Medical and Sociodemographic Risk Factors for Preterm Birth in a French Caribbean Population of African Descent

Rouget, Florence; Lebreton, Jennifer; Kadhel, Philippe; Monfort, Christine; Bodeau-Livinec, Florence; Janky, E.; Multigner, Luc; Cordier, Sylvaine

doi:10.1007/s10995-012-1112-x

Cited by 14 publications

(16 citation statements)

References 28 publications

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“…This is probably due to the persistence of the cause of the previous preterm delivery in such patients. This is in keeping with the findings of previous Nigerian studies 4,15,29 and Rouget 26 in France. Prelabour rupture of membranes was found to be a significant risk factor for preterm delivery from our study.…”

Section: Discussionsupporting

confidence: 93%

“…4,6 We found a higher likelihood of preterm birth among women greater than 35 years. This finding is similar to the reports of Rouget et al 26 and Hoffman et al 27 who also found an association between the older pregnant woman and preterm birth. The relationship between advanced maternal age and preterm delivery is probably related to the higher likelihood of medical conditions that may necessitate early delivery among this age group.…”

Section: Discussionsupporting

confidence: 92%

“…Low socioeconomic class and level of education did not show significant statistical relationship to preterm births. These findings compare favorably with previous studies 4,26 but vary from the report of Ezechi 5 and Omole-Ohonsi 6 where education and socioeconomic class showed significant association with preterm delivery. The decision to seek for healthcare including obstetric care is believed to be easier for the more educated patient and patients in the higher socioeconomic cadre.…”

Section: Discussionsupporting

confidence: 84%

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Preterm births in a resource constrained setting: sociobiologic risk factors and perinatal outcomes

Akintayo¹,

Awoleke²,

Ogundare³

et al. 2016

Ghana Medical Journal

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SUMMARYBackground: To determine maternal risk factors and perinatal outcomes of preterm births in south-western Nigeria. Methods: A retrospective study of preterm and term deliveries in a tertiary hospital in Nigeria. The delivery records were reviewed and case files of preterm births were identified and retrieved. Perinatal outcomes were determined by review of the postnatal and special care baby unit records. Multivariate logistic regression was carried out to determine factors independently associated with preterm births. Adjusted odds ratios and confidence intervals were determined. Results: The preterm birth rate was 5.7%. Prelabour rupture of membranes was the leading cause of preterm birth, while a third of them were unexplainable. Age >35yrs (AOR 2.16(1.36-3.42)), the unbooked status (AOR 2.52(1.76-3.61)), Previous history of preterm delivery (AOR 6.41(2.48-16.60)), pre-labour rupture of membranes (AOR 11.08(6.01-18.56)), antepartum haemorrhage (AOR 10.91(4.94-24.09)), multiple gestations ) and hypertension in pregnancy(AOR6.42(3.79-10.88)) were independently associated with preterm delivery. Low birthweight, asphyxia, neonatal intensive care unit admission and perinatal mortality were common among preterm births. The perinatal mortality rate among the preterm neonates was 14.5%. Conclusion: Preterm birth remains a significant cause of perinatal deaths. Strategies addressing potentially modifiable risk factors will reduce the incidence and improve the perinatal outcomes associated with preterm births.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 84%

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Preterm births in a resource constrained setting: sociobiologic risk factors and perinatal outcomes

Akintayo¹,

Awoleke²,

Ogundare³

et al. 2016

Ghana Medical Journal

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“…It covers an area of 1628 km 2 and has a population of 450 000 inhabitants. This study relies on the TIMOUN mother-child cohort fully described elsewhere 15. Briefly, between 2004 and 2007, 1068 women attending check-up visits at public hospitals or dispensaries during their third trimester of pregnancy and having resided in Guadeloupe for >3 years were enrolled in the cohort.…”

