High parity and fetal morbidity outcomes
We investigated the association between high parity and fetal morbidity outcomes. We analyzed 22,463,141 singleton deliveries at 20 weeks or more of gestation in the United States from 1989 through 2000. Adjusted odds ratios generated from logistic regression models were used to approximate relative...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2005-05, Vol.105 (5), p.1045-1051 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | ALIYU, Muktar H SALIHU, Hamisu M KEITH, Louis G EHIRI, John E ISLAM, M. Aminul JOLLY, Pauline E |
| description | We investigated the association between high parity and fetal morbidity outcomes.
We analyzed 22,463,141 singleton deliveries at 20 weeks or more of gestation in the United States from 1989 through 2000. Adjusted odds ratios generated from logistic regression models were used to approximate relative risk for neonatal morbidity in women with 1-4 (moderate parity or type I; referent group), 5-9 (high parity or type II), 10-14 (very high parity or type III) and 15 or more (extremely high parity or type IV) prior live births. Main outcome measures included low and very low birth weight, preterm and very preterm birth, and small and large for gestational age delivery.
The overall crude rates for low birth weight, very low birth weight, preterm birth, very preterm birth, and small and large for gestational age were 55, 11, 97, 19, 83, and 129 per 1,000 live births, respectively. The adjusted odds ratios for low birth weight, very low birth weight, preterm, and very preterm delivery increased consistently and in a dose-effect fashion with ascending parity (P for trend < .001). In the case of large for gestational age delivery, the adjusted odds ratio showed an inverted-U pattern, being highest among women in the type III parity cluster. The findings with respect to small for gestational age were inconclusive.
High parity is a risk factor for adverse fetal outcomes. However, the impact of heightened parity is more manifest as shortened gestation rather than physical size restriction. These findings could prove beneficial for counseling women of high parity. |
| doi_str_mv | 10.1097/01.AOG.0000157444.74674.75 |
| format | Article |
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We analyzed 22,463,141 singleton deliveries at 20 weeks or more of gestation in the United States from 1989 through 2000. Adjusted odds ratios generated from logistic regression models were used to approximate relative risk for neonatal morbidity in women with 1-4 (moderate parity or type I; referent group), 5-9 (high parity or type II), 10-14 (very high parity or type III) and 15 or more (extremely high parity or type IV) prior live births. Main outcome measures included low and very low birth weight, preterm and very preterm birth, and small and large for gestational age delivery.
The overall crude rates for low birth weight, very low birth weight, preterm birth, very preterm birth, and small and large for gestational age were 55, 11, 97, 19, 83, and 129 per 1,000 live births, respectively. The adjusted odds ratios for low birth weight, very low birth weight, preterm, and very preterm delivery increased consistently and in a dose-effect fashion with ascending parity (P for trend < .001). In the case of large for gestational age delivery, the adjusted odds ratio showed an inverted-U pattern, being highest among women in the type III parity cluster. The findings with respect to small for gestational age were inconclusive.
High parity is a risk factor for adverse fetal outcomes. However, the impact of heightened parity is more manifest as shortened gestation rather than physical size restriction. These findings could prove beneficial for counseling women of high parity.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000157444.74674.75</identifier><identifier>PMID: 15863543</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adult ; Biological and medical sciences ; Birth Weight ; Cohort Studies ; Female ; Fetal Diseases - epidemiology ; Fetal Diseases - etiology ; Fetal Growth Retardation - epidemiology ; Fetal Growth Retardation - etiology ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Incidence ; Infant Mortality - trends ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Very Low Birth Weight ; Maternal Age ; Medical sciences ; Obstetric Labor, Premature - epidemiology ; Parity ; Pregnancy ; Pregnancy Outcome ; Probability ; Registries ; Retrospective Studies ; Risk Assessment</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2005-05, Vol.105 (5), p.1045-1051</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-f0913a1fe236a637b59d149683ef51c36fa38267b3276f8d15b60b2924c915453</citedby><cites>FETCH-LOGICAL-c347t-f0913a1fe236a637b59d149683ef51c36fa38267b3276f8d15b60b2924c915453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16724204$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15863543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ALIYU, Muktar H</creatorcontrib><creatorcontrib>SALIHU, Hamisu M</creatorcontrib><creatorcontrib>KEITH, Louis G</creatorcontrib><creatorcontrib>EHIRI, John E</creatorcontrib><creatorcontrib>ISLAM, M. Aminul</creatorcontrib><creatorcontrib>JOLLY, Pauline E</creatorcontrib><title>High parity and fetal morbidity outcomes</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>We investigated the association between high parity and fetal morbidity outcomes.
We analyzed 22,463,141 singleton deliveries at 20 weeks or more of gestation in the United States from 1989 through 2000. Adjusted odds ratios generated from logistic regression models were used to approximate relative risk for neonatal morbidity in women with 1-4 (moderate parity or type I; referent group), 5-9 (high parity or type II), 10-14 (very high parity or type III) and 15 or more (extremely high parity or type IV) prior live births. Main outcome measures included low and very low birth weight, preterm and very preterm birth, and small and large for gestational age delivery.
The overall crude rates for low birth weight, very low birth weight, preterm birth, very preterm birth, and small and large for gestational age were 55, 11, 97, 19, 83, and 129 per 1,000 live births, respectively. The adjusted odds ratios for low birth weight, very low birth weight, preterm, and very preterm delivery increased consistently and in a dose-effect fashion with ascending parity (P for trend < .001). In the case of large for gestational age delivery, the adjusted odds ratio showed an inverted-U pattern, being highest among women in the type III parity cluster. The findings with respect to small for gestational age were inconclusive.
