Preterm Birth in Two Urban Areas of Ukraine

Monaghan, Susan C.; Little, Ruth E.; HULCHIY, OLESYA; Strassner, Howard T.; Gladen, Beth C.

doi:10.1097/00006250-200005000-00023

Cited by 3 publications

(7 citation statements)

References 10 publications

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“…These factors result in a lower proportion of births before 37 weeks that are born alive, and hence a lower rate of preterm delivery. 15 The variable most strongly associated with risk of preterm birth was maternal age, at both ends of the age distribution. Ten per cent of the mothers of the Children of Ukraine cohort were 18 years or less.…”

Section: Discussionmentioning

confidence: 99%

“…Sample selection and recruitment have been described in detail elsewhere. 15 Briefly, Children of Ukraine subjects were drawn from the population of all women diagnosed pregnant in these two geographical sites with LMP between 25 December 1992 and 23 July 1994. Women were eligible for study if they chose to continue the pregnancy rather than terminate it, were an official permanent resident of the defined region and understood Ukrainian.…”

Section: Study Samplementioning

confidence: 99%

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Risk factors for spontaneous preterm birth in two urban areas of Ukraine

Monaghan

Little

Hulchiy

et al. 2001

Paediatric Perinatal Epid

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The economic, social and health problems faced by former eastern bloc countries after the demise of the Soviet Union are unique in the recent history of Europe. We conducted a study in two urban areas of Ukraine, asking if the traditional predictors of preterm delivery continue to be associated with risk under these conditions. Subjects were pregnant women with last menstrual period (LMP) between 25 December 1992 and 23 July 1994. Self-completed questionnaires and the medical record provided data. We compared 137 spontaneous preterm deliveries with 2,886 full-term births, using all established risk factors for which we had data. Maternal age was the variable most strongly related to preterm birth. Being 18 or less had an odds ratio (OR) of 3.7; being 30+ had an OR of 2.5 relative to the reference group of age 25-29. Placental complications and pre-existing hypertension had ORs of 2.7 and 2.3, respectively, but the confidence interval included 1.0. Low net pregnancy weight gain (less than 10 kg) was significantly associated with preterm birth, but the rate of net weight gain was not. Marital status and educational category were only weakly related. We conclude that although Ukraine faced serious difficulties during its transition to a market economy, these problems did not generally alter the outcome of pregnancy in our sample when the classic risk factors for preterm delivery were present.

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Section: Discussionmentioning

confidence: 99%

Section: Study Samplementioning

confidence: 99%

Risk factors for spontaneous preterm birth in two urban areas of Ukraine

Monaghan

Little

Hulchiy

et al. 2001

Paediatric Perinatal Epid

Self Cite

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“…The centralized medical system in the Ukraine allowed for systematic identification of eligible subjects in the three cities during the inclusion period. A detailed description of the recruitment of study participants is given in a previous paper [38].…”

Section: Methodsmentioning

confidence: 99%

Social-environmental factors associated with elevated body mass index in a Ukrainian cohort of children

Friedman¹,

Lukyanova²,

Serdiuk³

et al. 2009

International Journal of Pediatric Obesity

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“…The methods of this study have been described in detail elsewhere 2,3 . Briefly, we have reported on 3195 Ukrainian women in two cities who participated in the international population‐based European Longitudinal Study of Pregnancy and Childhood (ELSPAC) 4 .…”

Section: Methodsmentioning

confidence: 99%

“…In this study we investigated hospital admissions in a sample of deliveries from Ukraine, a country of the former eastern bloc. We have recently reported a low rate of preterm birth in this sample but noted difficulties in comparing rates across countries 2 . We examined rates of hospital admission in the same cohort and, in this paper, discuss the extent to which the ratio of admissions to deliveries is a useful way to compare pregnancy complications in populations.…”

Section: Introductionmentioning

confidence: 99%

Hospital admissions during pregnancy in two urban areas of Ukraine

Little²,

Chislovska³

et al. 2001

Paediatric Perinatal Epid

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Hospital admissions are generally regarded as a marker of severe pregnancy complications, and a low ratio of antenatal admissions to deliveries is considered an indicator of maternal-fetal well-being. We investigated the reasons for hospital admissions in a sample of deliveries from Ukraine, a country of the former eastern bloc. All hospitalisations were traced among 3099 women who delivered live singletons of at least 20 weeks gestation in two urban areas of Ukraine and data were abstracted from their medical records. More than a third of the women were admitted to hospital during their pregnancy, and 91% of the admissions were for a pregnancy complication, primarily threatened abortion or early labour. Median length of stay for all admissions was 12 days. The ratio of admissions to deliveries was 52 per 100. The Ukrainian ratio of hospitalisations to deliveries is notably higher than any that have been published in studies from the United States and Australia, reflecting patterns of care that stress hospital-based treatment. This high ratio does not necessarily mean that Ukrainian women are sicker, although that may be the case. The comparison of hospitalisation to delivery ratios is meaningful only when other factors, such as resources, patterns of care, costs and access, are taken into account.

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Preterm Birth in Two Urban Areas of Ukraine

Cited by 3 publications

References 10 publications

Risk factors for spontaneous preterm birth in two urban areas of Ukraine

Risk factors for spontaneous preterm birth in two urban areas of Ukraine

Social-environmental factors associated with elevated body mass index in a Ukrainian cohort of children

Hospital admissions during pregnancy in two urban areas of Ukraine

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