Maternal risk factors for preterm birth in Taiwan, a nationwide population-based cohort study.

Jul 31, 2023

Experts: Sheng-Ting Wu,Ching-Heng Lin,Yi-Hsuan Lin,Ya-Chi Hsu,Chung-Ting Hsu,Ming-Chih Lin

The rate of preterm birth is increasing globally. It causes significant short-term and long-term health care burdens. A comprehensive recognition of the risk factors related to preterm births is important in the prevention of preterm birth. Our study is to investigate the incidence and maternal risk factors of preterm birth from a nationwide population-based perspective.
This is a retrospective cohort study. All live births from 2004 to 2014 in Taiwan enrolled. The main data source was Taiwan’s Birth Certificate Application (BCA) database. The BCA database was linked with the National Health Insurance Research Database (NHIRD) to establish any links between information on newborns and maternal underlying disease.
A total of 1,385,979 births were included in the analysis. The incidence of preterm birth increased gradually in Taiwan from 8.85% in 2004 to 10.73% in 2014. Maternal age, socioeconomic status, maternal allergy and autoimmune diseases, gynecological diseases, and pregnancy-related complications were significant risk factors for preterm birth.
The overall incidence of preterm births has gradually increased in Taiwan. Maternal age, socioeconomic status, certain underlying diseases, and pregnancy-related complications were risk factors for preterm birth.

Copyright © 2023 Taiwan Pediatric Association. Published by Elsevier B.V. All rights reserved.

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ABOUT THE EXPERTS

Sheng-Ting Wu,Ching-Heng Lin,Yi-Hsuan Lin,Ya-Chi Hsu,Chung-Ting Hsu,Ming-Chih Lin

Sheng-Ting Wu

Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan.

Ching-Heng Lin

Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.

Yi-Hsuan Lin

Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.

Ya-Chi Hsu

Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan.

Chung-Ting Hsu

Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.

Ming-Chih Lin

Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Food and Nutrition, Providence University, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address: mingclin@gmail.com.