Document Detail


Prepregnancy health status and the risk of preterm delivery.
MedLine Citation:
PMID:  15630059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite extensive evaluation, our understanding of risk factors for premature delivery is incomplete. OBJECTIVE: To examine whether a woman's health status and risk factors before pregnancy are associated with a woman's risk of preterm delivery, independent of risk factors that occur during pregnancy. DESIGN, SETTING, AND PARTICIPANTS: Prospective cohort of pregnant women in the San Francisco Bay area who delivered a singleton infant (n = 1619). MAIN OUTCOME MEASURE: Preterm delivery (<37 weeks' gestational age). RESULTS: Sociodemographic characteristics alone explained 13.0% of the risk of preterm delivery, whereas risk factors that occurred before pregnancy explained 39.8% and risk factors that occurred during pregnancy explained 47.1%. After we adjusted for sociodemographic characteristics, prepregnancy risk factors, and pregnancy risk factors, women who reported poor physical function during the month before conception were nearly twice as likely to experience a preterm delivery (odds ratio, 1.97; 95% confidence interval, 1.18-3.30) as women with better physical function. CONCLUSION: A broader focus on the health of women prior to pregnancy may improve rates of preterm delivery.
Authors:
Jennifer S Haas; Elena Fuentes-Afflick; Anita L Stewart; Rebecca A Jackson; Mitzi L Dean; Phyllis Brawarsky; Gabriel J Escobar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  159     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-04     Completed Date:  2005-01-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58-63     Citation Subset:  AIM; IM    
Affiliation:
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120-1613, USA. jhaas@partners.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Continental Ancestry Group
Body Mass Index
California / epidemiology
Female
Health Status*
Humans
Hypertension / complications,  epidemiology
Interviews as Topic
Longitudinal Studies
Middle Aged
Physical Fitness
Preconception Care
Pregnancy
Pregnancy Complications, Cardiovascular / epidemiology
Premature Birth / epidemiology,  etiology*
Prospective Studies
Risk Factors
Smoking / adverse effects,  epidemiology
Comments/Corrections
Comment In:
Arch Pediatr Adolesc Med. 2005 Jan;159(1):89-90   [PMID:  15630064 ]

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