Maternal Asthma and Transient Tachypnea of the Newborn
To examine the relationship between transient tachypnea of the newborn and asthma complicating pregnancy. Historical cohort analysis. Setting. Singleton live deliveries in New Jersey hospitals during 1989 to 1992 (n = 447 963). Mother-infant dyads were identified from linked birth certificate and ma...
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description | To examine the relationship between transient tachypnea of the newborn and asthma complicating pregnancy.
Historical cohort analysis. Setting. Singleton live deliveries in New Jersey hospitals during 1989 to 1992 (n = 447 963).
Mother-infant dyads were identified from linked birth certificate and maternal and infant hospital claims data. Women with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code (493) for asthma (n = 2289) were compared with a four-fold larger randomly selected control sample (n = 9156) from the remaining pool of women.
Transient tachypnea of the newborn.
In the overall sample, after controlling for the confounding effects of important variables, infants of asthmatic mothers were more likely [odds ratio (OR), 1. 79; 95% confidence interval (CI), 1.35-2.37] than infants of control mothers to exhibit transient tachypnea of the newborn. A stratified analysis by gestational age and sex revealed larger and statistically significant associations in term infants (OR, 2.02; 95% CI, 1.42-2.87) as opposed to preterm infants (OR, 1.51; 95% CI, 0.94-2.43) and in male infants (OR, 1.91; 95% CI, 1.35-2.71) as opposed to female infants (OR, 1.51; 95% CI, 0.92-2.47). On the other hand, after adjusting for important confounding variables, respiratory distress syndrome and maternal asthma were not found to be associated (OR, 1.14; 95% CI, 0.79-1.64).
The results of this study provide evidence that maternal asthma is a risk factor for transient tachypnea of the newborn and differences in gestational age and sex were apparent in this association. The mechanism for this association remains to be determined. |
doi_str_mv | 10.1542/peds.102.1.84 |
format | Article |
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Historical cohort analysis. Setting. Singleton live deliveries in New Jersey hospitals during 1989 to 1992 (n = 447 963).
Mother-infant dyads were identified from linked birth certificate and maternal and infant hospital claims data. Women with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code (493) for asthma (n = 2289) were compared with a four-fold larger randomly selected control sample (n = 9156) from the remaining pool of women.
Transient tachypnea of the newborn.
In the overall sample, after controlling for the confounding effects of important variables, infants of asthmatic mothers were more likely [odds ratio (OR), 1. 79; 95% confidence interval (CI), 1.35-2.37] than infants of control mothers to exhibit transient tachypnea of the newborn. A stratified analysis by gestational age and sex revealed larger and statistically significant associations in term infants (OR, 2.02; 95% CI, 1.42-2.87) as opposed to preterm infants (OR, 1.51; 95% CI, 0.94-2.43) and in male infants (OR, 1.91; 95% CI, 1.35-2.71) as opposed to female infants (OR, 1.51; 95% CI, 0.92-2.47). On the other hand, after adjusting for important confounding variables, respiratory distress syndrome and maternal asthma were not found to be associated (OR, 1.14; 95% CI, 0.79-1.64).
