Respiratory distress syndrome and maternal birth weight effects
Objective: To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups. Methods: The population-based database consists of hospital records linked to Washington state maternal and...
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Published in | Obstetrics and gynecology (New York. 1953) Vol. 95; no. 2; pp. 174 - 179 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.02.2000
The American College of Obstetricians and Gynecologists Elsevier Science |
Subjects | |
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Abstract | Objective: To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups.
Methods: The population-based database consists of hospital records linked to Washington state maternal and infant vital records. Four racial-ethnic groups were studied, whites, blacks, Native Americans, and Hispanics. Poisson regression models were used to estimate relative risks of various factors for RDS.
Results: Rates for RDS were whites 1.2%, blacks 1.9%, Native Americans 1.3%, and Hispanics 1.0%. Maternal LBW was associated with increased relative risk (RR) for RDS in whites (2.6, 95% confidence interval [CI] 1.6, 4.2) and blacks (3.3, 95% CI 1.9, 5.6) for infants born vaginally. Compared with mothers of normal infants, birth weights of mothers of infants with RDS and delivered vaginally were significantly lower in whites, blacks, and Native Americans. The association of maternal LBW with RDS persisted in blacks even when multiple risk factors were added to the model (RR 2.4; 95% CI 1.1, 5.1).
Conclusion: The association of maternal LBW with RDS is probably due in part to the association of maternal LBW with infant LBW and preterm birth. The strong persistent association of maternal LBW with RDS in blacks suggests that improvement of perinatal outcomes in that group will require improvement of long-term birth weight distribution. |
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AbstractList | To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups.
The population-based database consists of hospital records linked to Washington state maternal and infant vital records. Four racial-ethnic groups were studied, whites, blacks, Native Americans, and Hispanics. Poisson regression models were used to estimate relative risks of various factors for RDS.
Rates for RDS were whites 1.2%, blacks 1.9%, Native Americans 1.3%, and Hispanics 1.0%. Maternal LBW was associated with increased relative risk (RR) for RDS in whites (2.6, 95% confidence interval [CI] 1.6, 4.2) and blacks (3.3, 95% CI 1.9, 5.6) for infants born vaginally. Compared with mothers of normal infants, birth weights of mothers of infants with RDS and delivered vaginally were significantly lower in whites, blacks, and Native Americans. The association of maternal LBW with RDS persisted in blacks even when multiple risk factors were added to the model (RR 2.4; 95% CI 1.1, 5.1).
The association of maternal LBW with RDS is probably due in part to the association of maternal LBW with infant LBW and preterm birth. The strong persistent association of maternal LBW with RDS in blacks suggests that improvement of perinatal outcomes in that group will require improvement of long-term birth weight distribution. OBJECTIVETo study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups. METHODSThe population-based database consists of hospital records linked to Washington state maternal and infant vital records. Four racial-ethnic groups were studied, whites, blacks, Native Americans, and Hispanics. Poisson regression models were used to estimate relative risks of various factors for RDS. RESULTSRates for RDS were whites 1.2%, blacks 1.9%, Native Americans 1.3%, and Hispanics 1.0%. Maternal LBW was associated with increased relative risk (RR) for RDS in whites (2.6, 95% confidence interval [CI] 1.6, 4.2) and blacks (3.3, 95% CI 1.9, 5.6) for infants born vaginally. Compared with mothers of normal infants, birth weights of mothers of infants with RDS and delivered vaginally were significantly lower in whites, blacks, and Native Americans. The association of maternal LBW with RDS persisted in blacks even when multiple risk factors were added to the model (RR 2.4; 95% CI 1.1, 5.1). CONCLUSIONThe association of maternal LBW with RDS is probably due in part to the association of maternal LBW with infant LBW and preterm birth. The strong persistent association of maternal LBW with RDS in blacks suggests that improvement of perinatal outcomes in that group will require improvement of long-term birth weight distribution. Objective: To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups. Methods: The population-based database consists of hospital records linked to Washington state maternal and infant vital