Determinants of stillbirth mortality in Greece
Autor: | Eleni Petridou, George Kotsifakis, Dimitrios Trichopoulos, Argy Polychronopoulou, K. Revinthi |
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Rok vydání: | 1996 |
Předmět: |
Male
Pregnancy High-Risk Population Gestational Age Logistic regression Sampling Studies Pregnancy Risk Factors Birth Weight Humans Medicine education Fetal Death reproductive and urinary physiology Demography education.field_of_study Greece business.industry Infant Newborn Public Health Environmental and Occupational Health Gestational age medicine.disease Parity Logistic Models Case-Control Studies Population Surveillance Relative risk Educational Status Gestation Female Pregnancy Multiple business Parity (mathematics) Developed country Maternal Age |
Zdroj: | Sozial- und Pr�ventivmedizin SPM. 41:70-78 |
ISSN: | 1420-911X 0303-8408 |
DOI: | 10.1007/bf01323085 |
Popis: | A population-based case-control study of the determinants of stillbirths was conducted in Greece from 1989 to 1991. All reported stillbirths after 28 weeks of pregnancy (N = 2,006) during the three year study period comprised the case group. The control group derived from random sampling of 10% of all livebirths in Greece, during the same period (N = 30,705). The data were analysed by modelling through multiple logistic regression. The adjusted relative risk of stillbirth was significantly higher for males compared to females. A statistically significant monotonic increase in relative risk was observed with shorter gestational age, low maternal education, and older maternal age. Birthweight and parity showed a statistically significant U-shaped association with stillbirth risk, with a higher risk being observed among both low and high birthweight deliveries, as well as among primiparous or multiparous (4+) mothers. Positive associations of stillbirth with multiple births, out-of-wedlock marriage and non-Greek-orthodox maternal religion were noted in crude analyses, but these associations almost disappeared in logistic regression model. Maternal urban or rural residence showed no relation to risk. Overall, the prospective risk of stillbirth after the 24th week of gestation in Greece has been estimated to be higher than that in Japan (a more developed country) with more than 40% of stillbirths occurring after the 36th week of pregnancy. |
Databáze: | OpenAIRE |
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