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Cited by 172

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Risk of Miscarriage Among Black Women and White Women in a US Prospective Cohort Study

Open access
Mukherjee, S., Velez Edwards, D. R., Baird, D. D., Savitz, D. A., Hartmann, K. E.·2013·American Journal of Epidemiology

Abstract

Many adverse pregnancy outcomes differ by race. We examined the association between self-reported race and miscarriage (pregnancy loss at <20 weeks) in a community-based pregnancy cohort. Women from the southeastern United States (North Carolina, Texas, and Tennessee) were enrolled in "Right from the Start" from 2000 to 2009. They were recruited while trying to conceive or during early pregnancy. Participants completed study ultrasound examinations, interviews, and consent forms for review of medical records. We used proportional hazard models to examine miscarriage risk among black women compared with white women, adjusted for confounders. There were 537 observed miscarriages among 4,070 women, 23% of whom self-identified as black (n = 932). The life table-adjusted cumulative risk of loss after gestational week 5 was 21.3%. With adjustment for age and alcohol use, blacks had increased risk of miscarriage compared with whites (adjusted hazard ratio = 1.57, 95% confidence interval: 1.27, 1.93). When risk of loss before gestational week 10 was dichotomized at the median gestational age, there was little difference, but black women had a greater risk thereafter compared with white women (adjusted hazard ratio = 1.93, 95% confidence interval: 1.48, 2.51). Early pregnancy ultrasound examinations did not differ by race. In summary, self-reported race is independently associated with risk of miscarriage, and the higher risk for black women is concentrated in gestational weeks 10-20.

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Metadata

Authors
Mukherjee, S., Velez Edwards, D. R., Baird, D. D., Savitz, D. A., & Hartmann, K. E.
Venue
American Journal of Epidemiology
Published
2013-04-04
Volume
177
Issue
11
Pages
1271-1278
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
OpenAlex
W2123133339
Cited by
172
References
6
FWCI
8.30
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Risk of Miscarriage Among Black Women and White Women in a US Prospective Cohort Study. https://app.cochat.ai/papers/10.1093/aje/kws393
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Mukherjee, S., Velez Edwards, D. R., Baird, D. D., Savitz, D. A., & Hartmann, K. E. (2013). Risk of Miscarriage Among Black Women and White Women in a US Prospective Cohort Study. American Journal of Epidemiology. https://doi.org/10.1093/aje/kws393

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.