The roles of maternal height and body mass index in preterm birth prediction

Year 2024, , 274 - 280, 14.10.2024

Fahri Burçin Fıratlıgil , Kazım Emre Karaşahin

https://doi.org/10.52827/hititmedj.1413814

Abstract

Objective: To investigate the role of maternal height and body mass index in the prediction of preterm birth
Material and Method: Patients who had either cesarean section and/or normal delivery in Department of Obstetrics and Gynecology in the last 5 years were included in the study. Demographic data, weeks of gestation at the time of delivery, maternal height and body mass index of the patients with preterm delivery were recorded retrospectively for the study group. The control group consisted of retrospectively selected patients who had given birth after the expected date of delivery using the Naegele method.
Results: In the study, 295 of 541 pregnant women had a preterm birth (study group), while 246 women had given birth after the expected date of delivery (control group). Maternal height and body mass index had an influence on preterm birth. The sensitivity and specificity values for a height of 152.5 cm and a body mass index of 21.3 kg/m2 were (1.0 and 0.13) and (1.0 and 0.06), respectively. In the receiver characteristics analysis of these variables affecting preterm birth, the area under the curve for body mass index and maternal height were 0.763 and 0.708, respectively.
Conclusion: We conclude that height and body mass index were found to be good discriminators for the prediction of preterm birth.

Keywords

Height, Labour, Pregnancy, Body mass index

Ethical Statement

Ethics committee approval with registration number EGT.OGT:50687469-1491-550-14/1648.4-1968 for this retrospective study was granted by the Gulhane Traning and Research Hospital (GTRH) Ethics Committee on October 14, 2014

Supporting Institution

GTRH

Thanks

We thank Burcu Fıratlıgil Msc, PhD, Department of Molecular Biology and Genetics, Izmir Institute of Technology for making statistical analysis.

Erken doğumu öngörmede anne boyu ve vücut kitle indeksinin rolü

Abstract

Amaç: Erken doğumun öngörülmesinde anne boyu ve vücut kitle indeksinin rolünü araştırmak
Gereç ve Yöntem: Kadın Hastalıkları ve Doğum Kliniğinde son 5 yıl içinde sezaryen ve/veya normal doğum yapan hastalar çalışmaya dahil edildi. Çalışma grubu için erken doğum yapan hastaların demografik verileri, doğum sırasındaki gebelik haftaları, anne boyu ve vücut kitle indeksi retrospektif olarak kaydedilmiştir. Kontrol grubu, Naegele yöntemi kullanılarak beklenen doğum tarihinden sonra doğum yapan ve retrospektif olarak seçilen hastalardan oluşmuştur.
Bulgular: Çalışmada 541 gebenin 295'i erken doğum yapmış (çalışma grubu), 246'sı ise beklenen doğum tarihinden sonra doğum yapmıştır (kontrol grubu). Anne boyunun ve vücut kitle indeksinin erken doğum üzerinde etkisi vardı. Boy uzunluğunun 152,5 cm ve vücut kitle indeksinin 21,3 kg/m2 olması için duyarlılık ve özgüllük değerleri sırasıyla (1,0 ve 0,13) ve (1,0 ve 0,06) idi. Erken doğumu etkileyen bu değişkenlerin alıcı özellikleri analizinde, vücut kitle indeksi ve anne boyu için eğri altında kalan alan sırasıyla 0,763 ve 0,708'dir.
Sonuç: Boy ve vücut kitle indeksinin erken doğumun öngörülmesinde iyi ayırt edici değişkenler olduğu sonucuna varılmıştır.

