Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study
Objective: To assess the risk of recurrent preterm birth following spontaneous extreme preterm birth between 16+0 - 27+6 weeks. Methods: A nationwide retrospective cohort study was conducted with data from the Perinatal Registry of the Netherlands. We included nulliparous women with a singleton preg...
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| Format: | Article |
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Elsevier
2024-12-01
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| Series: | European Journal of Obstetrics & Gynecology and Reproductive Biology: X |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590161324000760 |
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| author | Annabelle L. Van Gils Anita C. Ravelli Esmé I. Kamphuis Brenda M. Kazemier Eva Pajkrt Martijn A. Oudijk Marjon A. De Boer |
| author_facet | Annabelle L. Van Gils Anita C. Ravelli Esmé I. Kamphuis Brenda M. Kazemier Eva Pajkrt Martijn A. Oudijk Marjon A. De Boer |
| author_sort | Annabelle L. Van Gils |
| collection | DOAJ |
| description | Objective: To assess the risk of recurrent preterm birth following spontaneous extreme preterm birth between 16+0 - 27+6 weeks. Methods: A nationwide retrospective cohort study was conducted with data from the Perinatal Registry of the Netherlands. We included nulliparous women with a singleton pregnancy that ended in spontaneous preterm birth between 16+0 and 27+6 weeks of gestation without congenital anomalies or antenatal death between 2010–2014 and had a subsequent pregnancy in the 5 years following (2010–2019). The primary outcome of this study was recurrent preterm birth < 37 weeks. Results: In total, 1011 women with linked pregnancies were included. The risk of preterm birth < 37 weeks with prior spontaneous birth between 16+0-19+6, 20+0-23+6, and 24+0-27+6 weeks was respectively 19.0 %, 29.5 % and 27.6 %. The risk of subsequent preterm birth < 24 weeks was 5.8 %, 7.2 % and 4.3 %. A short interpregnancy interval of 0–3 months was associated with increased odds for recurrent preterm birth < 32 weeks (OR 2.3 95 % CI 1.4–3.7) and preterm birth < 37 weeks (OR 1.8 95 % CI 1.2–2.6). Conclusion: Patients with previous spontaneous preterm birth from 16 weeks GA onwards are at high risk for recurrent preterm birth and should be regarded as such in the consideration of preventive measures to prevent recurrent adverse pregnancy outcomes. |
| format | Article |
| id | doaj-art-ac9cc47084a845e59982232f9dc8f723 |
| institution | Kabale University |
| issn | 2590-1613 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Journal of Obstetrics & Gynecology and Reproductive Biology: X |
| spelling | doaj-art-ac9cc47084a845e59982232f9dc8f7232024-12-14T06:32:44ZengElsevierEuropean Journal of Obstetrics & Gynecology and Reproductive Biology: X2590-16132024-12-0124100356Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort studyAnnabelle L. Van Gils0Anita C. Ravelli1Esmé I. Kamphuis2Brenda M. Kazemier3Eva Pajkrt4Martijn A. Oudijk5Marjon A. De Boer6Amsterdam UMC, location University of Amsterdam, Department. of Obstetrics and Gynecology, Meibergdreef 9, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the Netherlands; Correspondence to: Meibergdreef 9, Amsterdam 1105 AZ, the Netherlands.Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the Netherlands; Amsterdam UMC, University of Amsterdam, Department of Medical Informatics, Meibergdreef 9, Amsterdam, Noord-Holland, the NetherlandsAmsterdam UMC, location University of Amsterdam, Department. of Obstetrics and Gynecology, Meibergdreef 9, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the NetherlandsAmsterdam UMC, location University of Amsterdam, Department. of Obstetrics and Gynecology, Meibergdreef 9, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the NetherlandsAmsterdam UMC, location University of Amsterdam, Department. of Obstetrics and Gynecology, Meibergdreef 9, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the NetherlandsAmsterdam UMC, location Vrije Universiteit Amsterdam, Department. of Obstetrics and Gynecology, De Boelelaan 1117, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the NetherlandsAmsterdam UMC, location Vrije Universiteit Amsterdam, Department. of Obstetrics and Gynecology, De Boelelaan 1117, Amsterdam, Noord-Holland, the Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Noord-Holland, the NetherlandsObjective: To assess the risk of recurrent preterm birth following spontaneous extreme preterm birth between 16+0 - 27+6 weeks. Methods: A nationwide retrospective cohort study was conducted with data from the Perinatal Registry of the Netherlands. We included nulliparous women with a singleton pregnancy that ended in spontaneous preterm birth between 16+0 and 27+6 weeks of gestation without congenital anomalies or antenatal death between 2010–2014 and had a subsequent pregnancy in the 5 years following (2010–2019). The primary outcome of this study was recurrent preterm birth < 37 weeks. Results: In total, 1011 women with linked pregnancies were included. The risk of preterm birth < 37 weeks with prior spontaneous birth between 16+0-19+6, 20+0-23+6, and 24+0-27+6 weeks was respectively 19.0 %, 29.5 % and 27.6 %. The risk of subsequent preterm birth < 24 weeks was 5.8 %, 7.2 % and 4.3 %. A short interpregnancy interval of 0–3 months was associated with increased odds for recurrent preterm birth < 32 weeks (OR 2.3 95 % CI 1.4–3.7) and preterm birth < 37 weeks (OR 1.8 95 % CI 1.2–2.6). Conclusion: Patients with previous spontaneous preterm birth from 16 weeks GA onwards are at high risk for recurrent preterm birth and should be regarded as such in the consideration of preventive measures to prevent recurrent adverse pregnancy outcomes.http://www.sciencedirect.com/science/article/pii/S2590161324000760Preterm birthRecurrent preterm birthMid trimester lossMid pregnancy lossInterpregnancy intervalRisk assessment |
| spellingShingle | Annabelle L. Van Gils Anita C. Ravelli Esmé I. Kamphuis Brenda M. Kazemier Eva Pajkrt Martijn A. Oudijk Marjon A. De Boer Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study European Journal of Obstetrics & Gynecology and Reproductive Biology: X Preterm birth Recurrent preterm birth Mid trimester loss Mid pregnancy loss Interpregnancy interval Risk assessment |
| title | Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study |
| title_full | Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study |
| title_fullStr | Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study |
| title_full_unstemmed | Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study |
| title_short | Preterm birth recurrence after spontaneous preterm birth between 16-28 weeks: A national cohort study |
| title_sort | preterm birth recurrence after spontaneous preterm birth between 16 28 weeks a national cohort study |
| topic | Preterm birth Recurrent preterm birth Mid trimester loss Mid pregnancy loss Interpregnancy interval Risk assessment |
| url | http://www.sciencedirect.com/science/article/pii/S2590161324000760 |
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