Ginekologia polska · 2007
[Social and health factors of respiratory distress syndrome in preterm infants].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Borkowski Włodzimierz, Mielniczuk Hanna
Аннотация
OBJECTIVE: to investigate the impact of social and health factors on respiratory distress syndrome (RDS) among preterm neonates.
DESIGN: survey based on the data from perinatal register.
MATERIALS: 4098 reports on preterm deliveries.
METHODS: Descriptive statistics and multi-factor logistic regression. Dependent variable: RDS. Independent: maternal age, marital status, education, place of residence, mode of delivery, diseases before pregnancy, diseases during pregnancy, obstetrical history, pregnancy weight gain rate, pre-pregnancy BMI, smoking, parity, newborn gender.
RESULTS: 10.3% RDS among preterm newborns was ascertained. University education of the mother decreases the odds for RDS by half, as well as considerable pregnancy weight gain (OR = 0.61) and smoking before pregnancy (OR = 0.57). Odds for RDS are increased by cesarean section (OR = 2.86) and adverse obstetrical history (OR = 1.61). Cesarean section before labor vs. cesarean after onset of labor increased additionally odds for RDS (OR = 1.46). Goodman Kruskal tau for joint occurrence of RDS in twins is 0.45.
CONCLUSIONS: Certain health and social factors, among them: considerable pregnancy weight gain rate and university education of the mother, decreased the odds for RDS in preterm delivered neonates.
DESIGN: survey based on the data from perinatal register.
MATERIALS: 4098 reports on preterm deliveries.
METHODS: Descriptive statistics and multi-factor logistic regression. Dependent variable: RDS. Independent: maternal age, marital status, education, place of residence, mode of delivery, diseases before pregnancy, diseases during pregnancy, obstetrical history, pregnancy weight gain rate, pre-pregnancy BMI, smoking, parity, newborn gender.
RESULTS: 10.3% RDS among preterm newborns was ascertained. University education of the mother decreases the odds for RDS by half, as well as considerable pregnancy weight gain (OR = 0.61) and smoking before pregnancy (OR = 0.57). Odds for RDS are increased by cesarean section (OR = 2.86) and adverse obstetrical history (OR = 1.61). Cesarean section before labor vs. cesarean after onset of labor increased additionally odds for RDS (OR = 1.46). Goodman Kruskal tau for joint occurrence of RDS in twins is 0.45.
CONCLUSIONS: Certain health and social factors, among them: considerable pregnancy weight gain rate and university education of the mother, decreased the odds for RDS in preterm delivered neonates.
Предметные рубрики MeSH
Cesarean SectionComorbidityConfidence IntervalsEducational StatusFemaleHealth StatusHumansInfant, NewbornInfant, Premature, DiseasesMaternal BehaviorMaternal WelfareOdds RatioPolandPregnancyPregnancy ComplicationsPrenatal CareRegistriesRespiratory Distress Syndrome, NewbornRisk FactorsSmokingSocioeconomic Factors