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[Factors associated with preterm birth in Campina Grande, Paraíba State, Brazil: a case-control study]. | LitMetric

AI Article Synopsis

  • A study in Campina Grande, Brazil (2008-2009) examined factors contributing to preterm births, analyzing 341 cases against 424 controls using logistic regression.
  • Key risk factors identified include a history of preterm births, advanced maternal age, inadequate prenatal care, poor maternal weight gain, maternal physical injury, hypertension (with and without eclampsia), hospitalization, altered amniotic fluid volume, vaginal bleeding, and multiple gestation.
  • Socioeconomic factors like poverty and low maternal education were prevalent in both groups, making it difficult to establish a clear link between these variables and preterm birth.

Article Abstract

A case-control study (2008-2009) analyzed risk factors for preterm birth in the city of Campina Grande, Paraíba State, Brazil. A total of 341 preterm births and 424 controls were included. A multiple logistic regression model was used. Risk factors for preterm birth were: previous history of preterm birth (OR = 2.32; 95%CI: 1.25-4.29), maternal age (OR = 2.00; 95%CI: 1.00-4.03), inadequate prenatal care (OR = 2.15; 95%CI: 1.40-3.27), inadequate maternal weight gain (OR = 2.33; 95%CI: 1.45-3.75), maternal physical injury (OR = 2.10; 95%CI: 1.22-3.60), hypertension with eclampsia (OR = 17.08; 95%CI: 3.67-79.43) and without eclampsia (OR = 6.42; 95%CI: 3.50-11.76), hospitalization (OR = 5.64; 95%CI: 3.47-9.15), altered amniotic fluid volume (OR = 2.28; 95%CI: 1.32-3.95), vaginal bleeding (OR = 1.54; 95%CI: 1.01-2.34), and multiple gestation (OR = 22.65; 95%CI: 6.22-82.46). High and homogeneous prevalence of poverty and low maternal schooling among both cases and controls may have contributed to the fact that socioeconomic variables did not remain significantly associated with preterm birth.

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Source
http://dx.doi.org/10.1590/s0102-311x2012000600007DOI Listing

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