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- Title
THE INFLUENCE OF PSYCHOSOCIAL, BEHAVIORAL AND OBSTETRICAL FACTORS ON SPONTANEOUS PRETERM BIRTH RISK IN A ROMANIAN POPULATION.
- Authors
Preda, Andreia Paraschiva; Stamatian, F.; Ona, D.; Caracostea, Gabriela; Zaharie, Gabriela; Goidescu, I. G.; Surcel, M.
- Abstract
Objective: The objective of this study was to determine whether the psychosocial, behavioral and obstetrical factors influences the risk of spontaneous preterm birth (SPTB) in a Romanian population. Methods: We performed a prospective case-control study on 248 women with singleton live births, 120 with preterm delivery and 128 with term birth. We used a questionnaire for social and demographic characteristics, behavioral factors, housework, employment and obstetrical history, including current pregnancy. Data about labor, delivery type and neonatal outcome were collected from medical charts. Results: Education, marital status, maternal height, weight gain, infection during pregnancy and especially obstetrical history were strongly related to preterm birth. The risk for recurrent premature birth was of approximately twelve times higher (OR 12,362; 95% CI: 2.88-53.09). We have not obtained statistical significance regarding behavioral factors, excepting passive smoking and the number of alcohol drinks. No significant association was found between employment during pregnancy, living and working conditions, potentially stressful events in pregnancy and preterm birth. Conclusions: Our results indicate that socio-demographic factors and obstetric history are strong predictors for spontaneous preterm delivery in our population. Contrary to the studies conducted so far, smoking, household characteristics and stressful events during pregnancy have not influenced the SPTB risk.
- Subjects
PREMATURE labor; OBSTETRICS; PREGNANCY complications; WOMEN'S tobacco use; PREGNANT women; LABOR complications (Obstetrics)
- Publication
Obstetrică şi Ginecologie, 2018, Vol 66, Issue 1, p21
- ISSN
1220-5532
- Publication type
Article