Download PDF
Am J Perinatol 2019; 36(12): 1256-1263
DOI: 10.1055/s-0038-1676487
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patterns of Preterm Birth among Women of Native Hawaiian and Pacific Islander Descent

Molly R. Altman
1   Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, Washington
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
,
Rebecca J. Baer
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
3   Department of Pediatrics, University of California, San Diego, La Jolla, California
,
Laura L. Jelliffe-Pawlowski
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
4   Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California
› Author Affiliations Funding This research was supported by the University of California, San Francisco, California Preterm Birth Initiative, funded by Lynne and Marc Benioff.
Further Information

Publication History

20 March 2018

24 October 2018

Publication Date:
21 December 2018 (online)

    Permissions and Reprints

Abstract

Objective To describe the characteristics and risk factors for preterm birth in Hawaiian and Pacific Islander women.

Study Design Retrospective cohort study of 10,470 women of Hawaiian or Pacific Islander descent drawn from a population-based birth cohort dataset in California. Variables were examined across preterm birth subtype (spontaneous, provider initiated) and by gestational age grouping (early preterm birth and late preterm birth) and all preterm births.

Results Hawaiian/Pacific Islander women were at higher risk for preterm birth when they had fewer than three prenatal visits; were underweight, reported tobacco, alcohol, or illicit drugs use in pregnancy; had a diagnosis of anemia, gestational diabetes, preexisting diabetes, or hypertension with or without pre-eclampsia; or had a history of previous preterm birth. Obesity was found to be protective for preterm birth.

Conclusion Women of Hawaiian and Pacific Islander descent demonstrate a similar yet unique constellation of risk and protective factors for preterm birth as compared with other groups at high risk for preterm birth. Interventions aimed to prevent preterm birth need to support the specific needs of this population.

Keywords

Hawaiian - Pacific Islander - preterm birth - racial

Supplementary Material

 

