Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study

Autor: Ana Raquel Neves, Fabiane Neves, Isabel Santos Silva, Maria do Céu Almeida, Pitorra Monteiro
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Pregnancy, Vol 2017 (2017)
Druh dokumentu: article
ISSN: 2090-2727
2090-2735
DOI: 10.1155/2017/1630967
Popis: Objective. To determine the contribution of drug use during pregnancy to the route of delivery. Methods. A case-control study was conducted at a hospital in Coimbra, Portugal, between 2001 and 2014. Drug-dependent pregnant women (n=236) were compared with a control group of low risk women (n=228) in terms of maternal characteristics, obstetric history, pregnancy complications, and labor details. Factors that influenced the mode of delivery were determined. Statistical analysis was performed with SPSS v. 23.0 (IBM Corp.). p values < 0.05 were considered statistically significant. Results. Drug-dependent women presented a lower rate of cesarean delivery (18.2 versus 28.9%, p=0.006). After adjusting for the factors that were significantly related to the mode of delivery, drug dependency influenced the rate of cesarean section (β=0.567; 95% CI = 0.328–0.980). Within the drug-dependent group, the mode of delivery was significantly related to previous cesarean or vaginal delivery (p=0.008 and p
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