Association between short inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery
To explore the association between inter-pregnancy intervals and placenta previa and placenta accreta spectrum among women who had prior cesarean deliveries with respect to maternal age at first cesarean delivery. This retrospective study included clinical data from 9981 singleton pregnant women wit...
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| Veröffentlicht in: | The journal of maternal-fetal & neonatal medicine 2023-12, Vol.36 (1), p.2192853-2192853 |
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| container_title | The journal of maternal-fetal & neonatal medicine |
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| creator | Liang, Yingyu Zhang, Lizi Huang, Lijun Li, Yulian Chen, Jingsi Bi, Shilei Huang, Minshan Tan, Hu Lai, Siying Liang, Jingying Gu, Shifeng Jia, Jinping Wen, Suiwen Wang, Zhijian Cao, Yinli Wang, Shaoshuai Xu, Xiaoyan Feng, Ling Zhao, Xianlan Zhao, Yangyu Zhu, Qiying Qi, Hongbo Zhang, Lanzhen Li, Hongtian Du, Lili Chen, Dunjin |
| description | To explore the association between inter-pregnancy intervals and placenta previa and placenta accreta spectrum among women who had prior cesarean deliveries with respect to maternal age at first cesarean delivery.
This retrospective study included clinical data from 9981 singleton pregnant women with a history of cesarean delivery at 11 public tertiary hospitals in seven provinces of China between January 2017 and December 2017. The study population was divided into four groups ( |
| doi_str_mv | 10.1080/14767058.2023.2192853 |
| format | Article |
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This retrospective study included clinical data from 9981 singleton pregnant women with a history of cesarean delivery at 11 public tertiary hospitals in seven provinces of China between January 2017 and December 2017. The study population was divided into four groups (<2, 2-5, 5-10, ≥10 years of the interval) according to the inter-pregnancy interval. The rate of placenta previa and placenta accreta spectrum among the four groups was compared, and multivariate logistic regression was used to analyze the relationship between inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery.
Compared to women aged 30-34 years old at first cesarean delivery, the risk of placenta previa (aRR, 1.48; 95% CI, 1.16-1.88) and placenta accreta spectrum (aRR, 1.74; 95% CI, 1.28-2.35) were higher among women aged 18-24. Multivariate regression results showed that women at 18-24 with <2 years intervals exhibited a 5.05-fold increased risk for placenta previa compared with those with 2-5-year intervals (aRR, 5.05; 95% CI, 1.13-22.51). In addition, women aged 18-24 with less than 2 years intervals had an 8.44 times greater risk of developing PAS than women aged 30-34 with 2 to 5 years intervals (aRR, 8.44; 95% CI, 1.82-39.26).
The findings of this study suggested that short inter-pregnancy intervals were associated with increased risks for placenta previa, and placenta accreta spectrum for women under 25 years at first cesarean delivery, which may be partly attributed to obstetrical outcomes.