High parity is a risk factor for adverse fetal outcomes. However, the impact of heightened parity is more manifest as shortened gestation rather than physical size restriction. These findings could prove beneficial for counseling women of high parity.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fetal Diseases - epidemiology</subject><subject>Fetal Diseases - etiology</subject><subject>Fetal Growth Retardation - epidemiology</subject><subject>Fetal Growth Retardation - etiology</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant Mortality - trends</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - epidemiology</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Probability</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkN9LwzAQx4Mobk7_BSmC4ktrksuPxrcxdBMGe1HwLaRpopV2nUn7sP_e1g12D3dwfO6-8EHojuCMYCWfMMnmm2WGhyJcMsYyyYQcOj9DU5JLSCnA5zmaYkxVKnPGJugqxp-RFwou0YTwXABnMEWPq-rrO9mZUHX7xGzLxLvO1EnThqIqx13bd7ZtXLxGF97U0d0c5wx9vL68L1bperN8W8zXqQUmu9RjRcAQ7ygII0AWXJWEKZGD85xYEN5AToUsgErh85LwQuCCKsqsIpxxmKGHw99daH97FzvdVNG6ujZb1_ZRC5kTKrgawOcDaEMbY3Be70LVmLDXBOvRk8ZED570yZP-96TlmHJ7TOmLxpWn06OYAbg_AiZaU_tgtraKJ05Iyihm8AcKT26W</recordid><startdate>20050501</startdate><enddate>20050501</enddate><creator>ALIYU, Muktar H</creator><creator>SALIHU, Hamisu M</creator><creator>KEITH, Louis G</creator><creator>EHIRI, John E</creator><creator>ISLAM, M. Aminul</creator><creator>JOLLY, Pauline E</creator><general>Elsevier Science</general><scope>IQODW</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>20050501</creationdate><title>High parity and fetal morbidity outcomes</title><author>ALIYU, Muktar H ; SALIHU, Hamisu M ; KEITH, Louis G ; EHIRI, John E ; ISLAM, M. Aminul ; JOLLY, Pauline E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-f0913a1fe236a637b59d149683ef51c36fa38267b3276f8d15b60b2924c915453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fetal Diseases - epidemiology</topic><topic>Fetal Diseases - etiology</topic><topic>Fetal Growth Retardation - epidemiology</topic><topic>Fetal Growth Retardation - etiology</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant Mortality - trends</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - epidemiology</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Probability</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ALIYU, Muktar H</creatorcontrib><creatorcontrib>SALIHU, Hamisu M</creatorcontrib><creatorcontrib>KEITH, Louis G</creatorcontrib><creatorcontrib>EHIRI, John E</creatorcontrib><creatorcontrib>ISLAM, M. Aminul</creatorcontrib><creatorcontrib>JOLLY, Pauline E</creatorcontrib><collection>Pascal-Francis</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>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ALIYU, Muktar H</au><au>SALIHU, Hamisu M</au><au>KEITH, Louis G</au><au>EHIRI, John E</au><au>ISLAM, M. Aminul</au><au>JOLLY, Pauline E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High parity and fetal morbidity outcomes</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2005-05-01</date><risdate>2005</risdate><volume>105</volume><issue>5</issue><spage>1045</spage><epage>1051</epage><pages>1045-1051</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>We investigated the association between high parity and fetal morbidity outcomes.
We analyzed 22,463,141 singleton deliveries at 20 weeks or more of gestation in the United States from 1989 through 2000. Adjusted odds ratios generated from logistic regression models were used to approximate relative risk for neonatal morbidity in women with 1-4 (moderate parity or type I; referent group), 5-9 (high parity or type II), 10-14 (very high parity or type III) and 15 or more (extremely high parity or type IV) prior live births. Main outcome measures included low and very low birth weight, preterm and very preterm birth, and small and large for gestational age delivery.
The overall crude rates for low birth weight, very low birth weight, preterm birth, very preterm birth, and small and large for gestational age were 55, 11, 97, 19, 83, and 129 per 1,000 live births, respectively. The adjusted odds ratios for low birth weight, very low birth weight, preterm, and very preterm delivery increased consistently and in a dose-effect fashion with ascending parity (P for trend < .001). In the case of large for gestational age delivery, the adjusted odds ratio showed an inverted-U pattern, being highest among women in the type III parity cluster. The findings with respect to small for gestational age were inconclusive.
High parity is a risk factor for adverse fetal outcomes. However, the impact of heightened parity is more manifest as shortened gestation rather than physical size restriction. These findings could prove beneficial for counseling women of high parity.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>15863543</pmid><doi>10.1097/01.AOG.0000157444.74674.75</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Birth Weight Cohort Studies Female Fetal Diseases - epidemiology Fetal Diseases - etiology Fetal Growth Retardation - epidemiology Fetal Growth Retardation - etiology Gestational Age Gynecology. Andrology. Obstetrics Humans Incidence Infant Mortality - trends Infant, Low Birth Weight Infant, Newborn Infant, Very Low Birth Weight Maternal Age Medical sciences Obstetric Labor, Premature - epidemiology Parity Pregnancy Pregnancy Outcome Probability Registries Retrospective Studies Risk Assessment |
| title | High parity and fetal morbidity outcomes |
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