المؤلفون: Abuduxike, Gulifeiya, Cali, Sanda, Vaizoğlu, Songül Acar, Aşut, Özen, Çavuş, Mahmut, Olgu, Musa, Çavuş, Simay Naime, Arkut, Meryem, Idehen, Blessing Oluwaseun, Almezghwi, Heyam Abdalla Saleh, Asswayeh, Hana Muftah Ali, Abawu, Janet James, Hossain, Mohammad Jayed, Almawali, Nusaiba AbdulMunaem

المصدر: Maternal & Child Health Journal; Apr2024, Vol. 28 Issue 4, p667-678, 12p

مصطلحات موضوعية: CESAREAN section, RISK assessment, PUBLIC hospitals, DELIVERY (Obstetrics), VAGINA, CYPRIOTS, SCIENTIFIC observation, PREMATURE infants, RETROSPECTIVE studies, DESCRIPTIVE statistics, CHI-squared test, AGE distribution, BIRTH rate, RESEARCH methodology, MEDICAL records, ACQUISITION of data, DATA quality, COMPARATIVE studies, DATA analysis software, TURKISH Cypriots, PREGNANCY complications, CHILDBIRTH, FETAL presentation, PREMATURE labor

مصطلحات جغرافية: ISLANDS of the Mediterranean

مستخلص: Objective: We aimed to understand the utilization of the mode of delivery and related risk factors. Further aimed to apply the Robson classification system to evaluate the data quality and analyze the CS rates in subgroups. Methods: We conducted a retrospective descriptive study by reviewing the medical records of all women who delivered at the State Hospital in 2019. A proforma was developed for extracting data from patient records. All women with six obstetric parameters were categorized into Robson groups to determine the absolute and relative contributions of each group to the overall CS rate. Results: Of 797 deliveries, 401 (50.2%) were CSs. Being older, being Turkish Cypriot, having preterm births, previous CS, multiple fetuses, and having breech or transverse fetal presentations were related to having higher risks of CS. The most common medical indication for CSs (52.3%) was a history of previous CSs. Robson Group 5 contributed the most (50.7%) to the overall CS rate, with the highest absolute contribution of 21.8%. Group 10 and Group 8 were the second and third highest contributors to the overall CS rate, with relative contributions of 25.3% and 9.0%, respectively. Conclusions: Findings revealed the substandard quality of obstetric data and a noticeably high overall CS rate. The top priority should be given to improving the quality of medical records. It underscored the necessity of implementing the Robson classification system as a standard clinical practice to enhance data quality, which helps to effectively evaluate and monitor the CS rates in obstetric populations. Significance: Caesarean section rates are increasing worldwide, and the Robson Classification System is recommended by the WHO to evaluate and monitor the CS rates. This study is the first to use Robson classifications and revealed high CS rates in specific subgroups of the obstetric population. The inadequate, substandard data quality highlighted the areas that urgently needed improvement in clinical practices at the largest state hospital. The study lays the foundation for further nationwide studies and demonstrates the importance of the Robson classification system. Specific recommendations were provided to the hospital management for improving the quality of the obstetric data and monitoring CS rates. [ABSTRACT FROM AUTHOR]

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المؤلفون: Tanghöj, Gustaf, Naumburg, Estelle

المصدر: Scientific Reports; 2/27/2024, Vol. 14 Issue 1, p1-6, 6p

مصطلحات موضوعية: ATRIAL septal defects, CONGENITAL heart disease, PREMATURE labor, CHILDBIRTH, HEART failure, DOWN syndrome

مصطلحات جغرافية: SWEDEN

مستخلص: Atrial septal defect secundum is a common type of congenital heart defect and even more common among children born premature. The aim of this study was to assess premature birth as a potential associated risk factors for cardiac morbidity in children with isolated ASD II. In this retrospective national registry-based case–control study all children born in Sweden between 2010 and 2015 with an isolated ASD II diagnosis were included. Association between premature birth and cardiac morbidity in children with isolated ASD II was assessed by different outcomes-models using conditional logistic regression and adjustments were made for confounding factors. Overall, 11% of children with an isolated ASD II received treatment for heart failure. Down syndrome was the only independent risk factors for associated with cardiac morbidity in children with ASD II (OR = 2.25 (95%CI 1.25–4.07). Preterm birth in children was not associated with an increased risk of ASD II cardiac morbidity. [ABSTRACT FROM AUTHOR]

