Deprived neighborhoods and adverse perinatal outcome: a systematic review and meta‐analysis

  title={Deprived neighborhoods and adverse perinatal outcome: a systematic review and meta‐analysis},
  author={Amber A. Vos and Anke G Posthumus and Gouke J. Bonsel and Eric A. P. Steegers and Semiha Denktaş},
  journal={Acta Obstetricia et Gynecologica Scandinavica},
  pages={727 - 740}
This study aims to summarize evidence on the relation between neighborhood deprivation and the risks for preterm birth, small‐for‐gestational age, and stillbirth. 
Neighborhood deprivation and adverse perinatal outcomes in Sweden: A population‐based register study
Neighborhood deprivation has been associated with adverse perinatal outcomes but it is unclear to what extent maternal and social risk factors explain the association and how a stressful environment
Preterm birth and social inequality: assessing the effects of material and psychosocial disadvantage in a UK birth cohort
To examine the association between social inequalities and preterm birth, testing both psychosocial and material determinants.
Is individual social deprivation associated with adverse perinatal outcomes? Results of a French multicentre cross-sectional survey
Social deprivation was associated with adverse perinatal outcomes and should be systematically screened in pregnant women standard follow-up, among migrant women, especially.
Deprived neighborhoods and spontaneous preterm birth: A national cohort study.
Non-medical determinants of perinatal health: protocol for a systematic review with meta-analysis
A systematic review, preferably with meta-analysis, is provided to provide insight into the associations between non-medical determinants and perinatal mortality, preterm birth and being small for gestational age (SGA).
Association Between Neighborhood Disadvantage and Fertility Among Pregnancy Planners in the US.
In this cohort study of 6356 women attempting to conceive without the use of fertility treatment, the probability of conception was reduced 21% to 23% per menstrual cycle when comparing the highest with the lowest deciles of disadvantaged neighborhoods.
Differences in perinatal morbidity and mortality on the neighbourhood level in Dutch municipalities: a population based cohort study
Substantial differences in perinatal morbidity and mortality between municipalities and neighbourhoods exist and policy makers and healthcare professionals need to be informed about their local per inatal health profiles in order to introduce antenatal healthcare tailored to the individual and neighbourhood environment.
Prediction of stillbirth: an umbrella review of evaluation of prognostic variables
Multivariable prediction models may be key to individualised monitoring, intervention or early birth in pregnancy to prevent stillbirth.
Socioeconomic inequalities and adverse pregnancy outcomes in the UK and Republic of Ireland: a systematic review and meta-analysis
This review identified consistent evidence that lower occupational status, especially manual occupations and unemployment, were significantly associated with increased risk of multiple adverse pregnancy outcomes.


Ethnic differences in preterm birth and its subtypes: the effect of a cumulative risk profile
The aim is to explore the effect of potentially explanatory risk factors on ethnic differences in the prevalence of preterm birth and its subtypes and to investigate whether these differences are driven by race, ethnicity, or both.
Social inequalities in preterm birth in Scotland 1980–2003: findings from an area‐based measure of deprivation
Time trends in singleton live preterm birth rates in Scotland are examined in relation to area‐based socio‐economic indicators to show how this gradient has been affected by the overall increase.
Social inequality and infant health in the UK: systematic review and meta-analyses
The magnitude of effect is similar across a range of area and individual deprivation measures and birth and mortality outcomes and further research should explore the factors that are more proximal to mothers and infants.
[Perinatal outcomes in the four largest cities and in deprived neighbourhoods in The Netherlands].
Pregnant women in the G4 have an increased risk of adverse perinatal outcomes and the risks of residing in a deprived neighbourhood are even higher, especially among Western women.
Quantifying the Impact of Deprivation on Preterm Births: A Retrospective Cohort Study
Deprivation has significant impact on preterm birth rates in low risk women, and the relationship between low socio-economic status and preterm births appears to be related to low maternal weight and smoking in more deprived groups.
Individual accumulation of heterogeneous risks explains perinatal inequalities within deprived neighbourhoods
To conclude, women from a socioeconomically deprived neighbourhood are at an increased risk for adverse pregnancy outcomes, and differences regarding possibly avoidable risk factors imply that preventive strategies may prove effective.
The association between neighbourhoods and adverse birth outcomes: a systematic review and meta-analysis of multi-level studies.
The consistency of findings from observational studies in this area indicates a need for causal studies to determine the mechanisms by which neighbourhoods influence birth outcomes.
The effect of neighbourhood income and deprivation on pregnancy outcomes in Amsterdam, The Netherlands
Investigating the associations of neighbourhood-level income and unemployment/social security benefit on pregnancy outcomes: preterm delivery, small for gestational age (SGA), pregnancy-induced hypertension (PIH) and miscarriage/perinatal death in Amsterdam suggests that neighbourhood income and deprivation are related to SGA births.
The relationship between the neighbourhood environment and adverse birth outcomes.
Measures of neighbourhood economic conditions are associated with both fetal growth and the length of gestation independent of individual-level factors, but that readily available measures of neighbourhood retail outlets are not.
Erratum to: Neighborhood Inequalities in Adverse Pregnancy Outcomes in an Urban Setting in Spain: A Multilevel Approach
Pregnancy outcomes are more favorable in births to older mothers and to mothers from Maghrib and Central and South America than from developed countries (including Spain) or from other developing countries.