Understanding Racial and Ethnic Disparities in Pregnancy related Complications

Introduction:

Key Findings on Pregnancyrelated Complications

Researchers reviewed 2,030 obstetric cases from both hospitals during 2021, focusing on the prevalence of pregnancy-related complications among Chinese and Zambian women. Statistical analysis highlighted notable differences in maternal age, gravidity, parity, and the prevalence of medical, obstetrical, and infection-related complications.

Key subject characteristics:

  • Chinese women were generally older (average age: 30 years) compared to Zambian women (average age: 26.7 years).
  • Zambian women had higher gravidity and parity rates.

Who is at Higher Risk

  • Zambian women had higher rates of hypertensive disorders such as preeclampsia (13.8%), eclampsia, and placental abruption.
  • Chinese women had higher odds of experiencing oligohydramnios (14.39%) and placenta previa.

Medical Complications in Pregnancy

Medical issues were notably higher among Chinese women:

  • Gestational Diabetes Mellitus (GDM) affected 18.41% of Chinese cases.
  • Hypothyroidism and anemia also showed significantly higher prevalence among Chinese women.

Infection-Related Complications

  • Urinary Tract Infections (UTIs) and syphilis were significantly more prevalent among Zambian women.
  • Hepatitis B Virus (HBV) infections were more common in Chinese women.

Critical Implications for Maternal Care

These findings highlight the urgent need for:

  • Targeted antenatal interventions based on ethnic specific risk factors.
  • Strengthening prenatal screening programs.
  • Enhancing maternal health awareness, especially in rural and resource-limited settings.

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