Risk Factors for Preterm Birth in Advanced Maternal Age
10.21896/jksmch.2018.22.2.106
- Author:
Eun Jin KWON
1
;
Kyung Ju LEE
;
Angela CHO
;
Sunwha PARK
;
Mi Hye PARK
;
Young Ju KIM
;
Author Information
1. Department of Obstetrics and Gynecology and Ewha Medical Research Institute, Ewha Womans University Medical School, Seoul, Korea. kkyj@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Advanced maternal age;
premature birth;
pregnancy;
smoking;
lifestyle
- MeSH:
Education;
Female;
Folic Acid;
Humans;
Iron;
Life Style;
Logistic Models;
Maternal Age;
Occupations;
Parity;
Pregnancy;
Pregnant Women;
Premature Birth;
Risk Factors;
Smoke;
Smoking;
Term Birth;
Tobacco Smoke Pollution
- From:Journal of the Korean Society of Maternal and Child Health
2018;22(2):106-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To identify the potential risk factors for preterm birth (PTB) in women with advanced maternal age in the Korean population. METHODS: We selected the data of 531 pregnant women and singletons in the Korean Preterm Collaborate Network Study. Among the data, we analyzed variables related to demographic characteristics, lifestyle factors, and delivery information. Maternal age was divided into two groups: younger ( < 35 years) and advanced (≥35 years). Multiple logistic regression analysis was performed to identify the potential risk factors for PTB in advanced maternal age. RESULTS: In advanced maternal age, education level, occupation, passive smoking, iron intake, and parity showed significant differences between term birth and PTB. In particular, women who were exposed to passive smoking (odds ratio [OR]=2.83, confidence interval [CI]=1.14~7.04) and had folic acid intake during pregnancy (OR=2.67, CI=1.11~6.43) were at a significantly increased risk of PTB, after adjusting for all variables. CONCLUSION: This study indicates that smoking and lifestyle factors are the potential risk factors for PTB in advanced maternal age.
