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Published on: January 12, 2018
The Association between Dyslipidemia and Preterm Birth: A Prospective Cohort Study in The North of Iran
Seyedeh H Sharami1, Mahboobeh Gholipour2, Forozan Milani1
1Department of Obstetrics & Gynecology, Reproductive Health Research Center, Azzhra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Insights
Dyslipidemia, including high triglycerides and total cholesterol, is linked to preterm birth (PTB). Managing lipid profiles during pregnancy may help reduce PTB risk.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Health
- Neonatal Health
Background:
- Dyslipidemia is a significant risk factor for preterm birth (PTB).
- Early identification of PTB risk factors is crucial for reducing maternal and neonatal complications.
Purpose of the Study:
- To investigate the association between dyslipidemia and PTB in pregnant women in Iran's Guilan province.
Main Methods:
- Prospective cohort study of 378 pregnant women in Rasht city.
- Analysis of lipid profiles: Total Cholesterol (TC), HDL, LDL, and Triglycerides (TG).
- Statistical assessment using Chi-square, Fisher tests, and logistic regression.
Main Results:
- Triglycerides (TG) and Total Cholesterol (TC) showed high predictive power for PTB (AUC=0.833 and 0.772).
- Sensitivity and specificity for TG and TC were 83.3% and 70.2%, and 83.3% and 66.1%, respectively.
- Abnormal LDL concentrations were associated with a twofold increased risk of PTB (P < 0.05).
Conclusions:
- Controlling maternal lipid profiles may be an effective strategy to reduce the incidence of preterm birth.
- Dyslipidemia markers are important indicators for PTB risk assessment.
Background:
Dyslipidemia is recognized as an important factor in the incidence of Preterm Birth (PTB). The early diagnosis of factors affecting PTB is important in the reduction of maternalneonatal complications; therefore, we aimed to evaluate the association between dyslipidemia and PTB in women from the Guilan province of Iran.
Methods:
The current investigation was a prospective cohort study on 378 pregnant women in Rasht city (Guilan province), during 2018-2019. Samples were randomly selected among pregnant women who referred to Al-Zahra hospital. Association of the lipid profiles: Total Cholesterol (TC), High- Density Lipoprotein (HDLC), Low-Density Lipoprotein (LDLC), and Triglycerides (TG) with PTB was assessed using the Chi-square, Fisher tests and logistic regression analysis.
Results:
Our findings showed that of the evaluated lipid profiles, TG and TC had the highest predictive power with AUC =0.833 (95٪, CI: 0.736-0.930) and 0.772 (95%, CI: 0.676-0.867), respectively; also, their sensitivity and specificity were 83.3%, 70.2% and 83.3%, 66.1%, respectively. Moreover, abnormal LDL concentrations increase the risk of PTB by two folds (P < 0.05).
Conclusion:
It seems that by controlling the lipid profiles of pregnant women, the risk of PTB could be reduced.
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