OBJECTIVE: to investigate the impact of social and health factors on respiratory distress syndrome (RDS) among preterm neonates. DESIGN: survey based on the data from perinatal register. MATERIALS: 4098 reports on preterm deliveries. METHODS: Descriptive statistics and multi-factor logistic regression. Dependent variable: RDS. Independent: maternal age, marital status, education, place of residence, mode of delivery, diseases before pregnancy, diseases during pregnancy, obstetrical history, pregnancy weight gain rate, pre-pregnancy BMI, smoking, parity, newborn gender. RESULTS: 10.3% RDS among preterm newborns was ascertained. University education of the mother decreases the odds for RDS by half, as well as considerable pregnancy weight gain (OR = 0.61) and smoking before pregnancy (OR = 0.57). Odds for RDS are increased by cesarean section (OR = 2.86) and adverse obstetrical history (OR = 1.61). Cesarean section before labor vs. cesarean after onset of labor increased additionally odds for RDS (OR = 1.46). Goodman Kruskal tau for joint occurrence of RDS in twins is 0.45. CONCLUSIONS: Certain health and social factors, among them: considerable pregnancy weight gain rate and university education of the mother, decreased the odds for RDS in preterm delivered neonates.
OBJECTIVE: to investigate the impact of social and health factors on respiratory distress syndrome (RDS) among preterm neonates. DESIGN: survey based on the data from perinatal register. MATERIALS: 4098 reports on preterm deliveries. METHODS: Descriptive statistics and multi-factor logistic regression. Dependent variable: RDS. Independent: maternal age, marital status, education, place of residence, mode of delivery, diseases before pregnancy, diseases during pregnancy, obstetrical history, pregnancy weight gain rate, pre-pregnancy BMI, smoking, parity, newborn gender. RESULTS: 10.3% RDS among preterm newborns was ascertained. University education of the mother decreases the odds for RDS by half, as well as considerable pregnancy weight gain (OR = 0.61) and smoking before pregnancy (OR = 0.57). Odds for RDS are increased by cesarean section (OR = 2.86) and adverse obstetrical history (OR = 1.61). Cesarean section before labor vs. cesarean after onset of labor increased additionally odds for RDS (OR = 1.46). Goodman Kruskal tau for joint occurrence of RDS in twins is 0.45. CONCLUSIONS: Certain health and social factors, among them: considerable pregnancy weight gain rate and university education of the mother, decreased the odds for RDS in preterm delivered neonates.
Authors: Agnieszka Genowska; Radosław Motkowski; Vaiva Strukcinskaite; Paweł Abramowicz; Jerzy Konstantynowicz Journal: Int J Environ Res Public Health Date: 2022-01-26 Impact factor: 3.390