records. Four racial-ethnic groups were studied, whites, blacks, Native Americans, and Hispanics. Poisson regression models were used to estimate relative risks of various factors for RDS. Results: Rates for RDS were whites 1.2%, blacks 1.9%, Native Americans 1.3%, and Hispanics 1.0%. Maternal LBW was associated with increased relative risk (RR) for RDS in whites (2.6, 95% confidence interval [CI] 1.6, 4.2) and blacks (3.3, 95% CI 1.9, 5.6) for infants born vaginally. Compared with mothers of normal infants, birth weights of mothers of infants with RDS and delivered vaginally were significantly lower in whites, blacks, and Native Americans. The association of maternal LBW with RDS persisted in blacks even when multiple risk factors were added to the model (RR 2.4; 95% CI 1.1, 5.1). Conclusion: The association of maternal LBW with RDS is probably due in part to the association of maternal LBW with infant LBW and preterm birth. The strong persistent association of maternal LBW with RDS in blacks suggests that improvement of perinatal outcomes in that group will require improvement of long-term birth weight distribution. OBJECTIVETo study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in multiple ethnic groups. METHODSThe population-based database consists of hospital records linked to Washington state maternal and infant vital records. Four racial-ethnic groups were studied, whites, blacks, Native Americans, and Hispanics. Poisson regression models were used to estimate relative risks of various factors for RDS. RESULTSRates for RDS were whites 1.2%, blacks 1.9%, Native Americans 1.3%, and Hispanics 1.0%. Maternal LBW was associated with increased relative risk (RR) for RDS in whites (2.6, 95% confidence interval [CI] 1.6, 4.2) and blacks (3.3, 95% CI 1.9, 5.6) for infants born vaginally. Compared with mothers of normal infants, birth weights of mothers of infants with RDS and delivered vaginally were significantly lower in whites, blacks, and Native Americans. The association of maternal LBW with RDS persisted in blacks even when multiple risk factors were added to the model (RR 2.4; 95% CI 1.1, 5.1). CONCLUSIONThe association of maternal LBW with RDS is probably due in part to the association of maternal LBW with infant LBW and preterm birth. The strong persistent association of maternal LBW with RDS in blacks suggests that improvement of perinatal outcomes in that group will require improvement of long-term birth weight distribution. |
Author | Kimpo, Christy Leisenring, Wendy M Emanuel, Irvin Williams, Michelle A Strandjord, Thomas P |
AuthorAffiliation | Department of Pediatrics, School of Medicine, Department of Epidemiology, School of Public Health, Center on Human Development and Disability, and Maternal and Child Health Program, University of Washington; and the Fred Hutchinson Cancer Research Center, Seattle, Washington |
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Keywords | Human Ethnic origin Pregnancy disorders Respiratory disease Low birth weight Negroid Epidemiology Newborn diseases Newborn Prematurity Mother Risk factor Respiratory distress Caucasoid |
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References | Parrish, Holt, Connell, Williams, LoGerfo (BIB14) 1993; 138 Morrison, Rennie, Milton (BIB5) 1995; 102 Emanuel (BIB11) 1997; 146 Commission on Professional and Hospital Activities. The International Classification of Diseases. 9th Revision, Clinical Modification. 1989. Stanley, Alberman (BIB13) 1978; 20 Gairdner (BIB21) 1965 Bryan, Hawrylyshyn, Hogg, Inwood, Finley, D’Costa (BIB9) 1990; 162 Miller, Futrakul (BIB4) 1968; 72 Tubman, Rollins, Patterson, Halliday (BIB8) 1991; 66 Kavvadia, Greenough, Dimitriou, Hooper (BIB10) 1998; 78 Hjalmarson (BIB19) 1981; 70 Usher, Allen, McLean (BIB3) 1971; 111 Emanuel, Leisenring, Williams, Kimpo, Estee, O’Brien (BIB15) 1999; 13 Liang, Zeger (BIB18) 1986; 73 Field, Milner, Hopkin, Madeley (BIB20) 1987; 3 Krantz, Wennergren, Bengston, Hjalmarson, Karlsson, Sellgren (BIB6) 1986; 75 Armitage, Berry (BIB17) 1987 Hackman, Emanuel, van, Daling (BIB12) 1983; 250 Jobe (BIB1) 1991; 7 Guyer, Martin, MacDorman, Anderson, Strobino (BIB2) 1997; 100 Hales, Morgan, Thurnau (BIB7) 1993; 43 |
