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Socio-economic factors associated with preterm delivery in Greece: a population-based study
V Lekea-Karanika1, C Tzoumaka-Bakoula, N S Matsaniotis
1Department of Child Health, Royal Hospital for Sick Children, Bristol, England.
Paediatric and Perinatal Epidemiology
|January 1, 1991
Summary
Maternal marital status and region were key factors for preterm birth in first-time mothers. For subsequent births, maternal age, marital status, and smoking were significant predictors of preterm delivery.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Epidemiology
- Public Health
Background:
- Preterm birth is a significant contributor to infant mortality and morbidity.
- Understanding socio-economic and demographic risk factors is crucial for targeted interventions.
Purpose of the Study:
- To identify socio-economic and demographic factors associated with preterm delivery in primigravidae and multigravidae.
- To determine independent predictors of preterm birth in different maternal groups.
Main Methods:
- Analysis of singleton births from the Greek National Perinatal Survey (April 1983).
- Comparison of 3116 primigravidae and 6524 multigravidae.
- Logistic regression to identify independent risk factors for preterm delivery.
Main Results:
- Primigravidae: Preterm delivery associated with marital status and region of residence.
- Multigravidae: Preterm delivery associated with maternal age at delivery, marital status, and smoking.
- Unadjusted analyses revealed broader associations for both groups, but logistic regression identified key independent factors.
Conclusions:
- Maternal marital status and region are independently associated with preterm birth in first-time mothers.
- Maternal age at delivery, marital status, and smoking are independently associated with preterm birth in mothers with previous births.
- These findings highlight distinct risk profiles for preterm delivery based on parity.
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