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Journal of perinatology : official journal of the California Perinatal Association · 2026

Area level measures of socioeconomic deprivation and their impact on very preterm birth and very preterm birth outcomes: A retrospective cohort study.

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O'Reilly Daniel, Murphy Lauren, Dempsey Sharon, Gormley Isobel Claire, Curley Anna, Moore Carmel Maria, McCallion Naomi

Аннотация

OBJECTIVE: We hypothesised that socioeconomic deprivation as determined by an area measure would be an important risk factor for preterm birth in a contemporary cohort.

METHODS: A retrospective study was carried out across two tertiary maternity hospitals in Ireland between 2018 and 2022 representing approximately 27% of all births in Ireland. Non stillborn infants whose address could be matched to a small area deprivation index (Haase-Pratschke (HP) Index) were included in the analysis. A combination of non-parametric and parametric tests were used to examine the impact of socioeconomic deprivation.

RESULTS: 80,231 births were identified from 2018 to 2022. After exclusion criteria were applied, 912 very preterm births were available for analysis. There was a significant difference in population distributions of area level socioeconomic measures of neonates born <32 weeks and those born >=32 weeks(p < 0·001).

CONCLUSION: Socioeconomic deprivation remains an important determinant of very preterm birth although has limited effect on acute neonatal outcomes.

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