Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study
Abstract Objective To provide better preconceptional and prenatal counselling to patients with sjögren syndrome (SS). Methods In total, 2 100 143 pregnancies between 2004 and 2014 were identified in the Taiwan National Health Insurance database and birth registry. The maternal history of SS was asce...
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| Veröffentlicht in: | Rheumatology (Oxford, England) England), 2023-08, Vol.62 (8), p.2820-2828 |
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| creator | Chan, Tien-Ming Wu, Chiao-En Yu, Han-Hua Hsiao, Chao-yang Su, Tse-Hsuan Chen, Chun-Bing Chiou, Meng-Jiung Yu, Kuang-Hui Kuo, Chang-Fu |
| description | Abstract
Objective
To provide better preconceptional and prenatal counselling to patients with sjögren syndrome (SS).
Methods
In total, 2 100 143 pregnancies between 2004 and 2014 were identified in the Taiwan National Health Insurance database and birth registry. The maternal history of SS was ascertained, and data were compared between pregnant women with and without SS. We assessed the odds ratios and 95% CIs of fetal–neonatal and maternal outcomes.
Results
There were 449 pregnancies in women with SS and 2 099 694 pregnancies in women without SS. The risks of still birth [odds ratio (OR) = 2.14, 95% CI = 1.01, 4.55], low birth weight ( |
| doi_str_mv | 10.1093/rheumatology/keac711 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2761980864</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/rheumatology/keac711</oup_id><sourcerecordid>2761980864</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-b7b616d935dcec1e75619ad9ca09a3f91a5ac138573eb7c9044451fe7b8a6d533</originalsourceid><addsrcrecordid>eNqNkD1OxDAQhS0E4mfhBgi5pAlrx4mT0CHEAhISBVBHE3t2yZLEwXaE0nEH7sIFuAknwWgXREkz88Z681nzCDnk7ISzQkztIw4teNOYxTh9QlAZ5xtklycyjpgQ8eavjpMdsufckjGWcpFvkx0hZWDkcpc8z9BD8_n61qHpIEgKnaaBi7YLgxm8Mi06Wnf0JYhQa_9I75Yf7wsbJjd22ob3Uwq0N_3QgK9NF1XgUFOLi9p5O9Km7p5ggdT5QY_7ZGsOjcODdZ-Qh9nF_flVdHN7eX1-dhMpkWQ-qrJKcqkLkWqFimOWSl6ALhSwAsS84JCCCtekmcAqUwVLkiTlc8yqHKROhZiQ4xW3t-Z5QOfLtnYKmwbCqYMr4ywAc5bLJFiTlVVZ45zFednbugU7lpyV32GXf8Mu12GHtaP1D0PVov5d-kk3GKYrgxn6_yG_AGo1lSw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2761980864</pqid></control><display><type>article</type><title>Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Chan, Tien-Ming ; Wu, Chiao-En ; Yu, Han-Hua ; Hsiao, Chao-yang ; Su, Tse-Hsuan ; Chen, Chun-Bing ; Chiou, Meng-Jiung ; Yu, Kuang-Hui ; Kuo, Chang-Fu</creator><creatorcontrib>Chan, Tien-Ming ; Wu, Chiao-En ; Yu, Han-Hua ; Hsiao, Chao-yang ; Su, Tse-Hsuan ; Chen, Chun-Bing ; Chiou, Meng-Jiung ; Yu, Kuang-Hui ; Kuo, Chang-Fu</creatorcontrib><description>Abstract
Objective
To provide better preconceptional and prenatal counselling to patients with sjögren syndrome (SS).
Methods
In total, 2 100 143 pregnancies between 2004 and 2014 were identified in the Taiwan National Health Insurance database and birth registry. The maternal history of SS was ascertained, and data were compared between pregnant women with and without SS. We assessed the odds ratios and 95% CIs of fetal–neonatal and maternal outcomes.
Results
There were 449 pregnancies in women with SS and 2 099 694 pregnancies in women without SS. The risks of still birth [odds ratio (OR) = 2.14, 95% CI = 1.01, 4.55], low birth weight (<2500 g, OR = 2.53, 95% CI = 1.92, 3.33), small for gestational age (OR = 2.03, 95% CI = 1.57, 2.03) and fetal distress (OR = 1.72, 95% CI = 1.2, 2.45) as well as maternal risks of pulmonary oedema (OR = 11.64, 95% CI = 1.62, 83.48), shock (OR = 6.07, 95% CI = 1.51, 24.3) and respiratory distress (OR = 5.61, 95% CI = 1.39, 22.6) were higher in the SS group than in the non-SS group.
