The epidemiology of threatened preterm labor: A prospective cohort study
The purpose of this study was to describe the occurrence, timing, and outcomes of hospital-based diagnoses of preterm labor. Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity were ex...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2005-04, Vol.192 (4), p.1325-1329 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | McPheeters, Melissa L. Miller, William C. Hartmann, Katherine E. Savitz, David A. Kaufman, Jay S. Garrett, Joanne M. Thorp, John M. |
| description | The purpose of this study was to describe the occurrence, timing, and outcomes of hospital-based diagnoses of preterm labor.
Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity were examined by logistic regression for an association with any preterm labor diagnosis, a preterm labor diagnosis |
| doi_str_mv | 10.1016/j.ajog.2004.12.055 |
| format | Article |
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Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity were examined by logistic regression for an association with any preterm labor diagnosis, a preterm labor diagnosis <33 weeks of gestation, or ≥33 weeks of gestation.
Of 234 women (9%) who experienced hospitalization for preterm labor, 90 women (38%) were delivered in the first episode. Previous preterm birth consistently was associated with a diagnosis of preterm labor. Reporting a sexually transmitted infection (odds ratio, 1.8; 95% CI, 1.1-3.0) or bacterial vaginosis (odds ratio, 2.6; 95% CI, 1.7-4.1) early in pregnancy was associated with hospitalization for preterm labor between 24 and 32 weeks of gestation.
The incidence of first-time hospitalization for preterm labor was 9%, with most episodes not resulting in preterm birth. Previous preterm birth was associated therefore with a preterm labor diagnosis.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2004.12.055</identifier><identifier>PMID: 15846230</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Age Distribution ; Alcohol Drinking - epidemiology ; Cohort Studies ; Diagnosis ; Female ; Follow-Up Studies ; Gestational Age ; Humans ; Logistic Models ; Middle Aged ; Obstetric Labor, Premature - epidemiology ; Obstetric Labor, Premature - etiology ; Odds Ratio ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Outcome ; Pregnancy, High-Risk ; Prenatal Diagnosis - methods ; Preterm labor ; Prevalence ; Prospective Studies ; Registries ; Risk Factors ; Smoking - epidemiology</subject><ispartof>American journal of obstetrics and gynecology, 2005-04, Vol.192 (4), p.1325-1329</ispartof><rights>2005 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-80d86256f8f2775259dd81d06af6cfd977177f5dde63f1a8b2e62f1f4e2ff8f13</citedby><cites>FETCH-LOGICAL-c420t-80d86256f8f2775259dd81d06af6cfd977177f5dde63f1a8b2e62f1f4e2ff8f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937805000311$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15846230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McPheeters, Melissa L.</creatorcontrib><creatorcontrib>Miller, William C.</creatorcontrib><creatorcontrib>Hartmann, Katherine E.</creatorcontrib><creatorcontrib>Savitz, David A.</creatorcontrib><creatorcontrib>Kaufman, Jay S.</creatorcontrib><creatorcontrib>Garrett, Joanne M.</creatorcontrib><creatorcontrib>Thorp, John M.</creatorcontrib><title>The epidemiology of threatened preterm labor: A prospective cohort study</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The purpose of this study was to describe the occurrence, timing, and outcomes of hospital-based diagnoses of preterm labor.
Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity were examined by logistic regression for an association with any preterm labor diagnosis, a preterm labor diagnosis <33 weeks of gestation, or ≥33 weeks of gestation.
Of 234 women (9%) who experienced hospitalization for preterm labor, 90 women (38%) were delivered in the first episode. Previous preterm birth consistently was associated with a diagnosis of preterm labor. Reporting a sexually transmitted infection (odds ratio, 1.8; 95% CI, 1.1-3.0) or bacterial vaginosis (odds ratio, 2.6; 95% CI, 1.7-4.1) early in pregnancy was associated with hospitalization for preterm labor between 24 and 32 weeks of gestation.
