). Ethnic differences in stillbirth and early neonatal mortality in The Netherlands. Journal of Epidemiology and Community Health, 65(8), 696-701. https://doi.org/10.1136/jech.2009.095406
Ravelli, A. C J ; Tromp, M. ; Eskes, M. ; Droog, J. C. ; van der Post, J. A M ; Jager, K. J. ; Mol, B. W. ; Reitsma, J. B. / Ethnic differences in stillbirth and early neonatal mortality in The Netherlands. In: Journal of Epidemiology and Community Health. 2011 ; Vol. 65, No. 8. pp. 696-701.
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Ravelli, ACJ, Tromp, M, Eskes, M, Droog, JC, van der Post, JAM, Jager, KJ, Mol, BW & Reitsma, JB 2011, 'Ethnic differences in stillbirth and early neonatal mortality in The Netherlands', Journal of Epidemiology and Community Health, vol. 65, no. 8, pp. 696-701. https://doi.org/10.1136/jech.2009.095406

Ethnic differences in stillbirth and early neonatal mortality in The Netherlands. / Ravelli, A. C J; Tromp, M.; Eskes, M.; Droog, J. C.; van der Post, J. A M; Jager, K. J.; Mol, B. W.; Reitsma, J. B.

In: Journal of Epidemiology and Community Health, Vol. 65, No. 8, 01.08.2011, p. 696-701.

Research output: Contribution to journalArticle

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