Association between preterm birth and maternal allergy considering IgE level

Kojima, Reiji; Yokomichi, Hiroshi; Akiyama, Yuka; Ooka, Tadao; Miyake, Kunio; Horiuchi, Sayaka; Shinohara, Ryoji; Kamijima, Michihiro; Yamazaki, Shin; Ohya, Yukihiro; Kishi, Reiko; Yaegashi, Nobuo; Hashimoto, Koichi; Mori, Chisato; Ito, Shuichi; Yamagata, Zentaro; Inadera, Hidekuni; Nakayama, Takeo; Iso, Hiroyasu; Shima, Masayuki; Kurozawa, Youichi; Suganuma, Narufumi; Kusuhara, Koichi; Katoh, Takahiko

doi:10.1111/ped.14635

Cited by 6 publications

(4 citation statements)

References 27 publications

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“…7 Low humidity may be related to a high incidence of AD. 8 Relating birth cohort data [9][10][11][12] and metrological data 13 may help answer the question of how birth month is associated with the incidence of AD. Therefore, this study aimed to investigate how birth month is associated with the incidence of AD.…”

Section: Introductionmentioning

confidence: 99%

Association of the incidence of atopic dermatitis until 3 years old with birth month and with sunshine duration and humidity in the first 6 months of life: Japan Environment and Children’s Study

et al. 2021

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ObjectiveTo compare the incidence of atopic dermatitis in children aged from 6 months to 3 years across birth seasons and climate conditions.DesignCohort study.SettingFifteen regional centres across Japan.ParticipantsA total of 100 304 children born from 2011 to 2014.ExposureBirth month, and mean sunshine duration (short/long) and humidity (high/low) in the first 6 months of life.Primary outcome measureIncidence of atopic dermatitis.ResultsThe highest incidence of atopic dermatitis was in children born in the months of October to December. The lowest incidence of atopic dermatitis was in the months of April to June and in periods with a long duration of sunshine and high humidity. Low humidity was significantly associated with a higher incidence of atopic dermatitis. However, this significant difference disappeared when the birth season and parental history of allergic disease were considered in multivariate analysis.ConclusionsIn Japan, being born in the late autumn to early winter months is associated with a risk of developing atopic dermatitis until the age of 3 years. Sunshine duration and humidity from birth to 6 months of age are not associated with the incidence of atopic dermatitis.

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Section: Introductionmentioning

confidence: 99%

Association of the incidence of atopic dermatitis until 3 years old with birth month and with sunshine duration and humidity in the first 6 months of life: Japan Environment and Children’s Study

et al. 2021

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“… Previous studies showed that guinea pigs that were sensitized with chicken egg ovalbumin were at greater risk to deliver a preterm pup than those challenged with normal saline [ 18 , 61 ]. Prior studies have suggested an association between patients with an allergic disease, such as asthma or allergic rhinitis, and increased preterm delivery [ 69 – 71 ]. Several case reports have shown that exposure to an allergen can induce uterine contractions and that these contractions are ameliorated after the treatment of anaphylaxis together with the standard treatment of preterm labor pain [ 22 , 72 – 74 ].…”

Section: Allergy As a Mechanism Of Disease Of Preterm Labormentioning

confidence: 99%

“…Prior studies have suggested an association between patients with an allergic disease, such as asthma or allergic rhinitis, and increased preterm delivery [ 69 – 71 ].…”

Section: Allergy As a Mechanism Of Disease Of Preterm Labormentioning

confidence: 99%

Anaphylaxis-induced premature uterine contractions: a case report and literature review

Warintaksa,

Lertrat,

Romero

et al. 2024

BMC Pregnancy Childbirth

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Background Preterm labor is caused by multiple etiologies, including intra-amniotic infection and/or intra-amniotic inflammation, vascular disorders, cervical disease, decidual senescence, and breakdown of maternal–fetal tolerance. Accumulating evidence in vivo and in vitro has shown that an allergic reaction, including anaphylaxis, can induce preterm uterine contractions. This report describes a case of a pregnant woman who developed anaphylaxis and regular uterine contractions after the ingestion of a strawberry-coated biscuit. We also review the mechanism of allergic reaction (hypersensitivity)-induced preterm labor. Case presentation A 31-year-old woman (gravida 1, para 0) at 30+2 weeks of gestation was admitted to the labor and delivery unit with regular uterine contractions and anaphylactic symptoms after she ingested a strawberry-coated biscuit as a snack. The uterine contractions resolved after the treatment of anaphylaxis by administering antihistamines and epinephrine. The patient subsequently delivered at 39+3 weeks of gestation. The amniotic fluid profile showed no infection or inflammation. A postpartum skin-prick test confirmed a positive type 1 hypersensitivity reaction to the strawberry-coated biscuit. Conclusions We report a case of anaphylaxis-induced uterine contractility in which uterine contractions subsided after the treatment of anaphylaxis. The absence of intra-amniotic infection and/or intra-amniotic inflammation and the cause of the anaphylaxis were confirmed. Our findings indicate that maternal allergic reactions may be one of the mechanisms of preterm labor.

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“…In this issue of the journal, Kojima et al 4 reported the association between preterm birth and maternal allergy using JECS data and found that maternal BA and AR were associated with an increased risk of threatened abortion and preterm labor (PTL). In contrast, high total IgE levels were associated with a decreased risk of PTL.…”

mentioning

confidence: 99%