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المؤلفون: Gebreslasie, Kahsay Zenebe, Weldemariam, Solomon, Gebre, Gelawdyos, Zenebe, Dawit, Mehari, Mihreteab, Birhane, Aklil, Dewey, Rebecca Susan

المصدر: Scientific Reports; 1/16/2024, Vol. 14 Issue 1, p1-7, 7p

مصطلحات موضوعية: INTIMATE partner violence, LOW birth weight, BIRTH weight, PREGNANCY, PREMATURE labor, CHILDBIRTH, PREGNANT women

مصطلحات جغرافية: TIGRAY Kifle Hager (Ethiopia), ETHIOPIA

مستخلص: Intimate partner Violence (IPV) can affect any woman, irrespective of their economic status, religion, or culture. This is a human-rights issue and due to its prevalence and adverse effects on pregnancy and birth, it must be given greater attention. Further, there is a lack of data in the Tigray region about adverse birth outcomes due to intimate partner violence during pregnancy. The aim of this study was to assess intimate partner violence during pregnancy and its association with low birth weight and preterm birth in Tigray region. Across-sectional study design was used. 647 women were involved in the study. Simple random sampling techniques were employed to select health facilities and systematic sampling was used to select study participants. Data were entered using Epi info version 3.5.1 and was analyzed using SPSSversion 20. Logistic regression analysis was conducted to assess the association between exposure to intimate partner violence during pregnancy and preterm birth and low birth weight while adjusting for possible confounders. The prevalence of intimate partner violence during pregnancy was 7.3% and the prevalence of low birth weight and preterm birth were 18.5% and 10.8% respectively. There was a statistically significant association between exposure to intimate partner violence during pregnancy and low birth weight. After adjustment for socioeconomic status, women's habits and obstetric factors, the pregnant women who were exposed to intimate partner violence during pregnancy were two times more likely to have a child with a low birth weight (2.39 (95% CI: 1.26–4.55)). The prevalence of intimate partner violence during pregnancy, low birth weight, and preterm birth in this study was high. Women who experienced intimate partner violence during pregnancy had an increased risk of low birth weight. These findings justify a call to the federal minster of health to take measures aimed at avoiding intimate partner violence during pregnancy to reduce adverse birth outcomes. [ABSTRACT FROM AUTHOR]

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المؤلفون: Girchenko, Polina¹ (AUTHOR) polina.girchenko@helsinki.fi, Robinson, Rachel¹ (AUTHOR), Rantalainen, Ville Juhani¹ (AUTHOR), Lahti-Pulkkinen, Marius^1,2,3 (AUTHOR), Heinonen-Tuomaala, Kati^1,4 (AUTHOR), Lemola, Sakari^5,6 (AUTHOR), Wolke, Dieter⁵ (AUTHOR), Schnitzlein, Daniel^7,8 (AUTHOR), Hämäläinen, Esa⁹ (AUTHOR), Laivuori, Hannele^10,11,12,13 (AUTHOR), Villa, Pia M.¹⁴ (AUTHOR), Kajantie, Eero^15,16 (AUTHOR), Räikkönen, Katri¹ (AUTHOR)

المصدر: Scientific Reports. 1/18/2022, Vol. 12 Issue 1, p1-10. 10p.

مصطلحات موضوعية: *CHILD psychiatry, *PREMATURE labor, *BEHAVIOR disorders in children, *DEPRESSION in women, *MENTAL depression, *CHILDBIRTH

مستخلص: Preterm birth has been linked with postpartum depressive (PPD) disorders and high symptom levels, but evidence remains conflicting and limited in quality. It remains unclear whether PPD symptoms of mothers with preterm babies were already elevated before childbirth, and whether PPD symptoms mediate/aggravate the effect of preterm birth on child mental disorders. We examined whether preterm birth associated with maternal PPD symptoms, depressive symptoms trajectories from antenatal to postpartum stage, and whether PPD symptoms mediated/aggravated associations between preterm birth and child mental disorders. Mothers of preterm (n = 125) and term-born (n = 3033) children of the Prediction and Prevention of Preeclampsia and Intrauterine Growth Restriction study reported depressive symptoms four times within 8 weeks before and twice within 12 months after childbirth. Child mental and behavioral disorder diagnoses until age 8.4–12.8 years came from medical register. Preterm birth associated with higher PPD symptoms (mean difference = 0.19 SD, 95% CI 0.01, 0.37, p = 0.04), and higher odds (odds ratio = 2.23, 95% CI 1.22, 4.09, p = 0.009) of the mother to belong to a group that had consistently high depressive symptoms levels trajectory from antenatal to postpartum stage. PPD symptoms partially mediated and aggravated the association between preterm birth and child mental disorders. Preterm birth, maternal PPD symptoms and child mental disorders are associated, calling for timely prevention interventions. [ABSTRACT FROM AUTHOR]