  • References

  • 1 Jelliffe-Pawlowski LL, Baer RJ, Blumenfeld YJ. , et al. Maternal characteristics and mid-pregnancy serum biomarkers as risk factors for subtypes of preterm birth. BJOG 2015; 122 (11) 1484-1493
    CrossrefPubMedGoogle Scholar
  • 2 Delara RMM, Madden E, Bryant AS. Short interpregnancy intervals and associated risk of preterm birth in Asians and Pacific Islanders. J Matern Fetal Neonatal Med 2018; 31 (14) 1894-1899
    CrossrefPubMedGoogle Scholar
  • 3 Premkumar A, Henry DE, Moghadassi M, Nakagawa S, Norton ME. The interaction between maternal race/ethnicity and chronic hypertension on preterm birth. Am J Obstet Gynecol 2016; 215 (06) 787.e1-787.e8
    CrossrefPubMedGoogle Scholar
  • 4 Centers for Disease Control and Prevention (CDC) Maternal, pregnancy, and birth characteristics of Asians and Native Hawaiians/Pacific Islanders–King County, Washington, 2003-2008. Morb Mortal Wkly Rep 2011; 60 (07) 211-213
    PubMedGoogle Scholar
  • 5 Sarnquist CC, Grieb EM, Maldonado YA. How racial and ethnic groupings may mask disparities: the importance of separatingPacific Islanders from Asians in prenatal care data. Matern Child Health J 2010; 14 (04) 635-641
    CrossrefPubMedGoogle Scholar
  • 6 Joseph KS, Fahey J, Shankardass K. , et al. Effects of socioeconomic position and clinical risk factors on spontaneous and iatrogenic preterm birth. BMC Pregnancy Childbirth 2014; 14: 117
    CrossrefPubMedGoogle Scholar
  • 7 Wong LF, Caughey AB, Nakagawa S, Kaimal AJ, Tran SH, Cheng YW. Perinatal outcomes among different Asian-American subgroups. Am J Obstet Gynecol 2008; 199 (04) 382.e1-382.e6
    CrossrefPubMedGoogle Scholar
  • 8 Chang AL, Hurwitz E, Miyamura J, Kaneshiro B, Sentell T. Maternal risk factors and perinatal outcomes among Pacific Islander groups in Hawaii: a retrospective cohort study using statewide hospital data. BMC Pregnancy Childbirth 2015; 15: 239
    CrossrefPubMedGoogle Scholar
  • 9 Bitton A, Zaslavsky AM, Ayanian JZ. Health risks, chronic diseases, and access to care among US Pacific Islanders. J Gen Intern Med 2010; 25 (05) 435-440
    CrossrefPubMedGoogle Scholar
  • 10 Anderson JG, Rogers EE, Baer RJ. , et al. Racial and ethnic disparities in preterm infant mortality and severe morbidity: a population based study. Neonatology 2018; 113 (01) 44-54
    CrossrefPubMedGoogle Scholar
  • 11 Shachar BZ, Mayo JA, Lyell DJ. , et al. Interpregnancy interval after live birth or pregnancy termination and estimated risk of preterm birth: a retrospective cohort study. BJOG 2016; 123 (12) 2009-2017
    CrossrefPubMedGoogle Scholar
  • 12 California Office of Statewide Health Planning and Development. 2017. Available at: http://www.oshpd.ca.gov/HID/. Accessed November 19, 2017
    PubMed
  • 13 Barros FC, Papageorghiou AT, Victora CG. , et al; International Fetal and Newborn Growth Consortium for the 21st Century The distribution of clinical phenotypes of preterm birth syndrome: implications for prevention. JAMA Pediatr 2015; 169 (03) 220-229
    CrossrefPubMedGoogle Scholar
  • 14 Cnattingius S, Villamor E, Johansson S. , et al. Maternal obesity and risk of preterm delivery. JAMA 2013; 309 (22) 2362-2370
    CrossrefPubMedGoogle Scholar
  • 15 Vasudevan C, Renfrew M, McGuire W. Fetal and perinatal consequences of maternal obesity. Arch Dis Child Fetal Neonatal Ed 2011; 96 (05) F378-F382
    CrossrefPubMedGoogle Scholar
  • 16 Madan J, Chen M, Goodman E, Davis J, Allan W, Dammann O. Maternal obesity, gestational hypertension, and pretermdelivery. J Matern Fetal Neonatal Med 2010; 23 (01) 82-88
    CrossrefPubMedGoogle Scholar
  • 17 Baumeister L, Marchi K, Pearl M, Williams R, Braveman P. The validity of information on “race” and “Hispanic ethnicity” in California birth certificate data. Health Serv Res 2000; 35 (04) 869-883
    PubMedGoogle Scholar
  • 18 Barradas DT, Dietz PM, Pearl M, England LJ, Callaghan WM, Kharrazi M. Validation of obstetric estimate using early ultrasound: 2007 California birth certificates. Paediatr Perinat Epidemiol 2014; 28 (01) 3-10
    CrossrefPubMedGoogle Scholar
  • 19 Rao AK, Daniels K, El-Sayed YY, Moshesh MK, Caughey AB. Perinatal outcomes among Asian American and Pacific Islander women. Am J Obstet Gynecol 2006; 195 (03) 834-838
    CrossrefPubMedGoogle Scholar
  • 20 Sentell T, Chang A, Cheng Y, Miyamura J. Maternal quality and safety outcomes for Asians and Pacific Islanders in Hawai’i: an observational study from five years of statewide data. BMC Pregnancy Childbirth 2014; 14: 298
    CrossrefPubMedGoogle Scholar
  • 21 Schempf AH, Mendola P, Hamilton BE, Hayes DK, Makuc DM. Perinatal outcomes for Asian, Native Hawaiian, and other Pacific Islander mothers of single and multiple race/ethnicity: California and Hawaii, 2003–2005. Am J Public Health 2010; 100 (05) 877-887
    CrossrefPubMedGoogle Scholar
  • 22 Hirai AH, Hayes DK, Taualii MM, Singh GK, Fuddy LJ. Excess infant mortality among Native Hawaiians: identifying determinants for preventive action. Am J Public Health 2013; 103 (11) e88-e95
    PubMedGoogle Scholar
  • 23 Liu DM, Alameda CK. Social determinants of health for Native Hawaiian children and adolescents. Hawaii Med J 2011; 70 (11 Suppl 2): 9-14
    PubMedGoogle Scholar
  • 24 Hayes DK, Mitchell KM, Donohoe-Mather C, Zaha RL, Melcher C, Fuddy LJ. Predictors of exclusive breastfeeding at least 8 weeks among Asian and Native Hawaiian or other Pacific Islander race subgroups in Hawaii, 2004–2008. Matern Child Health J 2014; 18 (05) 1215-1223
    CrossrefPubMedGoogle Scholar
  • 25 Flood JL, Dodgson JE. Health care and social service providers’ descriptions of pacific islander mothers’ breastfeeding patterns. J Midwifery Womens Health 2010; 55 (02) 162-170
    CrossrefPubMedGoogle Scholar