Gestational Age at Delivery in Preeclampsia with Severe Features Stratified by Race
ACOG ePoster. Speranza R. Apr 27, 2018; 211961; 20C
Rosa Speranza
Rosa Speranza
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Abstract
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Introduction: There are known racial disparities in preeclampsia, but there are limited data exploring the impact of race on gestational age at delivery for preeclampsia with severe features (PE-SF). We sought to describe rates of deliveries by week of gestation in PE-SF stratified by race.

Methods: This is a retrospective cohort study of singleton, non-anomalous deliveries from 2005-2008 using linked vital statistics and ICD-9 data. Women self-reported into racial categories of white, black, Hispanic/Latina, Asian/Pacific Islander, or other. We used chi-squared tests to compare outcomes by gestational age and multiple logistic regression to adjust for age, education, insurance status, chronic hypertension, diabetes, and birthweight.


Results: Of the 2,039,870 births in our cohort, 16,073 (0.79%) were from pregnancies complicated by PE-SF. Delivery rates for PE-SF were highest between 28 – 32 weeks gestation across all racial categories. Black women had the highest rate of delivery of any week in any race during the 31st week of gestation (12.5%, p
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