المؤلفون: Uriko, Kristiina, Bartels, Irena

المصدر: Integrative Psychological & Behavioral Science; Jun2023, Vol. 57 Issue 2, p590-606, 17p, 1 Diagram

مصطلحات موضوعية: MATERNAL love, PRENATAL bonding, PREMATURE infants, PSYCHOLOGICAL adaptation, PREMATURE labor, CHILDBIRTH

مستخلص: The objective of this paper is to explore mothers' psychological adaptation related to separation from their newborn children immediately after birth. Mother and child separation has traditionally received attention from the child's perspective, but given that the bond is dyadic, the mother's wellbeing should also be considered. This qualitative study is based on interview data with mothers of premature infants. From the analysis, three themes emerged: concerns during pregnancy about premature birth; emotional strain caused by separation; and the need to protect and to be close to the newborn. Drawing on the perspectives of dialogical self theory and semiotic regulation model, the paper will focus on intra-psychological dynamics and will analyze the adaptation process in terms of I-positions. Based on the analysis, the maternal bond represents the integration of the I-position I-as-mother and My child, which is integrated during the pregnancy into the core of the self. It can be assumed that rupture of the self-continuity is activated by the birth of the child, which is then compounded if the child leaves. The maternal superordinate viewpoint (meta-I-position) directs a woman's behavior and allows for a sense of coherence under dynamic organization related to the birth of the child. The potential for psychological adaptation is presented as an ability to establish self-continuity. [ABSTRACT FROM AUTHOR]

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المؤلفون: Zhang, Yali, Hajat, Shakoor, Zhao, Liang, Chen, Huiqi, Cheng, Liangliang, Ren, Meng, Gu, Kuiying, Ji, John S., Liang, Wannian, Huang, Cunrui

المصدر: Nature Communications; 12/13/2022, Vol. 13 Issue 1, p1-8, 8p

مصطلحات موضوعية: CAPITAL losses, PREMATURE labor, CHILDBIRTH, EFFECT of human beings on climate change, HUMAN capital, HEALTH impact assessment

مصطلحات جغرافية: CHINA

مستخلص: Frequent heatwaves under global warming can increase the risk of preterm birth (PTB), which in turn will affect physical health and human potential over the life course. However, what remains unknown is the extent to which anthropogenic climate change has contributed to such burdens. We combine health impact and economic assessment methods to comprehensively evaluate the entire heatwave-related PTB burden in dimensions of health, human capital and economic costs. Here, we show that during 2010-2020, an average of 13,262 (95%CI 6,962-18,802) PTBs occurred annually due to heatwave exposure in China. In simulated scenarios, 25.8% (95%CI 17.1%-34.5%) of heatwave-related PTBs per year on average can be attributed to anthropogenic climate change, which further result in substantial human capital losses, estimated at over $1 billion costs. Our findings will provide additional impetus for introducing more stringent climate mitigation policies and also call for more sufficient adaptations to reduce heatwave detriments to newborn. Frequent heatwaves caused by global warming can lead to an increased risk of preterm birth, however, what remains unknown is the extent to which anthropogenic climate change has contributed to such burdens. Here, the authors combine health impact and economic assessment methods to comprehensively evaluate the entire preterm birth burden of heatwave exposure. [ABSTRACT FROM AUTHOR]

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المؤلفون: Vigod, Simone N.^1,2,3 (AUTHOR) simone.vigod@wchospital.ca, Fung, Kinwah³ (AUTHOR), Amartey, Abigail³ (AUTHOR), Bartsch, Emily² (AUTHOR), Felemban, Reema² (AUTHOR), Saunders, Natasha^2,3,4 (AUTHOR), Guttmann, Astrid^2,3,4 (AUTHOR), Chiu, Maria^2,3 (AUTHOR), Barker, Lucy C.^1,2,3 (AUTHOR), Kurdyak, Paul^2,3,5 (AUTHOR), Brown, Hilary K.^1,2,3 (AUTHOR)

المصدر: Social Psychiatry & Psychiatric Epidemiology. May2020, Vol. 55 Issue 5, p561-570. 10p.

