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Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study

BACKGROUND: The subject of “pregnancy and disease” is of particular importance for maternal well-being and neonatal outcomes. The international literature has focused on acute diseases during pregnancy; however, there are only a few studies investigating chronic diseases in pregnant women. The focus...

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Autores principales: Kersten, Ines, Lange, Anja Erika, Haas, Johannes Peter, Fusch, Christoph, Lode, Holger, Hoffmann, Wolfgang, Thyrian, Jochen Rene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3943445/
https://www.ncbi.nlm.nih.gov/pubmed/24552439
http://dx.doi.org/10.1186/1471-2393-14-75
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author Kersten, Ines
Lange, Anja Erika
Haas, Johannes Peter
Fusch, Christoph
Lode, Holger
Hoffmann, Wolfgang
Thyrian, Jochen Rene
author_facet Kersten, Ines
Lange, Anja Erika
Haas, Johannes Peter
Fusch, Christoph
Lode, Holger
Hoffmann, Wolfgang
Thyrian, Jochen Rene
author_sort Kersten, Ines
collection PubMed
description BACKGROUND: The subject of “pregnancy and disease” is of particular importance for maternal well-being and neonatal outcomes. The international literature has focused on acute diseases during pregnancy; however, there are only a few studies investigating chronic diseases in pregnant women. The focus of this study is on diseases of women in childbearing age that are not related to the pregnancy. The objective of the paper is to deliver population based prevalences of chronic dieases in childbearing women and compare the two groups of chronically ill women and healthy women in detail regarding sociodemography, peri- and prenatal parameters and birth outcomes. METHODS: Data of n = 5320 childbearing women were evaluated in the context of the population-based Survey of Neonates in Pomerania (SNiP). Data were obtained via face-to-face interviews, self-applied questionnaires, and abstraction from medical records at the time of giving birth. Sociodemographic and health status data were assessed, including chronic diseases that were taken out of medical records. A comprehensive set of pre- and perinatal varaiables were assessed. RESULTS: In the SNiP, every fifth pregnant woman suffers from at least one chronic disease, and higher prevalence rates have been reported in the literature. There was a significant difference between chronically ill women and healthy women in age, education and income. Prenatal complications were more frequent in the healthy group than in the chronic disease group. Women with chronic diseases delivered by Cesarean section more frequently than women in the healthy group. Every tenth woman with at least one chronic disease gave birth to a premature infant, while only one in every 13 woman in the healthy control group gave birth to a premature infant. CONCLUSIONS: This analysis is the first population-based study in which all chronic diseases could be taken into consideration. The population-based prevalences rates in the SNiP data are consistently lower than those found in the literature. There are differences between chronically ill women and healthy women in peri- and prenatal variables as well as birth outcome on the population level. However, they are less frequent than expected and further analyses are need focusing on specific diseases.
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spelling pubmed-39434452014-03-06 Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study Kersten, Ines Lange, Anja Erika Haas, Johannes Peter Fusch, Christoph Lode, Holger Hoffmann, Wolfgang Thyrian, Jochen Rene BMC Pregnancy Childbirth Research Article BACKGROUND: The subject of “pregnancy and disease” is of particular importance for maternal well-being and neonatal outcomes. The international literature has focused on acute diseases during pregnancy; however, there are only a few studies investigating chronic diseases in pregnant women. The focus of this study is on diseases of women in childbearing age that are not related to the pregnancy. The objective of the paper is to deliver population based prevalences of chronic dieases in childbearing women and compare the two groups of chronically ill women and healthy women in detail regarding sociodemography, peri- and prenatal parameters and birth outcomes. METHODS: Data of n = 5320 childbearing women were evaluated in the context of the population-based Survey of Neonates in Pomerania (SNiP). Data were obtained via face-to-face interviews, self-applied questionnaires, and abstraction from medical records at the time of giving birth. Sociodemographic and health status data were assessed, including chronic diseases that were taken out of medical records. A comprehensive set of pre- and perinatal varaiables were assessed. RESULTS: In the SNiP, every fifth pregnant woman suffers from at least one chronic disease, and higher prevalence rates have been reported in the literature. There was a significant difference between chronically ill women and healthy women in age, education and income. Prenatal complications were more frequent in the healthy group than in the chronic disease group. Women with chronic diseases delivered by Cesarean section more frequently than women in the healthy group. Every tenth woman with at least one chronic disease gave birth to a premature infant, while only one in every 13 woman in the healthy control group gave birth to a premature infant. CONCLUSIONS: This analysis is the first population-based study in which all chronic diseases could be taken into consideration. The population-based prevalences rates in the SNiP data are consistently lower than those found in the literature. There are differences between chronically ill women and healthy women in peri- and prenatal variables as well as birth outcome on the population level. However, they are less frequent than expected and further analyses are need focusing on specific diseases. BioMed Central 2014-02-19 /pmc/articles/PMC3943445/ /pubmed/24552439 http://dx.doi.org/10.1186/1471-2393-14-75 Text en Copyright © 2014 Kersten et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kersten, Ines
Lange, Anja Erika
Haas, Johannes Peter
Fusch, Christoph
Lode, Holger
Hoffmann, Wolfgang
Thyrian, Jochen Rene
Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title_full Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title_fullStr Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title_full_unstemmed Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title_short Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study
title_sort chronic diseases in pregnant women: prevalence and birth outcomes based on the snip-study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3943445/
https://www.ncbi.nlm.nih.gov/pubmed/24552439
http://dx.doi.org/10.1186/1471-2393-14-75
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