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Preterm birth trends in Greece, 1980-2008: a rising concern
Georgios Baroutis1, Athanasios Mousiolis, Spyros Mesogitis
1Neonatal Department, Alexandra Hospital, University of Athens, Athens, Greece.
Objective:
To identify preterm birth trends in Greece.
Design:
Retrospective epidemiological study.
Setting:
Women giving birth in Greece from 1980 to 2008.
Population:
Live births beyond the 24th gestational week.
Methods:
Data acquisition from the Hellenic Vital Statistics records. Statistical analysis of preterm birth rate among neonates estimated for each year.
Main Outcome Measures:
Total number of births and preterm births, as well as rate of preterm birth by gestational week. Stillbirth rates by gestational age.
Results:
3 218 463 births occurred during the period under study, 151 594 (4.7%) of which were preterm. A steep rise in preterm births was noted during the final years of the study, reaching 9.6% in 2008. This was mainly due to the "late preterm" sub-group (34(+0) -36(+6) gestational weeks). The rates of stillbirth fell in a constant way regardless of the maturity index.
Conclusions:
Although preterm birth etiology is multifactorial, the selective rise in the "late preterm" group possibly was due to an increase in medical reasons necessitating a preterm delivery, changes in obstetric practice, or both. Further studies are needed to estimate the precise effect of each contributing factor.
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