Regional and racial–ethnic differences in perinatal interventions among periviable births
Obstetrics and Gynecology Apr 03, 2020
Boghossian NS, et al. - Researchers examined if there are regional differences in three perinatal interventions that reflect active treatment among periviable gestations and ascertained if there are racial–ethnic disparities in the receipt of these perinatal interventions after accounting for hospital region. Assessment of neonates born at 776 US centers that participated in the Vermont Oxford Network (2006–2017) with a gestational age of 22–25 weeks was performed in this retrospective study. Postnatal life support was assessed the primary outcome. Maternal administration of antenatal corticosteroids and cesarean delivery were assessed as the secondary outcomes. Observations revealed existence of major regional variation in perinatal interventions when managing 22- and 23-week neonates. In the Northeast and the West regions, higher provision of postnatal life support was reported for minority neonates born at 22 and 23 weeks of gestation.
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