Mother and Child Health Research, La Trobe University, 215 Franklin Street, Melbourne, Victoria 3000, Australia.
Midwifery. 2013 May;29(5):434-9. doi: 10.1016/j.midw.2012.02.007. Epub 2012 May 3.
to provide an accessible list of individual and population-based risk factors associated with very preterm birth to assist care providers in planning appropriate pregnancy care.
a population-based case-control study.
Victoria, Australia.
women were recruited from April 2002 to 2004. Cases had a singleton birth between 20 and 31+6 weeks gestation and controls were a random selection of women having a birth of at least 37 weeks gestation in the same time period as the cases.
structured interviews were conducted within a few weeks postpartum with 603 cases and 796 controls. Data were collected on sociodemographic factors; obstetric and gynaecological history; and maternal health problems, both pre-existing and occurring during the index pregnancy. Risk factors were calculated.
when correlated, risk factors were grouped as either lifestyle or maternal health factors. The majority of the risks were obstetric or gynaecological factors. Risks occurring in pregnancy may precipitate preterm birth.
knowing the risk factors for very preterm birth is likely to be helpful for pregnancy care providers. The development of a risk factor checklist based on the findings presented here may enable more informed planning of care and timely intervention.
提供一份与极早产相关的个体和人群风险因素的清单，以帮助护理人员规划适当的妊娠护理。
基于人群的病例对照研究。
澳大利亚维多利亚州。
2002 年 4 月至 2004 年期间招募了女性。病例组为 20 周至 31+6 周单胎分娩，对照组为同期至少 37 周分娩的随机选择的女性。
在产后几周内对 603 例病例和 796 例对照进行了结构化访谈。收集了社会人口统计学因素、产科和妇科病史以及母体健康问题的数据，包括妊娠前和妊娠期间的健康问题。计算了风险因素。
相关风险因素分为生活方式或母体健康因素。大多数风险是产科或妇科因素。妊娠期间发生的风险可能会导致早产。
了解极早产的风险因素可能对妊娠护理提供者有帮助。根据本研究结果制定风险因素检查表可能有助于更有针对性地规划护理和及时干预。