The results of this study provide evidence that maternal asthma is a risk factor for transient tachypnea of the newborn and differences in gestational age and sex were apparent in this association. The mechanism for this association remains to be determined.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.102.1.84</identifier><identifier>PMID: 9651418</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Adolescent ; Adult ; Asthma ; Asthma - diagnosis ; Babies ; Biological and medical sciences ; Birth Weight ; Cohort Studies ; Confidence Intervals ; Diagnosis, Differential ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Health aspects ; Humans ; Infant, Newborn ; Male ; Management. Prenatal diagnosis ; Maternal Age ; Medical sciences ; Middle Aged ; New Jersey ; Odds Ratio ; Pediatric respiratory diseases ; Pediatrics ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy. Fetus. Placenta ; Respiratory Distress Syndrome, Newborn - diagnosis ; Respiratory Distress Syndrome, Newborn - etiology ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Tachypnea</subject><ispartof>Pediatrics (Evanston), 1998-07, Vol.102 (1), p.84-90</ispartof><rights>1998 INIST-CNRS</rights><rights>COPYRIGHT 1998 American Academy of Pediatrics</rights><rights>COPYRIGHT 1998 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Jul 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-99fbd1aa6b3155e3789be5297626b75ee8a5a9f2eb17d2ef4887899548c148643</citedby><cites>FETCH-LOGICAL-c593t-99fbd1aa6b3155e3789be5297626b75ee8a5a9f2eb17d2ef4887899548c148643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2316377$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9651418$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demissie, Kitaw</creatorcontrib><creatorcontrib>Marcella, Stephen W</creatorcontrib><creatorcontrib>Breckenridge, Mary B</creatorcontrib><creatorcontrib>Rhoads, George G</creatorcontrib><title>Maternal Asthma and Transient Tachypnea of the Newborn</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To examine the relationship between transient tachypnea of the newborn and asthma complicating pregnancy.
Historical cohort analysis. Setting. Singleton live deliveries in New Jersey hospitals during 1989 to 1992 (n = 447 963).
Mother-infant dyads were identified from linked birth certificate and maternal and infant hospital claims data. Women with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code (493) for asthma (n = 2289) were compared with a four-fold larger randomly selected control sample (n = 9156) from the remaining pool of women.
Transient tachypnea of the newborn.
In the overall sample, after controlling for the confounding effects of important variables, infants of asthmatic mothers were more likely [odds ratio (OR), 1. 79; 95% confidence interval (CI), 1.35-2.37] than infants of control mothers to exhibit transient tachypnea of the newborn. A stratified analysis by gestational age and sex revealed larger and statistically significant associations in term infants (OR, 2.02; 95% CI, 1.42-2.87) as opposed to preterm infants (OR, 1.51; 95% CI, 0.94-2.43) and in male infants (OR, 1.91; 95% CI, 1.35-2.71) as opposed to female infants (OR, 1.51; 95% CI, 0.92-2.47). On the other hand, after adjusting for important confounding variables, respiratory distress syndrome and maternal asthma were not found to be associated (OR, 1.14; 95% CI, 0.79-1.64).
The results of this study provide evidence that maternal asthma is a risk factor for transient tachypnea of the newborn and differences in gestational age and sex were apparent in this association. The mechanism for this association remains to be determined.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Management. Prenatal diagnosis</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>New Jersey</subject><subject>Odds Ratio</subject><subject>Pediatric respiratory diseases</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Respiratory Distress Syndrome, Newborn - diagnosis</subject><subject>Respiratory Distress Syndrome, Newborn - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Tachypnea</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkk1v1DAQhiMEKkvhyBEpQhXi0Cy2Yyf2cbWCgrTQy3K2Js4kcZWPxXZU-u9x1NVC0coHf8wjvzPvTJK8pWRNBWefDlj7NSVsTdeSP0tWlCiZcVaK58mKkJxmnBDxMnnl_R0hhIuSXSQXqhCUU7lKiu8Q0I3QpxsfugFSGOt072D0FseQ7sF0D4cRIZ2aNHSY_sD7anLj6-RFA73HN8f9Mvn55fN--zXb3d582252mREqD5lSTVVTgKLKqRCYl1JVKJgqC1ZUpUCUIEA1DCta1gwbLmVElODSUC4Lnl8mHx7_Pbjp14w-6MF6g30PI06z1zJWpCQREXz_H3g3zUtdXjMmc8YZX6DrR6iFHrUdmyk4MC2O6KCfRmxsfN4wonLCWBHx7AweV42DNef4j0_4iAT8HVqYfcz0ZvcEvT6HmqnvsUUdPdzensvEuMl7h40-ODuAe9CU6GUK9DIF8cI01XKx7d3RjbkasD7Rx7bH-NUxDt5A38R-G-tPGMtpkZflX9nOtt29dbjIWAjOGv_P8ST7B6shxZ0</recordid><startdate>19980701</startdate><enddate>19980701</enddate><creator>Demissie, Kitaw</creator><creator>Marcella, Stephen