| Fetal growth restriction and maternal smoking in the Macedonian Roma population: a causality dilemma. | |
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MedLine Citation:
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PMID: 23361458 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Macedonia is one of the top five countries globally in reported smoking rates. Over 10 % of the population consists of the underprivileged Roma minority. We aimed to determine whether Roma ethnicity is an independent risk factor for adverse pregnancy outcome or merely mediating maternal smoking. METHODS: Maternal data were retrieved from the perinatal computerized database for all deliveries during 2007-2011 at the only Clinical Hospital in Bitola, Macedonia. Multivariable regression models were constructed to control for confounders. RESULTS: Of nearly 7,000 deliveries, 8.65 % were of maternal Roma ethnicity and 40 % of the Romani women admitted to regularly smoke during pregnancy. Both Roma ethnicity and maternal smoking were significantly associated with the absence of maternal education, history of abortions and intra uterine growth restriction (IUGR) in the univariate analysis. Both maternal Roma ethnicity (OR 2.46, 95 % CI 1.79-3.38) and smoking status (OR 1.37, 95 % CI 1.02-1.85) were found to be independent predictors of IUGR using the multivariate analysis. Lower birthweight and smaller head circumference were both independently associated with Roma ethnicity and smoking. CONCLUSIONS: Underprivileged ethnic background is a significant risk factor for IUGR, independent of maternal smoking status. To the best of our knowledge, this is the first publication focusing on pregnancy outcome in Romani Macedonian parturients. |
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Authors:
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Asnat Walfisch; Sotir Nikolovski; Bilijana Talevska; Mordechai Hallak |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-1-30 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: - ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-1-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel, asnatwalfisch@yahoo.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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