Keywords

Boy, Doğum, Gebelik, Vücut Kitle İndeksi

References

• Walani SR. Global burden of preterm birth. Int J Gynaecol Obstet. 2020;150(1):31-33.
• Ohuma EO, Moller AB, Bradley E, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis [published correction appears in Lancet. 2024 Feb 17;403(10427):618.
• Pedersen DC, Bjerregaard LG, Rasmussen KM, Nohr EA, Baker JL. Associations of maternal birth weight, childhood height, BMI, and change in height and BMI from childhood to pregnancy with risks of preterm delivery. Am J Clin Nutr. 2022;115(4):1217-1226.
• Mocking M, Adu-Bonsaffoh K, Osman KA, et al. Causes, survival rates, and short-term outcomes of preterm births in a tertiary hospital in a low resource setting: An observational cohort study. Front Glob Womens Health. 2023 Feb 2;3:989020.
• Joseph KS, Kramer MS, Marcoux S, et al. Determinants of preterm birth rates in Canada from 1981 through 1983 and from 1992 through 1994. N Engl J Med 1998 339: 1434.
• Husby A, Wohlfahrt J, Melbye M. Gestational age at birth and cognitive outcomes in adolescence: population based full sibling cohort study. BMJ. 2023;380:e072779.
• Richter LL, Ting J, Muraca GM, Synnes A, Lim KI, Lisonkova S. Temporal trends in neonatal mortality and morbidity following spontaneous and clinician-initiated preterm birth in Washington State, USA: a population-based study. BMJ Open. 2019;9(1):e023004.
• Kesim M, Karlık İ, Yalcın A, Calışkan K. Kliniğimizdeki perinatal mortalite oranlarının değerlendirilmesi. Perinatoloji Dergisi. 1996, 4(2): 88-93.
• Marić I, Stevenson DK, Aghaeepour N, Gaudillière B, Wong RJ, Angst MS. Predicting Preterm Birth Using Proteomics. Clin Perinatol. 2024 Jun;51(2):391-409.
• Karlık İ, Kesim M, Erol M. Fotal solunum hareketleri ile erken doğum eyleminin izlenmesi. Kadın Doğum Dergisi. 1995, 11(1): 8-11.
• Prasad M, Al-Taher H. Maternal height and labour outcome. J Obstet Gynaecol. 2002 Sep;22(5):513-5.
• Koc E, Demirel N, Bas AY, et al. Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society. PLoS One. 2019 Dec 18;14(12):e0226679.
• Zhong Y, Lu H, Jiang Y, et al. Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China. Glob Health Action. 2024 Dec 31;17(1):2336312.
• Lao TT, Ho LF. Relationship between preterm delivery and maternal height in teenage pregnancies. Hum Reprod. 2000 Feb;15(2):463-8.
• Harrison A, Gordon-Strachan G, James Bateman C, et al. ECD - Pregnancy outcomes of a birth cohort. Are adolescent mothers really at more risk?. Psychol Health Med. 2024;29(6):1142-1154.
• Schaaf JM, Hof MH, Mol BW, Abu-Hanna A, Ravelli AC. Recurrence risk of preterm birth in subsequent twin pregnancy after preterm singleton delivery. BJOG. 2012 Dec;119(13):1624-9.
• Stevenson DK, Winn VD, Shaw GM, England SK, Wong RJ. Solving the Puzzle of Preterm Birth. Clin Perinatol. 2024;51(2):291-300.
• El-Bastawissi AY, Sorensen TK, Akafomo CK, Frederick IO, Xiao R, Williams MA. History of fetal loss and other adverse pregnancy outcomes in relation to subsequent risk of preterm delivery. Matern Child Health J. 2003, 7(1): 53-58.
• Han Z, Lutsiv O, Mulla S, McDonald SD. Maternal height and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. J Obstet Gynaecol Can. 2012 Aug;34(8):721-46.
• Ehrenberg HM, Iams JD, Goldenberg RL, et al. Maternal obesity, uterine activity, and the risk of spontaneous preterm birth. Obstet Gynecol. 2009 Jan;113(1):48-52.
• Zhang J, Bricker L, Wray S, Quenby S. Poor uterine contractility in obese women. BJOG. 2007 Mar;114(3):343-8.
• Cnattingius S, Villamor E, Johansson S, et al. Maternal obesity and risk of preterm delivery. JAMA. 2013 Jun 12;309(22):2362-70.