Preterm Birth Time Trends in Europe

2014 ◽  
Vol 34 (4) ◽  
pp. 209-210 ◽  
Author(s):  
J. Zeitlin ◽  
K. Szamotulska ◽  
N. Drewniak ◽  
A.D. Mohangoo ◽  
J. Chalmers ◽  
...  
Keyword(s):  
2014 ◽  
Vol 121 (3) ◽  
pp. 372-373 ◽  
Author(s):  
N Vlachadis ◽  
Z Iliodromiti ◽  
G Creatsas ◽  
N Vrachnis

2013 ◽  
Vol 120 (11) ◽  
pp. 1356-1365 ◽  
Author(s):  
J Zeitlin ◽  
K Szamotulska ◽  
N Drewniak ◽  
AD Mohangoo ◽  
J Chalmers ◽  
...  
Keyword(s):  

2019 ◽  
Vol 4 (4) ◽  
pp. e001462 ◽  
Author(s):  
Anisur Rahman ◽  
Monjur Rahman ◽  
Jesmin Pervin ◽  
Abdur Razzaque ◽  
Shaki Aktar ◽  
...  

IntroductionPreterm birth is the major cause of under-five mortality. Population-based data on determinants and proportions of children born preterm are limited, especially from low-income countries. This study aimed at assessing time trends and social, reproductive and environmental determinants of preterm births based on a population-based pregnancy cohort over 25 years in rural Bangladesh.MethodsIn this cohort study in Matlab, a rural area in Bangladesh, we used data from the Health and Demographic Surveillance System from 1990 to 2014. Gestational age at birth was based on the reported last menstrual period and verified by ultrasound assessments. Preterm birth proportions were assessed within strata of social and reproductive characteristics, and time series analysis was performed with decomposition for trend and seasonality. We also determined the prevented fractions of preterm birth reduction associated with social and demographic changes during the follow-up period.ResultsAnalyses were based on 63 063 live births. Preterm birth decreased from 29% (95% CI 28.6 to 30.1) in 1990–1994 to 11% (95% CI 10.5 to 11.6) in 2010–2014. Low education, older age and multi-parity were associated with higher proportions of preterm births across the study period. Preterm births had a marked seasonal variation. A rapid increase in women’s educational level and decrease in parity were associated with the decline in preterm births, and 27% of the reduction observed from 1990 to 2014 could be attributed to these educational and reproductive changes.ConclusionThe reduction in preterm birth was to a large extent associated with the sociodemographic transition, especially changes in maternal education and parity. The persistent seasonal variation in the proportion of preterm birth may reflect the environmental stressors for pregnant women across the study period. Continued investments in girls’ education and family planning programmes may contribute to further reduction of preterm births in Bangladesh.


2013 ◽  
Vol 23 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Nathalie Auger ◽  
Michal Abrahamowicz ◽  
Alison L. Park ◽  
Willy Wynant

The Lancet ◽  
2012 ◽  
Vol 379 (9832) ◽  
pp. 2162-2172 ◽  
Author(s):  
Hannah Blencowe ◽  
Simon Cousens ◽  
Mikkel Z Oestergaard ◽  
Doris Chou ◽  
Ann-Beth Moller ◽  
...  

2013 ◽  
Vol 33 (3) ◽  
pp. 142 ◽  
Author(s):  
H. Blencowe ◽  
S. Cousens ◽  
M.Z. Oestergaard ◽  
D. Chou ◽  
A.B. Moller ◽  
...  

Author(s):  
Deon A. Simpson ◽  
Claire Carson ◽  
Jennifer J. Kurinczuk ◽  
Maria A. Quigley

Abstract Background Understanding inequalities in breastfeeding practices may help to explain the UK’s persistently low breastfeeding rates. A recent study using the quinquennial UK Infant Feeding Surveys (IFS) found that sociodemographic inequalities in breastfeeding initiation persisted between 1985 and 2010. The present study investigates the sociodemographic inequalities in breastfeeding continuation at 6 weeks after birth among mothers who initiated and maintained breastfeeding at 1 week in 1985–2010. Methods Data were drawn from the 1985 to 2010 IFS and restricted to mothers who were breastfeeding at 1 week after birth. Time trends in the proportion of mothers in each sociodemographic group were examined. Logistic regression was used to estimate associations between breastfeeding at 6 weeks and sociodemographic factors, adjusting for confounders. Heterogeneity test was used to assess changes in these associations over time. Results Sociodemographic inequalities in breastfeeding continuation at 6 weeks persisted over the 25-year period. In most survey years, mothers were most likely to breastfeed at 6 weeks if they were 30 or older versus under 25 (OR 1.49–1.99 across survey years, I2 = 0%, heterogeneity P = 0.45); completed full-time education over age 18 compared to 18 or younger (OR 1.56-2.51, I2 = 58.7%, P = 0.03); or of Black, Asian, Mixed, or other ethnicity compared to White (OR 1.45–2.48, I2 = 44.8%, P = 0.16). Conclusions Among mothers breastfeeding at 1 week, those who were younger, White or had fewer years of full-time education were at greatest risk of discontinuing before 6 weeks. This risk persisted over time and was independent of their high risk of not initiating breastfeeding.


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