Document Detail


Preterm birth and multiple pregnancy in European countries participating in the PERISTAT project.
MedLine Citation:
PMID:  16637897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare rates of preterm birth among multiple births in European countries, to estimate their contribution to overall preterm birth rates and to explore factors which could explain differences between preterm birth rates. DESIGN: Analyses of data from vital statistics, birth registers or national samples of births. SETTING: Eleven member states of the European Union. POPULATION: All live births or representative samples of births at national or regional level for the year 2000 or most recent year. METHODS: Description of rates of preterm birth before 37 and 32 weeks, estimation of population attributable risks (PAR), study of associations between preterm birth rates in multiples and singletons and nonspontaneous labour using Spearman's rank correlation coefficient. MAIN OUTCOME MEASURES: Preterm birth rates, PAR, proportions of deliveries with nonspontaneous onset (caesarean sections before labour or induction of labour). RESULTS: The proportion of multiple births before 37 weeks varied from 68.4% in Austria to 42.2% in the Republic of Ireland. In half of the countries, over 20% of all preterm births were attributable to multiple births. A strong association was found between the proportions of births before 37 weeks among multiple and singleton births (r= 0.81; P < 0.001). An association was observed between the rates of preterm birth and the proportions of deliveries with nonspontaneous onset among twins. CONCLUSIONS: Wide variations in rates of preterm births and deliveries with nonspontaneous onset were found between countries, suggesting marked differences in clinical practice which could have long-term implications for the health of children from multiple births.
Authors:
B Blondel; A Macfarlane; M Gissler; G Breart; J Zeitlin;
Related Documents :
9790397 - Preterm birth and maternal smoking: risks related to gestational age and onset of deliv...
2810457 - Serum immunoglobulin levels and incidence of infection during the first year of life in...
18754917 - Impaired word stress pattern discrimination in very-low-birthweight infants during the ...
17803617 - Effects of different data-editing methods on trends in race-specific preterm delivery r...
20116107 - Impact and characteristics of positive and fearful emotional messages during infant soc...
22508977 - Sex ratios among canadian liveborn infants of mothers from different countries.
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  113     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-26     Completed Date:  2006-05-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  528-35     Citation Subset:  AIM; IM    
Affiliation:
INSERM, U149, Epidemiological Research Unit on Perinatal and Women's Health, Paris and Villejuif, France. blondel@vjf.inserm.fr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cesarean Section / statistics & numerical data
Europe / epidemiology
European Union / statistics & numerical data
Female
Humans
Pregnancy
Pregnancy, Multiple / statistics & numerical data*
Premature Birth / epidemiology*
Registries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Failing pregnancies of unknown location: a prospective evaluation of the human chorionic gonadotroph...
Next Document:  Genes encoding bile acid, phospholipid and anion transporters are expressed in a human fetal cardiom...