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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Veröffentlicht in:Pediatrics (Evanston) 1998-07, Vol.102 (1), p.84-90
Hauptverfasser: Demissie, Kitaw, Marcella, Stephen W, Breckenridge, Mary B, Rhoads, George G
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creator Demissie, Kitaw
Marcella, Stephen W
Breckenridge, Mary B
Rhoads, George G
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.
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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. 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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. 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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. 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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 &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; 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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