[Social and health factors of respiratory distress syndrome in preterm infants].
OBJECTIVE
to investigate the impact of social and health factors on respiratory distress syndrome (RDS) among preterm neonates.


METHODS
survey based on the data from perinatal register.


METHODS
4098 reports on preterm deliveries.


METHODS
Descriptive statistics and multi-factor logistic regression. Dependent variable: RDS. Independent: maternal age, marital status, education, place of residence, mode of delivery, diseases before pregnancy, diseases during pregnancy, obstetrical history, pregnancy weight gain rate, pre-pregnancy BMI, smoking, parity, newborn gender.


RESULTS
10.3% RDS among preterm newborns was ascertained. University education of the mother decreases the odds for RDS by half, as well as considerable pregnancy weight gain (OR = 0.61) and smoking before pregnancy (OR = 0.57). Odds for RDS are increased by cesarean section (OR = 2.86) and adverse obstetrical history (OR = 1.61). Cesarean section before labor vs. cesarean after onset of labor increased additionally odds for RDS (OR = 1.46). Goodman Kruskal tau for joint occurrence of RDS in twins is 0.45.


CONCLUSIONS
Certain health and social factors, among them: considerable pregnancy weight gain rate and university education of the mother, decreased the odds for RDS in preterm delivered neonates.
Borkowski
Włodzimierz
W
Centrum Medyczne Kształcenia Podyplomowego, Warszawa. wlodzimierz.borkowski@gmail.com
Mielniczuk
Hanna
H
D002585:Cesarean Section / Q000706:statistics & numerical data; D015897:Comorbidity; D016001:Confidence Intervals; D004522:Educational Status; D005260:Female; D006304:Health Status; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000453:epidemiology*; D008425:Maternal Behavior; D008429:Maternal Welfare / Q000706:statistics & numerical data*; D016017:Odds Ratio; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011295:Prenatal Care / Q000706:statistics & numerical data; D012042:Registries; D012127:Respiratory Distress Syndrome, Newborn / Q000453:epidemiology*; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors