01 May 1998
Sociodemographic and environmental risk factors of preterm delivery and small-for-gestational-age babies
Wojciech Hanke, Jarosław Kalinka, Wojciech SobalaMed Sci Monit 1998; 4(3): EP505-512 :: ID: 502525
Abstract
The purpose of this study was to determine the influence of sociodemographic and environmental risk factors on preterm delivery (PD) and small-for-gestational-age (SGA) babies in the population of the Łódz region of Poland. The rapid socio-economic transformations in Poland and the associated behavioral changes of the society seen since the early 1990's may have generated new risk factors or simply intensified the impact of those already known. The study group comprised 987 women from this region who gave birth to a child during the period between June 1, 1996 and November 30, 1996. The enrolment criteria included only singleton, non-malformed pregnancies past the 22nd week. The SGA group comprised 66 women while the comparison group comprised 809 women. The PD group included 52 women with preterm delivery and was compared with the reference group of 824 women with term delivery. Logistic regression models were applied to examine the relationship between the probability of the two pathologies and the risk factors under investigation. The mother's age below 19, marital status described as 'single', 3 prior deliveries or more and a history of unemployment during pregnancy were found to be independent, statistically significant risk factors for preterm delivery. An urban residency, low maternal height (below 1.55 m), marital status described as 'single' and smoking during pregnancy were all found to be independent, significant risk factors for SGA. The women delivering for the second time had a reduced risk of SGA. Among the clinical variables, only first trimester hemorrhage proved to be a significant risk factor of this pathology. The socio-economic and environmental risk factors described in this paper play an important role in the pathogenesis of PD and SGA. The spectrum of risk factors should be periodically re-evaluated in order to determine their significance and to monitor for new hazards.
key words: small-for-gestational-age babies (SGA) • preterm delivery • sociodemographic factors • cigarette smoking • risk factors
Keywords: small-for-gestational-age babies (SGA), preterm delivery, sociodemographic factors, cigarette smoking, Risk Factors
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
08 Mar 2024 : Clinical Research
Evaluation of Foot Structure in Preschool Children Based on Body MassMed Sci Monit In Press; DOI: 10.12659/MSM.943765
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
08 Mar 2024 : Animal Research
Modification of Experimental Model of Necrotizing Enterocolitis (NEC) in Rat Pups by Single Exposure to Hyp...Med Sci Monit In Press; DOI: 10.12659/MSM.943443
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952