مصطلحات موضوعية: *MATERNALLY acquired immunity, *PREMATURE labor, *PREGNANCY complications, *ASPHYXIA neonatorum, *GENERALIZED estimating equations, *SCHIZOPHRENIA, *CHILDBIRTH

مصطلحات جغرافية: ONTARIO

مستخلص: Purpose: Maternal schizophrenia is associated with adverse birth outcomes, but the reasons for this remain unclear. In a population-based cohort of infants born to women with schizophrenia, we determined the occurrence of key perinatal outcomes and explored whether factors identifiable in our datasets explained any elevated risk.Methods: Using population-level health administrative data linked to clinical birth-registry data in Ontario, Canada (2006-2011), we examined the relative risk (RR) of preterm birth (< 37 weeks), small for gestational age (SGA), and Apgar scores < 8 in infants of women with schizophrenia (n = 4279) versus infants of unaffected women (n = 286,147). Generalized estimating equations determined whether reproductive history, maternal health conditions, pregnancy exposures, and complications explained elevated RRs.Results: Among infants of women with schizophrenia, risk was higher for prematurity (11.4% vs. 6.9%, aRR 1.64, 95% CI 1.51-1.79), SGA (3.5% vs. 2.5%, aRR 1.40, 95% CI 1.20-1.64), and Apgar score < 8 at 1 (19.0% vs. 12.8%, aRR 1.49, 95% CI 1.40-1.59) and 5 min (5.6% vs. 3.0%, aRR 1.90, 95% CI 1.68-2.16). Smoking, fourfold more common among women with schizophrenia, was the variable that explained the greatest proportion of the elevated aRR for prematurity (9.9%), SGA (28.7%), and Apgar < 8 at 1 and 5 min (9.8%, 5.6%). Illicit substance use, certain reproductive history variables, and pregnancy complications also contributed to the elevated aRR for preterm birth.Conclusions: Elevated risks of preterm birth, SGA, and low Apgar scores in infants of women with schizophrenia are partly explained by potentially modifiable factors such as smoking and illicit drug use, suggesting opportunities for targeted intervention. [ABSTRACT FROM AUTHOR]

المؤلفون: Kim, Yeonwoo^1,2 (AUTHOR), Vohra-Gupta, Shetal³ (AUTHOR), Margerison, Claire E.⁴ (AUTHOR), Cubbin, Catherine^3,5 (AUTHOR) ccubbin@austin.utexas.edu

المصدر: Journal of Urban Health. Feb2020, Vol. 97 Issue 1, p37-51. 15p. 4 Charts.

مصطلحات موضوعية: *PREMATURE labor, *BIRTH certificates, *NEIGHBORHOODS, *CHILDBIRTH, *HUMAN fertility, *NEIGHBORHOOD change

مصطلحات جغرافية: TEXAS

مستخلص: The black-white disparity in preterm birth has been well documented in the USA. The racial/ethnic composition of a neighborhood, as a marker of segregation, has been considered as an underlying cause of the racial difference in preterm birth. However, past literature using cross-sectional measures of neighborhood racial/ethnic composition has shown mixed results. Neighborhoods with static racial/ethnic compositions over time may have different social, political, economic, and service environments compared to neighborhoods undergoing changing racial/ethnic compositions, which may affect maternal health. We extend the past work by examining the contribution of neighborhood racial/ethnic composition trajectories over 20 years to the black-white difference in preterm birth. We used natality files (N = 477,652) from birth certificates for all live singleton births to non-Hispanic black and non-Hispanic white women in Texas from 2009 to 2011 linked to the Neighborhood Change Database. We measured neighborhood racial/ethnic trajectories over 20 years. Hierarchical generalized linear models examined relationships between neighborhood racial/ethnic trajectories and preterm birth, overall and by mother's race. Findings showed that overall, living in neighborhoods with a steady high proportion non-Hispanic black was associated with higher odds of preterm birth, compared with neighborhoods with a steady low proportion non-Hispanic black. Furthermore, while black women's odds of preterm birth was relatively unaffected by neighborhood proportions of the Latinx or non-Hispanic white population, white women had the highest odds of preterm birth in neighborhoods characterized by a steady high proportion Latinx or a steady low proportion non-Hispanic white. Black-white differences were the highest in neighborhoods characterized by a steady high proportion white. Findings suggest that white women are most protected from preterm birth when living in neighborhoods with a steady high concentration of whites or in neighborhoods with a steady low concentration of Latinxs, whereas black women experience high rates of preterm birth regardless of proportion white or Latinx. [ABSTRACT FROM AUTHOR]