Conclusion
Women with SS have significant risks of adverse fetal–neonatal and maternal outcomes and must undergo prenatal counselling to understand the risks involved before conception.</description><identifier>ISSN: 1462-0324</identifier><identifier>EISSN: 1462-0332</identifier><identifier>DOI: 10.1093/rheumatology/keac711</identifier><identifier>PMID: 36610986</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Family ; Female ; Fetal Growth Retardation ; Humans ; Infant, Newborn ; Pregnancy ; Pregnancy Outcome - epidemiology ; Prenatal Care ; Sjogren's Syndrome - epidemiology ; Stillbirth</subject><ispartof>Rheumatology (Oxford, England), 2023-08, Vol.62 (8), p.2820-2828</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-b7b616d935dcec1e75619ad9ca09a3f91a5ac138573eb7c9044451fe7b8a6d533</citedby><cites>FETCH-LOGICAL-c347t-b7b616d935dcec1e75619ad9ca09a3f91a5ac138573eb7c9044451fe7b8a6d533</cites><orcidid>0000-0002-7378-4235 ; 0000-0002-9770-5730 ; 0000-0002-0753-4529</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36610986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Tien-Ming</creatorcontrib><creatorcontrib>Wu, Chiao-En</creatorcontrib><creatorcontrib>Yu, Han-Hua</creatorcontrib><creatorcontrib>Hsiao, Chao-yang</creatorcontrib><creatorcontrib>Su, Tse-Hsuan</creatorcontrib><creatorcontrib>Chen, Chun-Bing</creatorcontrib><creatorcontrib>Chiou, Meng-Jiung</creatorcontrib><creatorcontrib>Yu, Kuang-Hui</creatorcontrib><creatorcontrib>Kuo, Chang-Fu</creatorcontrib><title>Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study</title><title>Rheumatology (Oxford, England)</title><addtitle>Rheumatology (Oxford)</addtitle><description>Abstract
Objective
To provide better preconceptional and prenatal counselling to patients with sjögren syndrome (SS).
Methods
In total, 2 100 143 pregnancies between 2004 and 2014 were identified in the Taiwan National Health Insurance database and birth registry. The maternal history of SS was ascertained, and data were compared between pregnant women with and without SS. We assessed the odds ratios and 95% CIs of fetal–neonatal and maternal outcomes.
Results
There were 449 pregnancies in women with SS and 2 099 694 pregnancies in women without SS. The risks of still birth [odds ratio (OR) = 2.14, 95% CI = 1.01, 4.55], low birth weight (<2500 g, OR = 2.53, 95% CI = 1.92, 3.33), small for gestational age (OR = 2.03, 95% CI = 1.57, 2.03) and fetal distress (OR = 1.72, 95% CI = 1.2, 2.45) as well as maternal risks of pulmonary oedema (OR = 11.64, 95% CI = 1.62, 83.48), shock (OR = 6.07, 95% CI = 1.51, 24.3) and respiratory distress (OR = 5.61, 95% CI = 1.39, 22.6) were higher in the SS group than in the non-SS group.
Conclusion
Women with SS have significant risks of adverse fetal–neonatal and maternal outcomes and must undergo prenatal counselling to understand the risks involved before conception.</description><subject>Family</subject><subject>Female</subject><subject>Fetal Growth Retardation</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Prenatal Care</subject><subject>Sjogren's Syndrome - epidemiology</subject><subject>Stillbirth</subject><issn>1462-0324</issn><issn>1462-0332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1OxDAQhS0E4mfhBgi5pAlrx4mT0CHEAhISBVBHE3t2yZLEwXaE0nEH7sIFuAknwWgXREkz88Z681nzCDnk7ISzQkztIw4teNOYxTh9QlAZ5xtklycyjpgQ8eavjpMdsufckjGWcpFvkx0hZWDkcpc8z9BD8_n61qHpIEgKnaaBi7YLgxm8Mi06Wnf0JYhQa_9I75Yf7wsbJjd22ob3Uwq0N_3QgK9NF1XgUFOLi9p5O9Km7p5ggdT5QY_7ZGsOjcODdZ-Qh9nF_flVdHN7eX1-dhMpkWQ-qrJKcqkLkWqFimOWSl6ALhSwAsS84JCCCtekmcAqUwVLkiTlc8yqHKROhZiQ4xW3t-Z5QOfLtnYKmwbCqYMr4ywAc5bLJFiTlVVZ45zFednbugU7lpyV32GXf8Mu12GHtaP1D0PVov5d-kk3GKYrgxn6_yG_AGo1lSw</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Chan, Tien-Ming</creator><creator>Wu, Chiao-En</creator><creator>Yu, Han-Hua</creator><creator>Hsiao, Chao-yang</creator><creator>Su, Tse-Hsuan</creator><creator>Chen, Chun-Bing</creator><creator>Chiou, Meng-Jiung</creator><creator>Yu, Kuang-Hui</creator><creator>Kuo, Chang-Fu</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7378-4235</orcidid><orcidid>https://orcid.org/0000-0002-9770-5730</orcidid><orcidid>https://orcid.org/0000-0002-0753-4529</orcidid></search><sort><creationdate>20230801</creationdate><title>Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study</title><author>Chan, Tien-Ming ; Wu, Chiao-En ; Yu, Han-Hua ; Hsiao, Chao-yang ; Su, Tse-Hsuan ; Chen, Chun-Bing ; Chiou, Meng-Jiung ; Yu, Kuang-Hui ; Kuo, Chang-Fu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-b7b616d935dcec1e75619ad9ca09a3f91a5ac138573eb7c9044451fe7b8a6d533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Family</topic><topic>Female</topic><topic>Fetal Growth Retardation</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Prenatal Care</topic><topic>Sjogren's Syndrome - epidemiology</topic><topic>Stillbirth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, Tien-Ming</creatorcontrib><creatorcontrib>Wu, Chiao-En</creatorcontrib><creatorcontrib>Yu, Han-Hua</creatorcontrib><creatorcontrib>Hsiao, Chao-yang</creatorcontrib><creatorcontrib>Su, Tse-Hsuan</creatorcontrib><creatorcontrib>Chen, Chun-Bing</creatorcontrib><creatorcontrib>Chiou, Meng-Jiung</creatorcontrib><creatorcontrib>Yu, Kuang-Hui</creatorcontrib><creatorcontrib>Kuo, Chang-Fu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Rheumatology (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, Tien-Ming</au><au>Wu, Chiao-En</au><au>Yu, Han-Hua</au><au>Hsiao, Chao-yang</au><au>Su, Tse-Hsuan</au><au>Chen, Chun-Bing</au><au>Chiou, Meng-Jiung</au><au>Yu, Kuang-Hui</au><au>Kuo, Chang-Fu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study</atitle><jtitle>Rheumatology (Oxford, England)</jtitle><addtitle>Rheumatology (Oxford)</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>62</volume><issue>8</issue><spage>2820</spage><epage>2828</epage><pages>2820-2828</pages><issn>1462-0324</issn><eissn>1462-0332</eissn><abstract>Abstract
Objective
To provide better preconceptional and prenatal counselling to patients with sjögren syndrome (SS).
Methods
In total, 2 100 143 pregnancies between 2004 and 2014 were identified in the Taiwan National Health Insurance database and birth registry. The maternal history of SS was ascertained, and data were compared between pregnant women with and without SS. We assessed the odds ratios and 95% CIs of fetal–neonatal and maternal outcomes.
Results
There were 449 pregnancies in women with SS and 2 099 694 pregnancies in women without SS. The risks of still birth [odds ratio (OR) = 2.14, 95% CI = 1.01, 4.55], low birth weight (<2500 g, OR = 2.53, 95% CI = 1.92, 3.33), small for gestational age (OR = 2.03, 95% CI = 1.57, 2.03) and fetal distress (OR = 1.72, 95% CI = 1.2, 2.45) as well as maternal risks of pulmonary oedema (OR = 11.64, 95% CI = 1.62, 83.48), shock (OR = 6.07, 95% CI = 1.51, 24.3) and respiratory distress (OR = 5.61, 95% CI = 1.39, 22.6) were higher in the SS group than in the non-SS group.
Conclusion
Women with SS have significant risks of adverse fetal–neonatal and maternal outcomes and must undergo prenatal counselling to understand the risks involved before conception.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>36610986</pmid><doi>10.1093/rheumatology/keac711</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7378-4235</orcidid><orcidid>https://orcid.org/0000-0002-9770-5730</orcidid><orcidid>https://orcid.org/0000-0002-0753-4529</orcidid></addata></record> |
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| identifier | ISSN: 1462-0324 |
| ispartof | Rheumatology (Oxford, England), 2023-08, Vol.62 (8), p.2820-2828 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Family Female Fetal Growth Retardation Humans Infant, Newborn Pregnancy Pregnancy Outcome - epidemiology Prenatal Care Sjogren's Syndrome - epidemiology Stillbirth |
| title | Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study |
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