In Reply

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In Reply:
We thank Dr. Weed for his letter. His question regarding the statistical significance of differences in preterm birth rates in the United States by race and ethnicity has been demonstrated time and again.1 Though we cite nationwide data from the March of Dimes in our article,1 the Centers for Disease Control and Prevention note that, in 2010, preterm birth rates for black women were as high as 17.1%, compared with 10.8% among white women; this 60% relative difference was statistically significant.2 Second, data around stress from police violence and preterm birth are nonexistent in the literature; this was our main motivation in writing our commentary. Police violence itself has been widely documented to disproportionately affect transgendered, minority, and socioeconomically marginalized communities.3 Taking a logical step, if the disproportionate use of force by police can constitute a form of racism—as it has historically—the data surrounding racism, maternal stress, and preterm birth forms the base for new avenues of inquiry into the socially driven processes that affect adverse perinatal outcomes.4 Finally, the question of reproductive freedom and justice is inherent in the interpretation of responsibility for both patients and practitioners.
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