Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: A nationwide population-based study

Raushan Alibekova, Jian Pei Huang, Yi Hua Chen

研究成果: 雜誌貢獻文章

7 引文 斯高帕斯(Scopus)

摘要

Objectives: To investigate the effects of various measures of prenatal care on adverse pregnancy outcomes in women with a history of infertility. Study Design: A retrospective cohort study. Methods: Data were derived by linking 2 large nationwide population-based datasets, the National Health Insurance Research Database and Taiwan Birth Certificate Registry. The study sample included 15,056 women with an infertility diagnosis and 60,224 randomly selected women without infertility matched to the study sample by maternal age. A conditional logistic regression analysis was performed for the analysis. Results: Women diagnosed with infertility respectively had 1.39 (95% CI, 1.06-1.83), 1.15 (95% CI, 1.08-1.24), 1.13 (95% CI, 1.08-1.18), and 1.08 (95% CI, 1.05-1.12) higher odds of having very low birth weight (VLBW) babies, preterm births, labor complications, and cesarean sections (CSs) compared to women without infertility. Inadequate numbers of total and major prenatal visits and late initiation of prenatal care increased the risks of adverse pregnancy outcomes in women with infertility, especially the risk of a VLBW baby. However, no significant associations were found for the risks of adverse birth outcomes in infertile women with adequate prenatal care compared to fertile women with adequate care. Conclusions: Study findings suggest that adequate prenatal care can reduce the risk of adverse pregnancy outcomes in women with infertility.
原文英語
文章編號e84237
期刊PLoS One
8
發行號12
DOIs
出版狀態已發佈 - 十二月 17 2013

Keywords

  • female infertility
  • health insurance
  • population research

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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