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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 9 (9page)
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Background: Although preterm delivery is the most common cause of infant morbidity and mortality, an obvious cause cannot be found in most cases. Preterm delivery is known to be the most important risk factor for preterm birth in a subsequent pregnancy. We aimed to evaluate the recurrence rate of premature births for subsequent pregnancies in women with a history of a preterm birth. Methods: Study data were collected from the Korea National Health Insurance (KNHI) claims database and data from a national health-screening program for infants and children. We enrolled women who had their first delivery between January 1, 2007 and December 31, 2007 and a subsequent delivery before 2014. Results: Preterm delivery had a significant higher risk of preterm birth in a subsequent singleton pregnancy. The risk of preterm birth at second pregnancy was 2.2% in women whose first delivery at ≥ 37 weeks and 18.6% in women whose first delivery at < 37 weeks (relative risks [RR], 8.64; 95% confidence interval [CI], 7.94–9.40). In the analysis of the third pregnancy, we compared women with an initial term birth followed by preterm birth and women with an initial preterm birth followed by a subsequent term birth. A history of a just preceding preterm birth at < 37 weeks was the most relevant factor for recurrence of preterm delivery in a subsequent pregnancy (26.6%, RR, 4.01; 95% CI, 2.45–6.58). Conclusion: We found that the prognosis of a third pregnancy was more closely related to the outcome of the second pregnancy to that of the first pregnancy.
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참고문헌 (28)
참고문헌 신청
Ananth CV / 2005 / Trends in preterm birth and perinatal mortality among singletons: United States, 1989 through 2000 / Obstet Gynecol 105(5):1084~1091
Demissie K / 2001 / Trends in preterm birth and neonatal mortality among blacks and whites in the United States from 1989 to 1997 / Am J Epidemiol 154(4):307~315
Wen SW / 2004 / Epidemiology of preterm birth and neonatal outcome / Semin Fetal Neonatal Med 9(6):429~435
Martin JA / 2010 / Births: final data for 2007 / Natl Vital Stat Rep 58(24):1~85
Romero R / 2006 / The preterm parturition syndrome / BJOG 113(Suppl 3):17~42
Demissie K / 2001 / Trends in preterm birth and neonatal mortality among blacks and whites in the United States from 1989 to 1997 / Am J Epidemiol 154(4):307~315
Wen SW / 2004 / Epidemiology of preterm birth and neonatal outcome / Semin Fetal Neonatal Med 9(6):429~435
Martin JA / 2010 / Births: final data for 2007 / Natl Vital Stat Rep 58(24):1~85
Romero R / 2006 / The preterm parturition syndrome / BJOG 113(Suppl 3):17~42
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