Risk factors for spontaneous preterm delivery before 34 weeks of gestation among Taiwanese women.
OBJECTIVE
To identify the risk factors for spontaneous preterm delivery before 34 weeks of gestation among Taiwanese women.


METHODS
This retrospective cohort study involved 36,453 Taiwanese women who delivered between July 1990 and December 2003. Pregnancies complicated by multiple gestation, fetal anomalies, and iatrogenic preterm births due to maternal or fetal indications were excluded.


RESULTS
Five hundred and five spontaneous preterm deliveries (1.4%) were identified. Risk factors for early preterm delivery included a prior preterm delivery (odds ratio [OR], 16.5; 95% confidence interval [CI], 11.1-24.6), placental abruption (OR, 13.4; 95% CI, 9.4-19.2), history of fetal demise (OR, 11.8; 95% CI, 7.7-18.0), chorioamnionitis (OR, 10.5; 95% CI, 7.4-14.9), oligohydramnios (OR, 10.1; 95% CI, 6.7-15.3), history of abruption (OR, 7.9; 95% CI, 2.4-26.0), unmarried (OR, 6.2; 95% CI, 2.9-13.2), conception by reproductive technology (OR, 2.7; 95% CI, 1.4-5.5), maternal age less than 20 years (OR, 3.5; 95% CI, 1.8-6.7), maternal age greater than 34 years (OR, 1.6; 95% CI, 1.2-2.1), three or more abortions (OR, 1.6; 95% CI, 1.9-2.3), and premature rupture of membranes (OR, 1.6; 95% CI, 1.3-2.0).


CONCLUSIONS
Some of the risk factors for early preterm delivery among Taiwanese women were the same as those of other ethnic groups, whereas some of the other risk factors were different.
Lo
Chung-Chin
CC
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Hsu
Jenn-Jeih
JJ
Hsieh
Ching-Chang
CC
Hsieh
T'sang-T'ang
TT
Hung
Tai-Ho
TH
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D005260:Female; D006801:Humans; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D047928:Premature Birth / Q000453:epidemiology / Q000208:ethnology*; D017584:Reproductive History; D012189:Retrospective Studies; D012307:Risk Factors; D013624:Taiwan