Pregnancy loss history at first parity and selected adverse pregnancy outcomes

Ahrens, Katherine A.; Rossen, Lauren M.; Branum, Amy M.

doi:10.1016/j.annepidem.2016.04.011

Cited by 16 publications

(10 citation statements)

References 37 publications

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“…Similar observation was reported by Chen et al in 2018 and Rozi et al in 2016 [43,44]. Ahrens et al have noticed that the risk of low birth weight was highest after history of three stillbirths [45]. Particular attention to pregnant women with such background characteristics during their antenatal care visits could be of greater impact in mitigating the risk of low birthweight among them.…”

Section: Discussionsupporting

confidence: 72%

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

Lingani

Zango

Valéa

et al. 2020

Preprint

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Background. In sub-Saharan Africa, the intermittent preventive treatment of malaria in pregnancy with sulphadoxine pyrimethamine (IPTp-SP) strategy is recommended to limit malaria consequences on birth outcomes. Ten year after IPTp-SP was adopted in Burkina Faso, we assessed the magnitude of low birthweight (LBW) and its maternal factors in Nanoro.Methods. A secondary analysis of data from a cross-sectional study was carried out in women who gave birth at Nanoro peripheral health centers using a binary multivariate logistic regression. Maternal socio-demographic factors, gyneco-obstetrical history and relevant medical characteristics were evaluated to identify associated factors. A p-value less than 0.05 was considered statistically significant.Results. Of 291 delivery records examined, 14 % of women received three or more doses of SP while 80% used bed nets the night before their admission for delivery. Malaria was detected in 36.1% and anemia in 52.9% of women. The average neonate birthweight was 2933 g and 12 % of them were born with a low birthweight. After multivariate analysis, first delivery (OR = 8.84, [95% CI: 3.72-21.01]), and being multiparous with history of stillbirth (OR = 5.03, [95% CI: 1.54-16.40]) were significantly associated with an increased risk of LBW.Conclusion. LBW is still prevalent in rural Nanoro and the uptake of three or more doses of SP for the IPTp was low. In addition, to improving the coverage of IPTp-SP to improve birthweight, an extension of the target of antenatal care to other known causes of LBW including curable sexually transmitted infections may be necessary.

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Section: Discussionsupporting

confidence: 72%

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

Lingani

Zango

Valéa

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Similar observation was reported by Chen et al in 2018 and Rozi et al in 2016 [49,50]. Ahrens et al have noticed that the risk of low birth weight was highest after history of three stillbirths [51]. Particular attention to pregnant women with such background characteristics during their antenatal care visits could be of greater impact in mitigating the risk of low birthweight among them.…”

Section: Discussionsupporting

confidence: 72%

Maternal factors of newborn low birthweight in malaria endemic settings of Nanoro, rural Burkina Faso

Lingani

Zango

Valéa

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. In sub-Saharan Africa, the intermittent preventive treatment of malaria in pregnancy using sulphadoxine pyrimethamine (IPTp-SP) strategy is recommended to limit malaria adverse effects on birth outcomes. Ten year after IPTp-SP was adopted in Burkina Faso, we assessed the magnitude and maternal factors of low birthweight (LBW) in Nanoro.Methods. A secondary analysis of data from a cross-sectional study was carried out in women who gave birth at Nanoro peripheral health centers using a binary multivariate logistic regression. Maternal socio-demographic factors, gyneco-obstetrical history and relevant medical characteristics were evaluated to identify associated factors. A p-value less than 0.05 was considered statistically significant.Results. Of 291 delivery records examined, 14 % of women received three or more doses of SP while 80% used bed nets the night before their admission for delivery. Malaria was detected in 36.1% and anemia in 52.9% of women. The average neonate birthweight was 2933 g and 12 % were born with a low birthweight. By multivariate analysis, first delivery (OR = 8.84, [95% CI: 3.72-21.01]), and being multiparous with history of stillbirth (OR = 5.03, [95% CI: 1.54-16.40]) were significantly associated with an increased risk of LBW.Conclusion. LBW was still prevalent in rural Nanoro and the uptake of three or more doses of SP for the IPTp was low. In addition, to improving the coverage of the 3-dose IPTp-SP, it may be necessary to target interventions aiming to reduce maternal anemia such as adequate nutrients uptake to mitigate the issue of adverse birth outcomes.