The incidence of first-time hospitalization for preterm labor was 9%, with most episodes not resulting in preterm birth. Previous preterm birth was associated therefore with a preterm labor diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Cohort Studies</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Middle Aged</subject><subject>Obstetric Labor, Premature - epidemiology</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Odds Ratio</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy, High-Risk</subject><subject>Prenatal Diagnosis - methods</subject><subject>Preterm labor</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Smoking - epidemiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OwzAQhC0EoqXwAhxQTtwSbCf-CeJSVUCRKnEpZyuN162jpA52UqlvT0IrceO02tXMaPZD6J7ghGDCn6qkqNw2oRhnCaEJZuwCTQnORcwll5doijGmcZ4KOUE3IVTjSnN6jSaEyYzTFE_Rcr2DCFqrobGudttj5EzU7TwUHexBR62HDnwT1cXG-edoPhxcaKHs7AGi0u2c76LQ9fp4i65MUQe4O88Z-np7XS-W8erz_WMxX8VlRnEXS6wlp4wbaagQjLJca0k05oXhpdG5EEQIw7QGnhpSyA0FTg0xGVAzeEg6Q4-n3KHIdw-hU40NJdR1sQfXB8WF4JIwNgjpSVgOjYMHo1pvm8IfFcFq5KcqNfJTIz9FqMK_podzer9pQP9ZzsAGwctJAMOPBwtehdLCvgRt_UBFaWf_y_8BSguByQ</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>McPheeters, Melissa L.</creator><creator>Miller, William C.</creator><creator>Hartmann, Katherine E.</creator><creator>Savitz, David A.</creator><creator>Kaufman, Jay S.</creator><creator>Garrett, Joanne M.</creator><creator>Thorp, John M.</creator><general>Mosby, Inc</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></search><sort><creationdate>20050401</creationdate><title>The epidemiology of threatened preterm labor: A prospective cohort study</title><author>McPheeters, Melissa L. ; Miller, William C. ; Hartmann, Katherine E. ; Savitz, David A. ; Kaufman, Jay S. ; Garrett, Joanne M. ; Thorp, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-80d86256f8f2775259dd81d06af6cfd977177f5dde63f1a8b2e62f1f4e2ff8f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Cohort Studies</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Middle Aged</topic><topic>Obstetric Labor, Premature - epidemiology</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy, High-Risk</topic><topic>Prenatal Diagnosis - methods</topic><topic>Preterm labor</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Smoking - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McPheeters, Melissa L.</creatorcontrib><creatorcontrib>Miller, William C.</creatorcontrib><creatorcontrib>Hartmann, Katherine E.</creatorcontrib><creatorcontrib>Savitz, David A.</creatorcontrib><creatorcontrib>Kaufman, Jay S.</creatorcontrib><creatorcontrib>Garrett, Joanne M.</creatorcontrib><creatorcontrib>Thorp, John M.</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>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McPheeters, Melissa L.</au><au>Miller, William C.</au><au>Hartmann, Katherine E.</au><au>Savitz, David A.</au><au>Kaufman, Jay S.</au><au>Garrett, Joanne M.</au><au>Thorp, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The epidemiology of threatened preterm labor: A prospective cohort study</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>192</volume><issue>4</issue><spage>1325</spage><epage>1329</epage><pages>1325-1329</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>The purpose of this study was to describe the occurrence, timing, and outcomes of hospital-based diagnoses of preterm labor.
Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity were examined by logistic regression for an association with any preterm labor diagnosis, a preterm labor diagnosis <33 weeks of gestation, or ≥33 weeks of gestation.
Of 234 women (9%) who experienced hospitalization for preterm labor, 90 women (38%) were delivered in the first episode. Previous preterm birth consistently was associated with a diagnosis of preterm labor. Reporting a sexually transmitted infection (odds ratio, 1.8; 95% CI, 1.1-3.0) or bacterial vaginosis (odds ratio, 2.6; 95% CI, 1.7-4.1) early in pregnancy was associated with hospitalization for preterm labor between 24 and 32 weeks of gestation.
The incidence of first-time hospitalization for preterm labor was 9%, with most episodes not resulting in preterm birth. Previous preterm birth was associated therefore with a preterm labor diagnosis.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>15846230</pmid><doi>10.1016/j.ajog.2004.12.055</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 2005-04, Vol.192 (4), p.1325-1329 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Age Distribution Alcohol Drinking - epidemiology Cohort Studies Diagnosis Female Follow-Up Studies Gestational Age Humans Logistic Models Middle Aged Obstetric Labor, Premature - epidemiology Obstetric Labor, Premature - etiology Odds Ratio Pregnancy Pregnancy Complications - epidemiology Pregnancy Outcome Pregnancy, High-Risk Prenatal Diagnosis - methods Preterm labor Prevalence Prospective Studies Registries Risk Factors Smoking - epidemiology |
| title | The epidemiology of threatened preterm labor: A prospective cohort study |
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