Pregnancy risk factors for very premature delivery: what role do hypertension, obesity and diabetes play? View Full Text


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Article Info

DATE

2013-07

AUTHORS

Juliane Spiegler, G. Stichtenoth, J. Weichert, I. R. König, M. Schlaud, A. v.d. Wense, D. Olbertz, H. Gurth, J.-H. Schiffmann, B. Bohnhorst, L. Gortner, E. Herting, W. Göpel, The German Neonatal Network, GNN

ABSTRACT

PURPOSE: Very premature delivery is a major cause of infant morbidity and mortality. Obesity, diabetes and pregnancy hypertension are known risk factors for pregnancy complications. The study aimed to scrutinize differences of pregnancy complications in a cohort of very premature deliveries compared to a national group. METHODS: In a multicenter study performed between January 2009 and December 2010 including 1,577 very low birth weight (VLBW) infants, we compared parental reported pregnancy problems of VLBW infants with a national cohort (KIGGS). We compared reported pregnancy complications to reasons for premature delivery and neonatal outcome within the group of VLBW infants. RESULTS: While parents of the national cohort reported pregnancy-induced hypertension in 8 %, parents of VLBW infants reported this complication more frequently (27 %). Mothers of the national cohort were significantly younger (1 year), suffered less from obesity, anaemia, diabetes. Regression analysis showed that hypertension (OR = 5.11) and advanced maternal age (OR = 1.03) increased the risk for premature birth. Women with hypertension were likely to experience a clinically indicated premature delivery, had more VLBW infants with a moderate growth restriction, but less multiples and their infants had less intraventricular haemorrhages grade 3 or 4. Otherwise, neonatal outcome was correlated with gestational age but not with the pregnancy complications diabetes, hypertension or obesity. CONCLUSION: Premature birth seems to be correlated to gestational hypertension and associated problems in about ¼ of VLBW infants. Further studies should focus on preventing and treating gestational hypertension to avoid premature delivery and associated neonatal morbidity. More... »

PAGES

57-64

References to SciGraph publications

  • 2007-05. Perinatale Einflussfaktoren auf die spätere Gesundheit in BUNDESGESUNDHEITSBLATT - GESUNDHEITSFORSCHUNG - GESUNDHEITSSCHUTZ
  • 2007-12. Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies in BMC PUBLIC HEALTH
  • 2010-07. Maternal obesity, associated complications and risk of prematurity in JOURNAL OF PERINATOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00404-013-2739-6

    DOI

    http://dx.doi.org/10.1007/s00404-013-2739-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1047468246

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23400353


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    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00404-013-2739-6'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00404-013-2739-6'

    RDF/XML is a standard XML format for linked data.

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