Associations between maternal circulating 25‐hydroxyvitamin D concentration and birth outcomes—Mode of delivery and episiotomy rate: A prospective cohort study
Autor: | María T. Prieto-Sánchez, Jaime Mendiola, Julián J. Arense-Gonzalo, Alberto M. Torres-Cantero, Miguel A Iniesta, María Luisa Sánchez-Ferrer, Emilia Alfosea-Marhuenda, Inmaculada Gómez-Carrascosa |
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Rok vydání: | 2021 |
Předmět: |
Episiotomy
medicine.medical_specialty instrumented delivery 25‐hydroxyvitamin D medicine.medical_treatment episiotomy RT1-120 Nursing Statistical significance medicine Humans Caesarean section Prospective Studies Vitamin D Prospective cohort study Research Articles General Nursing Pregnancy Cesarean Section business.industry Obstetrics Vaginal delivery medicine.disease Mode of delivery caesarean section Female Observational study pregnancy business Research Article |
Zdroj: | Nursing Open, Vol 8, Iss 6, Pp 3645-3654 (2021) Nursing Open |
ISSN: | 2054-1058 |
DOI: | 10.1002/nop2.915 |
Popis: | Aim The objective of this study was to evaluate associations between maternal concentrations of 25‐hydroxyvitamin D (25(OHD)) and birth outcomes: mode of delivery and episiotomy rate. Design and Methods One hundred and seventeen pregnant women were enrolled in an observational, longitudinal, prospective cohort study. Multivariable linear regression analyses were performed to assess relationships between maternal 25(OHD) concentrations and mode of delivery. To account for systematic temporal variation in 25(OHD), a cosinor model to the data was fitted. Results No significant statistical associations were found between adjusted maternal 25(OHD) concentrations and risk of eutocic vaginal delivery, instrumented delivery (OR 1.05 [95% CI: 0.97–1.13]), primary Caesarean section (OR 0.99 [95% CI: 0.88–1.11]) or Caesarean section for any other causes (OR 1.04 [95% CI: 0.95–1.14]). High 25(OHD) levels tended to show a protective effect on performance of episiotomy, without reaching statistical significance (OR 0.36 [95% CI: 0.09, 1.37]). |
Databáze: | OpenAIRE |
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