References_xml | – volume: 102 start-page: 101 year: 1995 end-page: 106 ident: BIB5 article-title: Neonatal respiratory morbidity and mode of delivery at term publication-title: Br J Obstet Gynaecol contributor: fullname: Milton – volume: 146 start-page: 820 year: 1997 end-page: 825 ident: BIB11 article-title: Invited commentary publication-title: Am J Epidemiol contributor: fullname: Emanuel – volume: 100 start-page: 905 year: 1997 end-page: 918 ident: BIB2 article-title: Annual summary of vital statistics—1996 publication-title: Pediatrics contributor: fullname: Strobino – volume: 73 start-page: 13 year: 1986 end-page: 22 ident: BIB18 article-title: Longitudinal data analysis using generalized linear models publication-title: Biometrika contributor: fullname: Zeger – volume: 3 start-page: 231 year: 1987 end-page: 235 ident: BIB20 article-title: Changing patterns in neonatal respiratory diseases publication-title: Pediatr Pulmonol contributor: fullname: Madeley – volume: 72 start-page: 628 year: 1968 end-page: 635 ident: BIB4 article-title: Birth weight, gestational age, and sex as determining factors in the incidence of respiratory distress syndrome of prematurely born infants publication-title: J Pediatr contributor: fullname: Futrakul – volume: 162 start-page: 476 year: 1990 end-page: 481 ident: BIB9 article-title: Perinatal factors associated with the respiratory distress syndrome publication-title: Am J Obstet Gynecol contributor: fullname: D’Costa – volume: 111 start-page: 826 year: 1971 end-page: 832 ident: BIB3 article-title: Risk of respiratory distress syndrome related to gestational age, route of delivery, and maternal diabetes publication-title: Am J Obstet Gynecol contributor: fullname: McLean – volume: 66 start-page: 52 year: 1991 end-page: 54 ident: BIB8 article-title: Increased incidence of respiratory distress syndrome in babies of hypertensive mothers publication-title: Arch Dis Child contributor: fullname: Halliday – volume: 138 start-page: 119 year: 1993 end-page: 127 ident: BIB14 article-title: Variations in the accuracy of obstetric procedures and diagnoses on birth records in Washington State, 1989 publication-title: Am J Epidemiol contributor: fullname: LoGerfo – volume: 70 start-page: 773 year: 1981 end-page: 783 ident: BIB19 article-title: Epidemiology and classification of acute, neonatal respiratory disorders publication-title: Acta Paediatrica Scand contributor: fullname: Hjalmarson – volume: 7 start-page: 16 year: 1991 end-page: 20 ident: BIB1 article-title: Preterm factors influencing surfactant deficiency publication-title: Int J Technol Assess Health Care contributor: fullname: Jobe – volume: 250 start-page: 2016 year: 1983 end-page: 2019 ident: BIB12 article-title: Maternal birth weight and subsequent pregnancy outcome publication-title: JAMA contributor: fullname: Daling – year: 1965 ident: BIB21 publication-title: Recent advances in pediatrics contributor: fullname: Gairdner – year: 1987 ident: BIB17 publication-title: Statistical methods in medical research contributor: fullname: Berry – volume: 13 start-page: 352 year: 1999 end-page: 371 ident: BIB15 article-title: The Washington State intergenerational study of birth outcomes publication-title: Paediatr Perinat Epidemiol contributor: fullname: O’Brien – volume: 78 start-page: F25 year: 1998 end-page: F28 ident: BIB10 article-title: Influence of ethnic origin on respiratory distress syndrome in very premature infants publication-title: Arch Dis Child Fetal Neonatal Ed contributor: fullname: Hooper – volume: 75 start-page: 832 year: 1986 end-page: 839 ident: BIB6 article-title: Epidemiological analysis of the increased risk of disturbed neonatal respiratory adaptation after caesarean section publication-title: Acta Paediatrica Scand contributor: fullname: Sellgren – volume: 20 start-page: 313 year: 1978 end-page: 322 ident: BIB13 article-title: Infants of very low birthweight. II publication-title: Dev Med Child Neurol contributor: fullname: Alberman – volume: 43 start-page: 35 year: 1993 end-page: 40 ident: BIB7 article-title: Influence of labor and route of delivery on the frequency of respiratory morbidity in term neonates publication-title: Int J Gynaecol Obstet contributor: fullname: Thurnau |
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Snippet | Objective: To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in... OBJECTIVETo study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in... To study traditional risk factors and the intergenerational risk factor maternal low birth weight (LBW) for respiratory distress syndrome (RDS) in infants in... |
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SubjectTerms | Adult Age Distribution Age Factors Biological and medical sciences Birth Weight Delivery, Obstetric Delivery. Postpartum. Lactation Disorders Ethnic Groups - statistics & numerical data Female Gestational Age Gynecology. Andrology. Obstetrics Humans Incidence Infant, Newborn Infant, Very Low Birth Weight Medical Records Medical sciences Mothers - statistics & numerical data Poisson Distribution Pregnancy Respiratory Distress Syndrome, Newborn - epidemiology Respiratory Distress Syndrome, Newborn - ethnology Risk Factors Washington - epidemiology |
Title | Respiratory distress syndrome and maternal birth weight effects |
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