Risk factors for spontaneous preterm birth among Aboriginal and non-Aboriginal women in Manitoba
| Autor: | Raymond F. Currie, Annette Gupton, Maureen Heaman, Michael E. K. Moffatt, James F. Blanchard |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Gestational hypertension
Adult medicine.medical_specialty Adolescent Epidemiology Population Gestational Age Prenatal care Abortion Weight Gain Pregnancy Risk Factors medicine Humans education education.field_of_study Marital Status Obstetrics business.industry Smoking Gestational age Manitoba Prenatal Care medicine.disease Abortion Spontaneous Hospitalization Premature birth Case-Control Studies Pediatrics Perinatology and Child Health Multivariate Analysis Indians North American Gestation Premature Birth Female Uterine Hemorrhage business Stress Psychological Maternal Age |
| Zdroj: | Paediatric and perinatal epidemiology. 19(3) |
| ISSN: | 0269-5022 |
| Popis: | In the province of Manitoba, the incidence of preterm birth has been increasing and the rate is higher among Aboriginal than non-Aboriginal women. The purpose of this study was to identify risk factors for spontaneous preterm birth in Manitoba women, and to compare risk factors among Aboriginal and non-Aboriginal women. A case-control study was performed at two tertiary care hospitals in Winnipeg, Manitoba, Canada from October 1999 to December 2000. Cases delivered a live singleton infant at < 37 weeks gestation (n = 226; 36% Aboriginal), while controls delivered between 37 and 42 weeks gestation (n = 458; 38% Aboriginal). An interview was conducted with each subject on the postpartum unit, and information was collected from the health record. Using stratified analyses to control for race/ethnicity, several risk factors for preterm birth had a uniform effect measure across strata, while others demonstrated heterogeneity. After adjusting for other maternal characteristics in a multivariable logistic regression model, significant risk factors for all women included previous preterm birth, two or more previous spontaneous abortions, vaginal bleeding after 12 weeks gestation, gestational hypertension, antenatal hospitalisation, and prelabour rupture of membranes. In addition, potentially modifiable risk factors included low weight gain during pregnancy and inadequate prenatal care for all women, and high levels of perceived stress for Aboriginal women. These modifiable risk factors lend themselves to public health interventions, and should be targeted in future prevention efforts. |
| Databáze: | OpenAIRE |
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