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.1080/14767058.2023.2192853</identifier><identifier>PMID: 36966813</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adult ; Birth Intervals ; cesarean delivery ; Female ; Humans ; inter-pregnancy interval ; Maternal Age ; Placenta Accreta - epidemiology ; Placenta Accreta - etiology ; placenta accreta spectrum ; Placenta previa ; Placenta Previa - epidemiology ; Pregnancy ; Retrospective Studies ; Risk Factors</subject><ispartof>The journal of maternal-fetal & neonatal medicine, 2023-12, Vol.36 (1), p.2192853-2192853</ispartof><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-6d2a5a46bb02207e8c65dc83c33d33a00fc4e9874d113a13d8acd6146cd2fd5b3</citedby><cites>FETCH-LOGICAL-c413t-6d2a5a46bb02207e8c65dc83c33d33a00fc4e9874d113a13d8acd6146cd2fd5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/14767058.2023.2192853$$EPDF$$P50$$Ginformaworld$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/14767058.2023.2192853$$EHTML$$P50$$Ginformaworld$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27479,27901,27902,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36966813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Yingyu</creatorcontrib><creatorcontrib>Zhang, Lizi</creatorcontrib><creatorcontrib>Huang, Lijun</creatorcontrib><creatorcontrib>Li, Yulian</creatorcontrib><creatorcontrib>Chen, Jingsi</creatorcontrib><creatorcontrib>Bi, Shilei</creatorcontrib><creatorcontrib>Huang, Minshan</creatorcontrib><creatorcontrib>Tan, Hu</creatorcontrib><creatorcontrib>Lai, Siying</creatorcontrib><creatorcontrib>Liang, Jingying</creatorcontrib><creatorcontrib>Gu, Shifeng</creatorcontrib><creatorcontrib>Jia, Jinping</creatorcontrib><creatorcontrib>Wen, Suiwen</creatorcontrib><creatorcontrib>Wang, Zhijian</creatorcontrib><creatorcontrib>Cao, Yinli</creatorcontrib><creatorcontrib>Wang, Shaoshuai</creatorcontrib><creatorcontrib>Xu, Xiaoyan</creatorcontrib><creatorcontrib>Feng, Ling</creatorcontrib><creatorcontrib>Zhao, Xianlan</creatorcontrib><creatorcontrib>Zhao, Yangyu</creatorcontrib><creatorcontrib>Zhu, Qiying</creatorcontrib><creatorcontrib>Qi, Hongbo</creatorcontrib><creatorcontrib>Zhang, Lanzhen</creatorcontrib><creatorcontrib>Li, Hongtian</creatorcontrib><creatorcontrib>Du, Lili</creatorcontrib><creatorcontrib>Chen, Dunjin</creatorcontrib><title>Association between short inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery</title><title>The journal of maternal-fetal & neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>To explore the association between inter-pregnancy intervals and placenta previa and placenta accreta spectrum among women who had prior cesarean deliveries with respect to maternal age at first cesarean delivery.
This retrospective study included clinical data from 9981 singleton pregnant women with a history of cesarean delivery at 11 public tertiary hospitals in seven provinces of China between January 2017 and December 2017. The study population was divided into four groups (<2, 2-5, 5-10, ≥10 years of the interval) according to the inter-pregnancy interval. The rate of placenta previa and placenta accreta spectrum among the four groups was compared, and multivariate logistic regression was used to analyze the relationship between inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery.
Compared to women aged 30-34 years old at first cesarean delivery, the risk of placenta previa (aRR, 1.48; 95% CI, 1.16-1.88) and placenta accreta spectrum (aRR, 1.74; 95% CI, 1.28-2.35) were higher among women aged 18-24. Multivariate regression results showed that women at 18-24 with <2 years intervals exhibited a 5.05-fold increased risk for placenta previa compared with those with 2-5-year intervals (aRR, 5.05; 95% CI, 1.13-22.51). In addition, women aged 18-24 with less than 2 years intervals had an 8.44 times greater risk of developing PAS than women aged 30-34 with 2 to 5 years intervals (aRR, 8.44; 95% CI, 1.82-39.26).
