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

<h4>Objectives</h4>To investigate the effects of various measures of prenatal care on adverse pregnancy outcomes in women with a history of infertility.<h4>Study design</h4>A retrospective cohort study.<h4>Methods</h4>Data were derived by linking 2 large nationwid...

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Autores principales:	Raushan Alibekova, Jian-Pei Huang, Yi-Hua Chen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/308f4dc6a4d3433791cb543e6f7a4269
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spelling	oai:doaj.org-article:308f4dc6a4d3433791cb543e6f7a42692021-11-18T08:41:31ZAdequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.1932-620310.1371/journal.pone.0084237https://doaj.org/article/308f4dc6a4d3433791cb543e6f7a42692013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24358347/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>To investigate the effects of various measures of prenatal care on adverse pregnancy outcomes in women with a history of infertility.<h4>Study design</h4>A retrospective cohort study.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>Study findings suggest that adequate prenatal care can reduce the risk of adverse pregnancy outcomes in women with infertility.Raushan AlibekovaJian-Pei HuangYi-Hua ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e84237 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Raushan Alibekova Jian-Pei Huang Yi-Hua Chen Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
description	<h4>Objectives</h4>To investigate the effects of various measures of prenatal care on adverse pregnancy outcomes in women with a history of infertility.<h4>Study design</h4>A retrospective cohort study.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>Study findings suggest that adequate prenatal care can reduce the risk of adverse pregnancy outcomes in women with infertility.
format	article
author	Raushan Alibekova Jian-Pei Huang Yi-Hua Chen
author_facet	Raushan Alibekova Jian-Pei Huang Yi-Hua Chen
author_sort	Raushan Alibekova
title	Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
title_short	Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
title_full	Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
title_fullStr	Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
title_full_unstemmed	Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
title_sort	adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/308f4dc6a4d3433791cb543e6f7a4269
work_keys_str_mv	AT raushanalibekova adequateprenatalcarereducestheriskofadversepregnancyoutcomesinwomenwithhistoryofinfertilityanationwidepopulationbasedstudy AT jianpeihuang adequateprenatalcarereducestheriskofadversepregnancyoutcomesinwomenwithhistoryofinfertilityanationwidepopulationbasedstudy AT yihuachen adequateprenatalcarereducestheriskofadversepregnancyoutcomesinwomenwithhistoryofinfertilityanationwidepopulationbasedstudy
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Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study.

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