المؤلفون: Nadeem, Muhammad, Adil, Shahid, Hunnain, Fatima, Nawaz, Shahzada M. Naeem

المصدر: Quality & Quantity; Jun2022, Vol. 56 Issue 3, p1463-1480, 18p

مصطلحات موضوعية: CHILD mortality, DEVELOPING countries, PREDICTION models, MIDWIVES, MOTHER-child relationship, CHILDBIRTH, PREMATURE labor

مصطلحات جغرافية: PUNJAB

مستخلص: Thriving to achieve Sustainable Development Goals (SDGs), countries are destined to reduce preventable deaths of children under the age of five to at least as low as 25 deaths per 1000 live births by 2030. The literature is deficient in providing a piece of fresh evidence on the predictors of under-five mortality in developing countries. Accordingly, this study aims to provide a framework for the strategy to meet the development agenda of minimizing the under-five mortality by 2030 wherein Punjab is selected as a case to study. In Punjab (Pakistan), the under-five mortality rate has reduced from 112 to 69 deaths per 1000 live births from 2003 to 2018. However, the pace of improvement is slow to meet the SDG 3.2. There is hardly any study for Punjab that offers evidence on the predictors of under-five mortality. Therefore, this study deeply looks into the predictors of under-five mortality rate for efficient and targeted development practices, using the binomial logistic regression model. Mother's age at childbirth, household's wealth status, premature birth, skilled birth attendant, mother's education, improved sanitation, stunting, access to clean drinking water, and numbers of children of a mother is found to be significant predictors of under-five mortality in Punjab. As a short-term initiative, it is suggested that an awareness campaign should be launched to educate the mothers to use available health structures whereas, in the long run, there is a need to develop a holistic strategy to deal with the multiple development goals. [ABSTRACT FROM AUTHOR]

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المؤلفون: LaBella, Abigail L., Abraham, Abin, Pichkar, Yakov, Fong, Sarah L., Zhang, Ge, Muglia, Louis J., Abbot, Patrick, Rokas, Antonis, Capra, John A.

المصدر: Nature Communications; 7/24/2020, Vol. 11 Issue 1, p1-12, 12p

مصطلحات موضوعية: PREMATURE labor, CHILDBIRTH, POPULATION differentiation, MOLECULAR evolution, LOCUS (Genetics), WORLD health

مستخلص: Currently, there is no comprehensive framework to evaluate the evolutionary forces acting on genomic regions associated with human complex traits and contextualize the relationship between evolution and molecular function. Here, we develop an approach to test for signatures of diverse evolutionary forces on trait-associated genomic regions. We apply our method to regions associated with spontaneous preterm birth (sPTB), a complex disorder of global health concern. We find that sPTB-associated regions harbor diverse evolutionary signatures including conservation, excess population differentiation, accelerated evolution, and balanced polymorphism. Furthermore, we integrate evolutionary context with molecular evidence to hypothesize how these regions contribute to sPTB risk. Finally, we observe enrichment in signatures of diverse evolutionary forces in sPTB-associated regions compared to genomic background. By quantifying multiple evolutionary forces acting on sPTB-associated regions, our approach improves understanding of both functional roles and the mosaic of evolutionary forces acting on loci. Our work provides a blueprint for investigating evolutionary pressures on complex traits. There is a need for analytical frameworks to investigate the evolution of complex genetic traits. Here, the authors develop an approach to simultaneously evaluate different evolutionary signatures on trait-associated genetic variants for complex traits and apply it to study spontaneous preterm birth. [ABSTRACT FROM AUTHOR]

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