POSSIBLE ROLE OF ASTHMA IN THE RISK OF PRETERM LABOR AND DELIVERY

被引:59
作者
DOUCETTE, JT [1 ]
BRACKEN, MB [1 ]
机构
[1] YALE UNIV,SCH MED,DEPT EPIDEMIOL & PUBL HLTH,60 COLL ST,NEW HAVEN,CT 06510
关键词
ASTHMA; BRONCHODILATOR AGENTS; LOW BIRTH-WEIGHT INFANT; PREMATURE INFANT; PRETERM LABOR; EDUCATIONAL STATUS; SMOKING; RACE;
D O I
10.1097/00001648-199303000-00010
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We assessed the relation between maternal respiratory problems and preterm labor and delivery in a cohort of 3,891 women who delivered a singleton livebirth. Study participants were asked about their medical history in the 12 months before conception; women who reported a history of asthma had a higher risk of preterm labor [relative risk (RR) estimate = 2.33, 95% confidence interval (CI) = 1.035. 261. Asthmatic women also had an increased risk of preterm delivery (RR = 1.77, 95% CI = 0.60-5.24). Maternal respiratory problems during pregnancy were also associated with an increased risk of both inhibited preterm labor (RR = 2.14, 95% CI = 1.25-3.66) and preterm delivery (RR = 2.03, 95% CI = 1.08-3.82). Birthweight appeared to be unrelated to maternal history of asthma. Logistic regression models that adjusted for potential confounders did not appreciably alter the results. The adjusted odds ratio (OR) estimate for the odds of preterm labor in asthmatics relative to nonasthmatics is 2.42 (95% CI = 0.90-6.54); the analogous OR estimate for those with respiratory problems during pregnancy is 2.16 (95% CI = 1.14-4.10). The adjusted OR estimate for the odds of preterm delivery in asthmatics is 1.78 (95% CI = 0.53-6.02); for those with respiratory problems during pregnancy, the corresponding estimate is 2.00 (95% CI = 0.92-4.13).
引用
收藏
页码:143 / 150
页数:8
相关论文
共 14 条
  • [1] Bertrand J.M., Riley S.P., Popkin J., Coates A.L., The long-term pulmonary sequelae of prematurity: The role of familial airway hyperreactivity and the respiratory distress syndrome, N Engl J Med, 312, pp. 742-745, (1985)
  • [2] Keirse M.J.N.C., Grant A., King J.F., Preterm labor, Effective Care in Pregnancy and Childbirth, (1989)
  • [3] Bracken M.B., Hellenbrand K.G., Holford T.R., Bryce-Buchanan C., Low birth weight in pregnancies following induced abortion: No evidence for an association, Am J Epidemiol, 123, pp. 604-613, (1986)
  • [4] Physicians’ Desk Reference, (1989)
  • [5] SAS Procedures Guide for Personal Computers, (1985)
  • [6] Katz D., Baptista J., Azen S.P., Pike M.C., Obtaining confidence intervals for the risk ratio in cohort studies, Biometrics, 34, pp. 469-474, (1978)
  • [7] Kahn H.A., Sempos C.T., Statistical Methods in Epidemiology, pp. 62-64, (1989)
  • [8] SAS/STAT Software: CALIS and LOGISTIC Procedures, (1990)
  • [9] Chan K.N., Noble-Jamieson C.M., Elliman A., Bryan E.M., Aber V.R., Silverman M., Airway responsiveness in low birthweight children and their mothers, Arch Dis Child, 63, pp. 905-910, (1988)
  • [10] Greenberger P.A., Patterson R., The outcome of pregnancy complicated by severe asthma, Allergy Proc, 9, pp. 539-543, (1988)