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“…Published 2017. This article is a U.S. Government work and is in the public domain in the USA Paediatric and Perinatal Epidemiology, 2018, 32, [19][20][21][22][23][24][25][26][27][28][29] It is also possible that some induced terminations may have been reported as pregnancy losses due to stigma associated with intentionally terminating a pregnancy. 1,30,33 However, for misreporting of induced terminations as pregnancy losses to have accounted for our findings, the degree of this misreporting would have had to have increased over the study period.…”

Section: Discussionmentioning

confidence: 99%

“…Third, we stratified the analysis by how recently the pregnancy occurred (within 2 years of interview vs. more than 2 years) to see if trends over time were different for recently reported pregnancies compared with those not recently reported. Finally, we also fit a set of adjusted models including a covariate indicating whether the respondent had a prior history of pregnancy loss given that a history of loss has been associated with higher risk of loss in subsequent pregnancies …”

Section: Methodsmentioning

confidence: 99%

“…Finally, we also fit a set of adjusted models including a covariate indicating whether the respondent had a prior history of pregnancy loss given that a history of loss has been associated with higher risk of loss in subsequent pregnancies. 9,18,26 All analyses were conducted with SAS 9.3 (SAS Institute, Cary, North Carolina), SUDAAN 11.0 (RTI International, Research Triangle Park, North Carolina), and Stata 13 SE (StataCorp LP, College Station, TX) and accounted for the complex survey design and sample weights of the NSFG.…”

Section: Sensitivity Analysismentioning

confidence: 99%

See 1 more Smart Citation

Trends in Risk of Pregnancy Loss Among US Women, 1990–2011

Rossen

Ahrens

Branum

2017

Paediatric Perinatal Epid

Self Cite

176

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Background: Pregnancy loss can have physical and psychological consequences for women and their families. Though a previous study described an increase in the risk of self-reported pregnancy loss from 1970 to 2000, more recent examinations from population-based data of US women are lacking. Methods: We used data from the 1995, 2002,[2006][2007][2008][2009][2010][2011][2012][2013][2014][2015] National Survey of Family Growth on selfreported pregnancy loss (miscarriage, stillbirth, ectopic pregnancy) among US women (15-44 years) who reported at least one pregnancy conceived during 1990-2011 that did not result in induced termination (n = 20 012 women; n = 42 526 pregnancies). Trends in the risk of self-reported pregnancy loss and early pregnancy loss (<12 weeks) were estimated, separately, by year of pregnancy conception (limited to 1990-2011 to ensure a sufficient sample of pregnancies for each year and maternal age group) using log-Binomial and Poisson models, adjusted for maternal-and pregnancy-related factors. Results: Among all self-reported pregnancies, excluding induced terminations, the risk of pregnancy loss was 19.7% and early pregnancy loss was 13.5% during 1990-2011. Risk of pregnancy loss increased by a relative 2% (rate ratio [RR] 1.02, 95% confidence interval [CI] 1.01, 1.02) per year in unadjusted models and 1% per year (RR 1.01, 95% CI 1.00, 1.02) during 1990-2011, after adjustment for maternal characteristics and pregnancy-related factors. In general, trends were similar for early pregnancy loss. Conclusion: From 1990 to 2011, risk of self-reported pregnancy loss increased among US women. Further work is needed to better understand the drivers of this increase in reported pregnancy loss in the US.

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Pregnancy loss history at first parity and selected adverse pregnancy outcomes

Abstract: Number, gestational age, and recency of pregnancy loss at first parity were associated with adverse pregnancy outcomes in U.S. women.

Cited by 16 publications

References 37 publications

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

Maternal factors of newborn low birthweight in malaria endemic settings of Nanoro, rural Burkina Faso

Trends in Risk of Pregnancy Loss Among US Women, 1990–2011

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