Literature DB >> 23937716

Multiple pregnancy, short cervix, part-time worker, steroid use, low educational level and male fetus are risk factors for preterm birth in Japan: a multicenter, prospective study.

Arihiro Shiozaki1, Satoshi Yoneda, Masao Nakabayashi, Yoshiharu Takeda, Satoru Takeda, Motoi Sugimura, Koyo Yoshida, Atsushi Tajima, Mami Manabe, Kozo Akagi, Shoko Nakagawa, Katsuhiko Tada, Noriaki Imafuku, Masanobu Ogawa, Tomoya Mizunoe, Naohiro Kanayama, Hiroaki Itoh, Shigeki Minoura, Mitsuharu Ogino, Shigeru Saito.   

Abstract

AIM: To examine the relationship between preterm birth and socioeconomic factors, past history, cervical length, cervical interleukin-8, bacterial vaginosis, underlying diseases, use of medication, employment status, sex of the fetus and multiple pregnancy.
METHODS: In a multicenter, prospective, observational study, 1810 Japanese women registering their future delivery were enrolled at 8⁺⁰ to 12⁺⁶ weeks of gestation. Data on cervical length and delivery were obtained from 1365 pregnant women. Multivariate logistic regression analysis was performed.
RESULTS: Short cervical length, steroid use, multiple pregnancy and male fetus were risk factors for preterm birth before 34 weeks of gestation. Multiple pregnancy, low educational level, short cervical length and part-timer were risk factors for preterm birth before 37 weeks of gestation.
CONCLUSION: Multiple pregnancy and cervical shortening at 20-24 weeks of gestation was a stronger risk factor for preterm birth. Any pregnant woman being part-time employee or low educational level, having a male fetus and requiring steroid treatment should be watched for the development of preterm birth.
© 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

Entities:  

Keywords:  cervical length; fetal sex; multiple pregnancy; part-time worker; steroid use

Mesh:

Substances:

Year:  2013        PMID: 23937716     DOI: 10.1111/jog.12120

Source DB:  PubMed          Journal:  J Obstet Gynaecol Res        ISSN: 1341-8076            Impact factor:   1.730


  9 in total

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Journal:  PLoS One       Date:  2014-10-09       Impact factor: 3.240

4.  Intestinal microbiota is different in women with preterm birth: results from terminal restriction fragment length polymorphism analysis.

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9.  Pre-Cerclage cervical length predicts long-term pregnancy sustenance: A case-control study.

Authors:  Emi Kondo; Eiji Shibata; Toshihide Sakuragi; Yukiyo Aiko; Takeshi Kawakami; Takeshi Takashima; Kiyoshi Yoshino; Naofumi Okura
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  9 in total

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