“…In fact, African American mothers, who are more likely to be uninsured, were less likely to have prenatal screenings including amniocentesis and ultrasonography (Brett, Schoendorf, & Kiely, 1994), likely resulting in higher rates of cesarean delivery than in White women (Aron, Gordon, DiGiuseppe, Harper, & Rosenthal, 2000). Consequently, these improvements may not help to promote the overall downturn in prematurity rates among all women, just those who are more adequately insured (Ramos, Jurkowski, Gonzalez, & Lawrence, 2010;Alexander & Slay, 2002).…”