Preterm birth and maternal country of birth in a French district with a multiethnic population.
OBJECTIVE
This analysis explores the association between preterm birth and maternal country of birth in a French district with a multiethnic population.


METHODS
Prospective observational study.


METHODS
District of Seine-Saint-Denis in France


METHODS
48,746 singleton live births from a population-based birth register between October 1998 and December 2000.


METHODS
We compare preterm birth rates by mother's country of birth controlling for demographic and obstetric factors as well as insurance coverage and timing of initiation of antenatal care.


METHODS
Overall preterm birth rates and preterm birth rates by timing of delivery (<33 weeks versus 33-36 weeks of gestation), mode of onset (spontaneous or indicated preterm birth) and the presence of hypertension in pregnancy.


RESULTS
Women born in Northern Africa, Southern Europe and South/East Asia did not have higher preterm birth rates than women born in continental France. Rates were significantly higher for women born in the overseas French districts in the Caribbean and Indian Ocean and Sub-Saharan Africa. Excess risk was greatest for early preterm births, medically indicated births and preterm births associated with hypertension.


CONCLUSIONS
Patterns of preterm birth with relation to timing, mode of onset and medical complications among of Afro-Caribbean origin should be confirmed in future research.
INSERM U149, Epidemiological Research Unit on Perinatal and Women's Health, Paris, France.
J
J
Zeitlin
M
M
Bucourt
L
L
Rivera
B
B
Topuz
E
E
Papiernik
D000328:Adult; D000349:Africa / Q000208:ethnology; D005060:Europe / Q000208:ethnology; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007752:Obstetric Labor, Premature / Q000208:ethnology*; D011247:Pregnancy; D011446:Prospective Studies; D012111:Residence Characteristics; D012307:Risk Factors; D014900:West Indies / Q000208:ethnology