首页|Risk Factors for Adverse Pregnancy Outcomes among Zhuang Ethnic Pregnant Women: A Cohort Study in Guangxi, China

Risk Factors for Adverse Pregnancy Outcomes among Zhuang Ethnic Pregnant Women: A Cohort Study in Guangxi, China

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Risk factors for adverse pregnancy outcomes among Zhuang ethnic pregnant women are unclear.This study analyzed the incidence and risk factors related to preterm birth (PB),low birth weight (LBW) and macrosomia in Zhuang population.We conducted a prospective cohort study of 9965 Zhuang pregnancy women in Guangxi,China.Information on mothers and newborns was obtained by using questionnaires and referring to medical records.Multivariate logistic regression analyses were used to evaluate the association between related factors and adverse pregnancy outcomes.Our results showed that the incidence of PB,LBW and macrosomia in Zhuang people was 5.55％,5.64％ and 2.19％,respectively.Maternal age ≥36 years (OR=2.22,95％ CI: 1.51-3.27) was related to a higher incidence of PB.Those with pre-pregnancy body mass index (BMI) ＜18.5 kg/m2 (OR=1.91,95％ CI: 1.45-2.51),and had a female fetus (OR=1.74,95％ CI:1.36-2.23) were more likely to have LBW infants.Maternal age between 31 and 35 years (OR=1.76,95％ CI: 1.03-2.99) and pre-pregnancy overweight or obesity (OR=1.79,95％ CI: 1.15-2.80) were associated with a higher risk of macrosomia.The protective factors of macrosomia were maternal pre-pregnancy BMI ＜18.5 kg/m2 (OR=0.30,95％ CI: 0.15-0.60) and female fetus (OR=0.41,95％ CI: 0.28-0.59).Our study provided a reference for maternal and childcare administration among Zhuang population.

Zhuang ethniccohort studylow birth weightpreterm birthmacrosomiarisk factors

Bao-ying FENG、Yang PENG、Jun LIANG、Li WU、Qun-jiao JIANG、Shun LIU、Xiao-yun ZENG、Dong-ping HUANG、Xiao-qiang QIU、Han LI

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Department of Sanitary Chemistry, School of Public Health, Guangxi Medical University, Nanning 530021, China

Department of Environmental and Occupational Health, School of Public Health, Guangxi Medical University, Nanning 530021, China

Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021,China

National Natural Science Foundation of ChinaNational Natural Science Foundation of ChinaChina Postdoctoral Science FoundationYouth Science Foundation of Guangxi Medical UniversityGuangxi Key Research Program

21906032819032852020M673556XBGXMUYSF201822AB17195012

2021

10.1007/s11596-021-2339-9

当代医学科学(英文)
同济医科大学

当代医学科学(英文)

SCI
ISSN：2096-5230
年,卷(期)：2021.41(2)
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