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Association between maternal inflammatory bowel disease and adverse perinatal outcomes.
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- Author(s): Getahun, D; Fassett, M J; Longstreth, G F; Koebnick, C; Langer-Gould, A M; Strickland, D; Jacobsen, S J
- Source:
Journal of Perinatology. Jun2014, Vol. 34 Issue 6, p435-440. 6p. - Source:
- Additional Information
- Subject Terms: PREGNANCY complication risk factors; CONFIDENCE intervals; PREMATURE infants; INFLAMMATORY bowel diseases; LONGITUDINAL method; PLACENTA diseases; PREGNANCY complications; RESEARCH funding; ULCERATIVE colitis; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; DISEASE complications
- Subject Terms:
- Abstract: Objective:To examine whether inflammatory bowel disease (IBD) is associated with ischemic/inflammatory conditions during pregnancy.Study Design:A retrospective cohort study using the 2000 to 2012 Kaiser Permanente Southern California maternally-linked medical records (n=395 781). The two major subtypes of IBD, ulcerative colitis and Crohn's diseases were studied. Adjusted odds ratios (ORs) were used to quantify the associations.Result:A pregnancy complicated by IBD was associated with increased incidence of small-for-gestational age birth (OR=1.46, 95% confidence interval (CI)=1.14 to 1.88), spontaneous preterm birth (OR=1.32, 95% CI=1.00 to 1.76) and preterm premature rupture of membranes (OR=1.95, 95% CI=1.26 to 3.02). Further stratifying by IBD subtypes, only ulcerative colitis was significantly associated with increased incidence of ischemic placental disease, spontaneous preterm birth and preterm premature rupture of membranes.Conclusion:The findings underscore the potential impact of maternal IBD on adverse perinatal outcomes. Clinicians should be aware that the association between IBD and adverse perinatal outcome varies by IBD subtypes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Perinatology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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