Trends in provider-initiated versus spontaneous preterm deliveries, 2004–2013

Hacker, Michele R.; Golen, Toni; Haviland, Miriam J.; Shainker, Scott A.; Burris, Heather H.

doi:10.1038/jp.2017.116

Cited by 10 publications

(12 citation statements)

References 24 publications

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“…However, the preterm births were not classified into subtypes i.e., spontaneous versus indicated [36], and more than half of the preterm birth babies were delivered via CS (55.9%). This is in line with the trend of increasing indicated preterm deliveries over spontaneous ones [37].…”

Section: Discussionsupporting

confidence: 87%

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Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Taha

Hassan²,

Wikkeling-Scott

et al. 2020

IJERPH

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Both preterm birth and low birth weight (LBW) represent major public health problems worldwide due to their association with the catastrophic effects of morbidity and mortality. Few data exist about such adverse pregnancy outcomes. The current study aimed to investigate the prevalence of and factors associated with preterm birth and LBW among mothers of children under two years in Abu Dhabi, United Arab Emirates. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi. The data were analyzed using both descriptive and inferential statistics. A total of 1610 mother–child pairs were included in the current study. Preterm birth rate was 102 (6.3%) with a 95% confidence interval [CI] (6.1%, 6.5%) and the LBW rate was 151 (9.4%) with a 95% CI (9.3%, 9.5%). The mean (SD) of gestational age (GA) and birth weight at delivery was 39.1 (1.9) weeks and 3080.3 (518.6) grams, respectively. Factors that were positively associated with preterm birth were Arab mothers, maternal education level below secondary, caesarean section, and LBW. LBW was associated with female children, caesarean section (CS), first child order, and preterm birth. The current study highlighted the need for further interventional research to tackle these public health issues such as reducing the high CS rate and improving maternal education.

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Section: Discussionsupporting

confidence: 87%

“…Unfortunately, various studies have documented an epidemic of CS which has been reported to have adverse pregnancy outcomes, such as preterm birth and LBW [35][36][37][38]. Among preterm births and LBW that were delivered by CS, more than half of those deliveries were planned.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Taha

Hassan²,

Wikkeling-Scott

et al. 2020

IJERPH

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“…This nding resonates with a studies conducted in the United Arab Emirates (27) and China (32). Some studies have reported an epidemic of CS which these studies have found to increase adverse birth outcomes such as LBW and preterm delivery (33,34). A plausible explanation for this nding in this study could be attributed to the abuse of planned CS.…”

Section: Discussionsupporting

confidence: 89%

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Axame¹,

Binka²,

Kweku³

2020

Preprint

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Abstract Background:Low birthweight and preterm delivery are birth outcomes that can predict the survival, development and long-term health outcomes of newborns. Though advances in medical research have improved birth outcomes these birth outcomes still remain issues of public health concern. This study assessed the determinants of low birthweight and preterm delivery in the Volta region of Ghana.Methods:This retrospective cross-sectional study analyzed data from 680 birth records of all deliveries between October and December, 2018 at the Ho Teaching Hospital in the Volta Region of Ghana. Univariate and multivariate logistic regression models were used to predict determinants of low birthweight and preterm delivery using Stata MP/16.0.Results:Overall, the prevalence of low birthweight was 12.9% and that of preterm delivery was 14.1%. Increasing maternal age (AOR: 0.52; 95% CI: 0.28-0.98), multiparity (AOR: 0.54; 95% CI: 0.30-0.94) and increasing doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.22-0.84) significantly reduced the odds of low birthweight. However, delivery through caesarean section (AOR: 1.94; 95% CI: 0.1.16-3.27) and hypertension (AOR: 2.06; 95% CI: 1.27-03.33) significantly increased the likelihood of low birthweight. Increasing number of antenatal care visits (AOR: 0.38; 95% CI: 0.18-0.80) and doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.19-0.97) were significantly associated with decreased odds of preterm delivery while delivery through caesarean section increased the odds of preterm delivery by 2 folds (AOR: 2.14; 95% CI: 1.15-3.99). Conclusion:This study shows maternal age, parity, number of ANC visits, hypertension, SP/IPTp and caesarean section were independent determinants of low birthweight and preterm delivery. These findings add up to literature on the determinants of these adverse birth outcomes particularly in resource-limited environments. Furthermore, this study could serve as a foundation for further research in the study area and for developing public health interventions geared towards reducing the risk and complications of these birth outcomes.

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“…indications for iatrogenic preterm births in Iceland 1997-2016 based on ICD-10 codes a the last decades in Europe 3,7,16,21 and in the United States, 3,16,21 where it was 48.3% in 2003. 22 In Brazil, the rate of iatrogenic preterm births was 32%-61% overall during 2011-2012 based on whether the birth occurred in a public or private health care facility. 8,23 In Shanghai, China, the rate of iatrogenic preterm birth was 47.2% in 2004 and 51.1% in 2007.…”

Section: T a B L E 3 Relative Contributingmentioning

confidence: 99%

“…4 Despite the worldwide increase in iatrogenic preterm births, a recent study from the United States found a decrease in the overall preterm birth rate due to a decrease in the iatrogenic preterm births following the guideline changes in 2007 and 2011. 22 The rate of preterm births in the United States decreased from 12.3% to 11.2% from 2003 to 2013 and the proportion of iatrogenic preterm births decreased from 48.3% to 41.8%, 22 although the preterm birth rate again increased from 2014 to 2017. 25 The increase of iatrogenic preterm births in our study was significant even after adjusting our regression models for the identified medical indications.…”

Section: T a B L E 3 Relative Contributingmentioning

confidence: 99%

Preterm births in Iceland 1997‐2016: Preterm birth rates by gestational age groups and type of preterm birth

Grétarsdóttir

Aspelund

Steingrímsdóttir

et al. 2019

Birth

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Background The frequency of preterm births has been increasing globally, mainly due to a rise in iatrogenic late preterm births. The aim of this study was to assess the prevalence of preterm births in Iceland during 1997‐2016 by type of preterm birth. Methods This study included all live births in Iceland during 1997‐2016 identified from the Icelandic Medical Birth Registry. Risk of preterm birth by time period was assessed with Poisson regression models adjusted for demographic variables and indications for iatrogenic births. Results The study population included 87 076 infants, of which 4986 (5.7%) were preterm. The preterm birth rate increased from 5.3% to 6.1% (adjusted rate ratio [ARR] = 1.16, confidence interval [CI] = 1.07‐1.26) between 1997‐2001 and 2012‐2016 overall. The increase was only evident in multiples (ARR 1.41, 95% CI 1.21‐1.65), not singletons (1.07, 0.97‐1.19). The rate of late preterm births (34‐36 weeks) increased significantly (1.24, 1.14‐1.40), and the rate of iatrogenic preterm births more than doubled during this period even after adjustment for identified medical indications (2.40, 2.00‐2.88). The rate of spontaneous preterm births decreased during the study period (0.63, 0.55‐0.73), and the rate of PPROM increased (1.31, 1.09‐1.57). The most common contributing indications for iatrogenic births were fetal distress (26.2%), hypertensive disorders (18.2%), and severe preeclampsia (16.9%). Conclusions Preterm birth rates increased in multiples in Iceland between 1997 and 2016, and late and iatrogenic preterm births increased overall. The increase in iatrogenic preterm births remained significant after adjusting for medical indications, suggesting that other factors might be affecting the rise.

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Trends in provider-initiated versus spontaneous preterm deliveries, 2004–2013

Cited by 10 publications

References 24 publications

Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Preterm births in Iceland 1997‐2016: Preterm birth rates by gestational age groups and type of preterm birth

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