Association between Parity and Preterm Birth—Retrospective Analysis from a Single Center in Poland

Author:

Szyszka Monika1,Rzońca Ewa2,Rychlewicz Sylwia3ORCID,Bączek Grażyna2,Ślęzak Daniel4ORCID,Rzońca Patryk1ORCID

Affiliation:

1. Department of Human Anatomy, Faculty of Health Sciences, Medical University of Warsaw, 02-004 Warsaw, Poland

2. Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 00-575 Warsaw, Poland

3. St. Sophia’s Specialist Hospital, Żelazna Medical Center, 01-004 Warsaw, Poland

4. Department of Medical Rescue, Medical University of Gdańsk, 80-210 Gdańsk, Poland

Abstract

Preterm births and parity are two medical areas that seem to be entirely different from each other. The aim of this study was to analyze the relationships between parity and maternal and neonatal outcomes associated with preterm birth. This study involved a retrospective analysis of electronic medical records from St. Sophia Hospital in Warsaw (Poland). This study was conducted among women who gave birth to preterm infants between 1 January 2017 and 31 December 2021. A total of 2043 cases of preterm births were included in the final analysis. A higher odds ratio of preterm birth in primiparas was found in women living in a city/town (OR = 1.56) and having secondary (OR = 1.46) and higher education (OR = 1.82). Multiparas who gave birth to preterm infants were more frequently diagnosed with gestational diabetes (19.69%) than primiparas. Multiparas were more likely to give birth to preterm infants who received an Apgar score of ≤7 both at 1 and 5 min after birth (25.80% and 15.34%). The results of our study emphasize the differences between primiparas and multiparas who give birth to preterm infants. Knowledge of these differences is essential to improve the perinatal care provided to mothers and their infants.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference58 articles.

1. World Health Organization (2023, January 11). Preterm Birth. Available online: https://www.who.int/news-room/fact-sheets/detail/preterm-birth.

2. Epidemiology of preterm birth;Purisch;Semin. Perinatol.,2017

3. A case control study of risk factors and neonatal outcomes of preterm birth;Jiang;Taiwan J. Obstet. Gynecol.,2018

4. Vaginal progesterone for preventing preterm birth and adverse perinatal outcomes in singleton gestations with a short cervix: A meta-analysis of individual patient data;Romero;Am. J. Obstet. Gynecol.,2018

5. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth;McGoldrick;Cochrane Database Syst. Rev.,2020

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