Section: Methodsmentioning

confidence: 99%

“…As a result, desert dust natural pollution is the main factor affecting PM 10 concentrations. Second, a high rate of preterm birth (15.8%) is observed in Guadeloupe 15. This high preterm birth rate is not fully understood, but it could be partly due to the African origin of its population, which as such presents a refractory high rate, common to populations of African descent, irrespective of their current geographic location and independent of socioeconomic status and obstetrical care 16.…”

Section: Introductionmentioning

confidence: 99%

Impact of Saharan dust episodes on preterm births in Guadeloupe (French West Indies)

et al. 2019

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ObjectivesLarge amounts of mineral dust are transported from their African sources in the Saharan-Sahel region to the Caribbean Sea, generating peak exposures to particulate matter ≤10 µm (PM10). This study aimed to investigate the impact of Saharan dust episodes on preterm births in the Guadeloupe archipelago.MethodsThe study population consisted of 909 pregnant women who were enrolled in the TIMOUN mother-child cohort between 2004 and 2007. Desert dust episodes were assessed from PM10 concentrations recorded at the unique background air quality monitoring station located in Pointe-à-Pitre. For each woman, the daily PM10 concentrations were averaged over the entire pregnancy, and the proportion of days with intense dust episodes (≥55 µg PM10/m3) during pregnancy was calculated. Weighted logistic regression models adjusting for known individual sociomedical risk factors were used to estimate ORs and 95% CIs for preterm birth.ResultsDuring pregnancy, the mean PM10 concentrations ranged from 13.17 to 34.92 µg/m3, whereas the proportion of intense dust events ranged from 0.00% to 19.41%. Increased adjusted ORs were found for both the mean PM10 concentrations and the proportion of intense dust events (OR 1.40, 95% CI 1.08 to 1.81, and OR 1.54, 95% CI 1.21 to 1.98 per SD change, respectively). Restriction to spontaneous preterm births produced similar ORs but with wider 95% CIs.ConclusionConsidering the personal and social burden of this adverse pregnancy outcome, this finding is of importance for both healthcare workers and policy makers to provide necessary preventive measures.

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Prenatal and childhood exposure to chlordecone and sex-typed toy preference of 7-year-old Guadeloupean children

Cordier

Forget‐Dubois

Desrochers-Couture

et al. 2019

Environ Sci Pollut Res

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Chlordecone was used intensively as an insecticide in the French West Indies. Because of its high persistence, the resulting contamination of food and water has led to chronic exposure of the general population as evidenced by its presence in the blood of people of Guadeloupe, in particular in pregnant women and newborns, and in maternal breast milk. Chlordecone is recognized as a reproductive and developmental toxicant, is neurotoxic and carcinogenic in rodents, and considered as an endocrine-disrupting compound with well-established estrogenic and progestogenic properties both in vitro and in vivo. The question arises of its potential consequences on child neurodevelopment following prenatal and childhood exposure, in particular on behavioral sexual dimorphism in childhood. We followed 116 children from the TIMOUN mother-child cohort study in Guadeloupe, who were examined at age 7. These children were invited to participate in a seven-minute structured play session in which they could choose between different toys considered as feminine, masculine or neutral. The play session was video recorded, and the percentage of the time spent playing with feminine or masculine toys was calculated. We estimated associations between playtime and prenatal exposure to chlordecone (assessed by concentration in cord blood) or childhood exposure (determined from concentrations in child blood obtained at the 7-year followup), taking into account confounders and co-exposures to other environmental chemicals. We used a two-group regression model to take into account sex differences in play behavior. Our results do not indicate any modification in sex-typed toy preference among 7-year old children in relation with either prenatal or childhood exposure to chlordecone.

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Medical and Sociodemographic Risk Factors for Preterm Birth in a French Caribbean Population of African Descent

Cited by 14 publications

References 28 publications

Preterm births in a resource constrained setting: sociobiologic risk factors and perinatal outcomes

Preterm births in a resource constrained setting: sociobiologic risk factors and perinatal outcomes

Impact of Saharan dust episodes on preterm births in Guadeloupe (French West Indies)

Prenatal and childhood exposure to chlordecone and sex-typed toy preference of 7-year-old Guadeloupean children

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