Predictors of miscarriage: a matched case-control study / 한국역학회지
Epidemiology and Health
; : e2014031-2014.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-721161
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVES:
The risk factors for miscarriage vary across communities and countries. This study was conducted to investigate the predictors of miscarriage in the west of Iran.METHODS:
This matched case-control study was conducted in Hamadan Province from April 2013 to March 2014. Cases were selected from women who had a recent spontaneous abortion and controls were selected from women who had a recent live birth. Two controls were selected for every case and matched for date of pregnancy and area of residence. Multivariate conditional logistic regression analysis was performed and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.RESULTS:
Five hundred fifty cases were compared with 1,091 controls. The OR of miscarriage was 1.58 (95% CI=1.30-1.92) for every five-year increase in age, 0.20 (95% CI=0.14-0.28) for every live birth, and 3.43 (95% CI=2.03-5.79) for a history of previous spontaneous abortion. Compared to nulliparous women, primiparous or multiparous women had an OR of 17.85 (95% CI=6.65-47.91) for miscarriage. There was a strong association between miscarriage and abnormal amniotic status (OR, 2.46; 95% CI, 0.46-13.09) and also abnormal placenta status (OR, 10.44; 95% CI, 0.95-114.92); however, these associations were not statistically significant. No significant associations were observed between miscarriage and body mass index, previous history of stillbirth, low birth weight, congenital anomaly, ectopic pregnancy, impaired thyroid function, or high blood pressure.CONCLUSIONS:
Our study suggests that miscarriage is a multifactorial outcome associated with several modifiable and non-modifiable risk factors that may vary among different communities.
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Hipertensão Arterial
/
Doença Cardiovascular
/
Obesidade
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Placenta
/
Gravidez Ectópica
/
Glândula Tireoide
/
Recém-Nascido de Baixo Peso
/
Índice de Massa Corporal
/
Estudos de Casos e Controles
/
Modelos Logísticos
/
Razão de Chances
/
Aborto Espontâneo
/
Aborto Habitual
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Recém-Nascido
/
Gravidez
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Epidemiology and Health
Ano de publicação:
2014
Tipo de documento:
Artigo