W</creator><creator>Breckenridge, Mary B</creator><creator>Rhoads, George G</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</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>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19980701</creationdate><title>Maternal Asthma and Transient Tachypnea of the Newborn</title><author>Demissie, Kitaw ; Marcella, Stephen W ; Breckenridge, Mary B ; Rhoads, George G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-99fbd1aa6b3155e3789be5297626b75ee8a5a9f2eb17d2ef4887899548c148643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Management. Prenatal diagnosis</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>New Jersey</topic><topic>Odds Ratio</topic><topic>Pediatric respiratory diseases</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Respiratory Distress Syndrome, Newborn - diagnosis</topic><topic>Respiratory Distress Syndrome, Newborn - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Tachypnea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demissie, Kitaw</creatorcontrib><creatorcontrib>Marcella, Stephen W</creatorcontrib><creatorcontrib>Breckenridge, Mary B</creatorcontrib><creatorcontrib>Rhoads, George G</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>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demissie, Kitaw</au><au>Marcella, Stephen W</au><au>Breckenridge, Mary B</au><au>Rhoads, George G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal Asthma and Transient Tachypnea of the Newborn</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>102</volume><issue>1</issue><spage>84</spage><epage>90</epage><pages>84-90</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To examine the relationship between transient tachypnea of the newborn and asthma complicating pregnancy.
Historical cohort analysis. Setting. Singleton live deliveries in New Jersey hospitals during 1989 to 1992 (n = 447 963).
Mother-infant dyads were identified from linked birth certificate and maternal and infant hospital claims data. Women with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code (493) for asthma (n = 2289) were compared with a four-fold larger randomly selected control sample (n = 9156) from the remaining pool of women.
Transient tachypnea of the newborn.
In the overall sample, after controlling for the confounding effects of important variables, infants of asthmatic mothers were more likely [odds ratio (OR), 1. 79; 95% confidence interval (CI), 1.35-2.37] than infants of control mothers to exhibit transient tachypnea of the newborn. A stratified analysis by gestational age and sex revealed larger and statistically significant associations in term infants (OR, 2.02; 95% CI, 1.42-2.87) as opposed to preterm infants (OR, 1.51; 95% CI, 0.94-2.43) and in male infants (OR, 1.91; 95% CI, 1.35-2.71) as opposed to female infants (OR, 1.51; 95% CI, 0.92-2.47). On the other hand, after adjusting for important confounding variables, respiratory distress syndrome and maternal asthma were not found to be associated (OR, 1.14; 95% CI, 0.79-1.64).
The results of this study provide evidence that maternal asthma is a risk factor for transient tachypnea of the newborn and differences in gestational age and sex were apparent in this association. The mechanism for this association remains to be determined.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>9651418</pmid><doi>10.1542/peds.102.1.84</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Asthma Asthma - diagnosis Babies Biological and medical sciences Birth Weight Cohort Studies Confidence Intervals Diagnosis, Differential Female Gestational Age Gynecology. Andrology. Obstetrics Health aspects Humans Infant, Newborn Male Management. Prenatal diagnosis Maternal Age Medical sciences Middle Aged New Jersey Odds Ratio Pediatric respiratory diseases Pediatrics Pregnancy Pregnancy Complications - diagnosis Pregnancy. Fetus. Placenta Respiratory Distress Syndrome, Newborn - diagnosis Respiratory Distress Syndrome, Newborn - etiology Retrospective Studies Risk Factors Socioeconomic Factors Tachypnea |
title | Maternal Asthma and Transient Tachypnea of the Newborn |
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