The findings of this study suggested that short inter-pregnancy intervals were associated with increased risks for placenta previa, and placenta accreta spectrum for women under 25 years at first cesarean delivery, which may be partly attributed to obstetrical outcomes.</description><subject>Adult</subject><subject>Birth Intervals</subject><subject>cesarean delivery</subject><subject>Female</subject><subject>Humans</subject><subject>inter-pregnancy interval</subject><subject>Maternal Age</subject><subject>Placenta Accreta - epidemiology</subject><subject>Placenta Accreta - etiology</subject><subject>placenta accreta spectrum</subject><subject>Placenta previa</subject><subject>Placenta Previa - epidemiology</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQhyMEoqXwCCAfuWTx_yQ3qoqWSpV6KWdrYk9ao8QOtndX-y59WBJ2i8SF03jG3_zm8FXVR0Y3jLb0C5ONbqhqN5xyseGs460Sr6rzdV7LTsnXp_cKnVXvcv5JKWeSqrfVmdCd1i0T59XzZc7Reig-BtJj2SMGkp9iKsSHgqmeEz4GCPZw7HcwEgiOzCNYDAXI8r_z8O8MrE241DyjLWk7kb0vTyThn56USCZYosIa9YgEChl8yoVYzJAQAnE4-h2mw_vqzQBjxg-nelH9uP72cPW9vru_ub26vKutZKLU2nFQIHXfU85pg63VytlWWCGcEEDpYCV2bSMdYwKYcC1Yp5nU1vHBqV5cVJ-PuXOKv7aYi5l8tjiOEDBus-FNxxraNEosqDqiNsWcEw5mTn6CdDCMmlWMeRFjVjHmJGbZ-3Q6se0ndH-3XkwswNcj4MMQ0wT7mEZnChzGmIa0CPDZiP_f-A3ZQKEj</recordid><startdate>20231231</startdate><enddate>20231231</enddate><creator>Liang, Yingyu</creator><creator>Zhang, Lizi</creator><creator>Huang, Lijun</creator><creator>Li, Yulian</creator><creator>Chen, Jingsi</creator><creator>Bi, Shilei</creator><creator>Huang, Minshan</creator><creator>Tan, Hu</creator><creator>Lai, Siying</creator><creator>Liang, Jingying</creator><creator>Gu, Shifeng</creator><creator>Jia, Jinping</creator><creator>Wen, Suiwen</creator><creator>Wang, Zhijian</creator><creator>Cao, Yinli</creator><creator>Wang, Shaoshuai</creator><creator>Xu, Xiaoyan</creator><creator>Feng, Ling</creator><creator>Zhao, Xianlan</creator><creator>Zhao, Yangyu</creator><creator>Zhu, Qiying</creator><creator>Qi, Hongbo</creator><creator>Zhang, Lanzhen</creator><creator>Li, Hongtian</creator><creator>Du, Lili</creator><creator>Chen, Dunjin</creator><general>Taylor & Francis</general><scope>0YH</scope><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></search><sort><creationdate>20231231</creationdate><title>Association between short inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery</title><author>Liang, Yingyu ; Zhang, Lizi ; Huang, Lijun ; Li, Yulian ; Chen, Jingsi ; Bi, Shilei ; Huang, Minshan ; Tan, Hu ; Lai, Siying ; Liang, Jingying ; Gu, Shifeng ; Jia, Jinping ; Wen, Suiwen ; Wang, Zhijian ; Cao, Yinli ; Wang, Shaoshuai ; Xu, Xiaoyan ; Feng, Ling ; Zhao, Xianlan ; Zhao, Yangyu ; Zhu, Qiying ; Qi, Hongbo ; Zhang, Lanzhen ; Li, Hongtian ; Du, Lili ; Chen, Dunjin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-6d2a5a46bb02207e8c65dc83c33d33a00fc4e9874d113a13d8acd6146cd2fd5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Birth Intervals</topic><topic>cesarean delivery</topic><topic>Female</topic><topic>Humans</topic><topic>inter-pregnancy interval</topic><topic>Maternal Age</topic><topic>Placenta Accreta - epidemiology</topic><topic>Placenta Accreta - etiology</topic><topic>placenta accreta spectrum</topic><topic>Placenta previa</topic><topic>Placenta Previa - epidemiology</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liang, Yingyu</creatorcontrib><creatorcontrib>Zhang, Lizi</creatorcontrib><creatorcontrib>Huang, Lijun</creatorcontrib><creatorcontrib>Li, Yulian</creatorcontrib><creatorcontrib>Chen, Jingsi</creatorcontrib><creatorcontrib>Bi, Shilei</creatorcontrib><creatorcontrib>Huang, Minshan</creatorcontrib><creatorcontrib>Tan, Hu</creatorcontrib><creatorcontrib>Lai, Siying</creatorcontrib><creatorcontrib>Liang, Jingying</creatorcontrib><creatorcontrib>Gu, Shifeng</creatorcontrib><creatorcontrib>Jia, Jinping</creatorcontrib><creatorcontrib>Wen, Suiwen</creatorcontrib><creatorcontrib>Wang, Zhijian</creatorcontrib><creatorcontrib>Cao, Yinli</creatorcontrib><creatorcontrib>Wang, Shaoshuai</creatorcontrib><creatorcontrib>Xu, Xiaoyan</creatorcontrib><creatorcontrib>Feng, Ling</creatorcontrib><creatorcontrib>Zhao, Xianlan</creatorcontrib><creatorcontrib>Zhao, Yangyu</creatorcontrib><creatorcontrib>Zhu, Qiying</creatorcontrib><creatorcontrib>Qi, Hongbo</creatorcontrib><creatorcontrib>Zhang, Lanzhen</creatorcontrib><creatorcontrib>Li, Hongtian</creatorcontrib><creatorcontrib>Du, Lili</creatorcontrib><creatorcontrib>Chen, Dunjin</creatorcontrib><collection>Taylor & Francis Open Access</collection><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>The journal of maternal-fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liang, Yingyu</au><au>Zhang, Lizi</au><au>Huang, Lijun</au><au>Li, Yulian</au><au>Chen, Jingsi</au><au>Bi, Shilei</au><au>Huang, Minshan</au><au>Tan, Hu</au><au>Lai, Siying</au><au>Liang, Jingying</au><au>Gu, Shifeng</au><au>Jia, Jinping</au><au>Wen, Suiwen</au><au>Wang, Zhijian</au><au>Cao, Yinli</au><au>Wang, Shaoshuai</au><au>Xu, Xiaoyan</au><au>Feng, Ling</au><au>Zhao, Xianlan</au><au>Zhao, Yangyu</au><au>Zhu, Qiying</au><au>Qi, Hongbo</au><au>Zhang, Lanzhen</au><au>Li, Hongtian</au><au>Du, Lili</au><au>Chen, Dunjin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between short inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery</atitle><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2023-12-31</date><risdate>2023</risdate><volume>36</volume><issue>1</issue><spage>2192853</spage><epage>2192853</epage><pages>2192853-2192853</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><abstract>To explore the association between inter-pregnancy intervals and placenta previa and placenta accreta spectrum among women who had prior cesarean deliveries with respect to maternal age at first cesarean delivery.
This retrospective study included clinical data from 9981 singleton pregnant women with a history of cesarean delivery at 11 public tertiary hospitals in seven provinces of China between January 2017 and December 2017. The study population was divided into four groups (<2, 2-5, 5-10, ≥10 years of the interval) according to the inter-pregnancy interval. The rate of placenta previa and placenta accreta spectrum among the four groups was compared, and multivariate logistic regression was used to analyze the relationship between inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery.
Compared to women aged 30-34 years old at first cesarean delivery, the risk of placenta previa (aRR, 1.48; 95% CI, 1.16-1.88) and placenta accreta spectrum (aRR, 1.74; 95% CI, 1.28-2.35) were higher among women aged 18-24. Multivariate regression results showed that women at 18-24 with <2 years intervals exhibited a 5.05-fold increased risk for placenta previa compared with those with 2-5-year intervals (aRR, 5.05; 95% CI, 1.13-22.51). In addition, women aged 18-24 with less than 2 years intervals had an 8.44 times greater risk of developing PAS than women aged 30-34 with 2 to 5 years intervals (aRR, 8.44; 95% CI, 1.82-39.26).
The findings of this study suggested that short inter-pregnancy intervals were associated with increased risks for placenta previa, and placenta accreta spectrum for women under 25 years at first cesarean delivery, which may be partly attributed to obstetrical outcomes.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>36966813</pmid><doi>10.1080/14767058.2023.2192853</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The journal of maternal-fetal & neonatal medicine, 2023-12, Vol.36 (1), p.2192853-2192853 |
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| source | Taylor & Francis Open Access; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Birth Intervals cesarean delivery Female Humans inter-pregnancy interval Maternal Age Placenta Accreta - epidemiology Placenta Accreta - etiology placenta accreta spectrum Placenta previa Placenta Previa - epidemiology Pregnancy Retrospective Studies Risk Factors |
| title | Association between short inter-pregnancy interval and placenta previa and placenta accreta spectrum with respect to maternal age at first cesarean delivery |
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