Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Risk Factors for Premature Birth among Premature Obstetric Labor Women: A Prospective Cohort Study

조기진통 임부의 조산 발생 영향요인: 전향적 코호트 연구

  • Kim, Yun Kyung (Department of Nursing, Kei-Myung University, Dong-San Medical Center) ;
  • Lim, Kyung Hee (College of Nursing.Research Institute of Nursing Science, Keimyung University)
  • 김윤경 (계명대학교 동산의료원) ;
  • 임경희 (계명대학교 간호대학.간호과학연구소)
  • Received : 2018.03.13
  • Accepted : 2018.08.29
  • Published : 2018.09.20
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Abstract

Purpose: To identify risk factors for premature birth among premature obstetric labor women. Methods: Participants were 129 hospitalized women who were diagnosed with potential premature obstetric labor with 20 weeks to 37 weeks of gestation. Data were analyzed using descriptive statistics, $x^2$ test, t-test, and binary logistic regression. Results: Of 129 women, 78(60.5%) gave premature birth and 51 (39.5%) gave full-term birth. Risk factors for premature birth were education level (${\leq}$bachelor's degree), abnormal bowel condition (constipation or diarrhea), time firstly diagnosed with a premature obstetric labor (below 28 weeks of pregnancy), and multiple pregnancy. There were also increased risks of premature birth for participants with high level of anxiety and high level of prenatal stress. In social support, there was an increased risk of premature birth for participants with low level of social support. Conclusion: Prenatal nursing programs should consider not only psychosocial factors such as anxiety, prenatal stress, and social support, but also some general and obstetric factors such as education level, abnormal bowel condition, time firstly diagnosed with a premature obstetric labor, and multiple pregnancy to increase maternal and child health.

Keywords

References

  1. World Health Organization. Born too soon: The global action report on premature birth [Internet]. Geneva: World Health Organization; 2012 [cited 2018 February 23]. Available from: https://www.sc.or.kr/archives/report-detail.do?pageDetail=26411&schWord=조산&tabType=
  2. Statistics Korea. 2016 causes of death complement findings (infant, maternal, birth before late death) [Internet]. Seoul: Statistics Korea; 2016 [cited 2018 September 7]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=363268
  3. Health and Welfare Data Portal. 2004-2014 health and welfare statistics [Internet]. Seoul: Korea Institute for Health and Social Affairs; 2016 [cited 2018 February 23]. Available from: https://data.kihasa.re.kr/socialstat/social_stat_list.jsp?view_mode=view&grp_root_seq=812&indicator_seq=847&stat_group_sub=2015
  4. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. The Lancet. 2008;371(9606):75-84. https://doi.org/10.1016/S0140-6736(08)60074-4
  5. Korean Statistical Information Service. 2016 admission frequency sick pay status according to disease classification [Internet]. Seoul: Statistics Korea; 2016 [cited 2018 September 7]. Available from: http://kostat.go.kr/wnsearch/search.jsp
  6. Ryu KH, Shin HS. Phenomenological study on experience of preterm labor. Korean Journal of Women Health Nursing. 2009;15(2):140-149. https://doi.org/10.4069/kjwhn.2009.15.2.140
  7. Copper RL, Goldenberg RL, Das A, Elder N, Swain M, Norman G, et al. The preterm prediction study: Maternal stress is associated with spontaneous premature birth at less than thirtyfive weeks' gestation. American Journal of Obstetrics and Gynecology. 1996;175(5):1286-1292. https://doi.org/10.1016/S0002-9378(96)70042-X
  8. Dole N, Savitz DA, Hertz-Picciotto I, Siega-Riz AM, McMahon MJ, Buekens P. Maternal stress and preterm birth. American Journal of Epidemiology. 2003;157(1):14-24. https://doi.org/10.1093/aje/kwf176
  9. Heaman M, Kingston D, Chalmers B, Sauve R, Lee L, Young D. Risk factors for preterm birth and small-for-gestational-age births among Canadian women. Paediatric and Perinatal Epidemiology. 2013;27(1):54-61. https://doi.org/10.1111/ppe.12016
  10. Mackey MC, Williams CA, Tiller CM. Stress, preterm labour and birth outcomes. Journal of Advanced Nursing. 2000;32(3):666-674. https://doi.org/10.1046/j.1365-2648.2000.01526.x
  11. Korean Association of Obstetricians and Gynecologist. Obstetrics and gynecology: Guideline and summary. Seoul: Koonja; 2015. p. 273-279.
  12. Sanchez SE, Puente GC, Atencio G, Qiu C, Yanez D, Gelaye B, et al. Risk of spontaneous preterm birth in relation to maternal depressive, anxiety and stress symptoms. The Journal of Reproductive Medicine. 2013;58(1-2):25-33.
  13. Zhang YP, Liu XH, Gao SH, Wang JM, Gu YS, Zhang JY, et al. Risk factors for preterm birth in five maternal and child health hospitals in Beijing. PLoS ONE. 2012;7(12):e52780. https://doi.org/10.1371/journal.pone.0052780
  14. Elsenbruch S, Benson S, Rucke M, Rose M, Dudenhausen J, Pincus-Knackstedt MK, et al. Social support during pregnancy: Effects on maternal depressive symptoms, smoking and pregnancy outcome. Human Reproduction. 2007;22(3):869-877. https://doi.org/10.1093/humrep/del432
  15. Dolatian M, Mirabzadeh A, Forouzan AS, Sajjadi H, Alavimajd H, Mahmoodi Z, et al. Relationship between structural and intermediary determinants of health and preterm delivery. Journal of Reproduction & Infertility. 2014;15(2):78-86.
  16. Jesse DE, Seaver W, Wallace DC. Maternal psychosocial risks predict preterm birth in a group of women from Appalachia. Midwifery. 2003;19(3):191-202. https://doi.org/10.1016/S0266-6138(03)00031-7
  17. Yoon SJ. Influence of character, social support, antenatal stress and maternal-fetal attachment on the depression in drugs exposure pregnant women [master's thesis]. Gongju: Kongju National University; 2013. 65 p.
  18. Cole-Lewis HJ, Kershaw TS, Earnshaw VA, Yonkers KA, Lin H, Ickovics JR. Pregnancy-specific stress, preterm birth, and gestational age among high-risk young women. Health Psychology. 2014;33(9):1033-1045. https://doi.org/10.1037/a0034586
  19. Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI (Form Y) [Internet]. US: University of Buffalo; 1983 [cited 2018 February 23]. Available from: http://hdl.handle.net/10477/1873
  20. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spielberger's STAI (K-STAI). Korean Journal of Health Psychology. 1996;1(1):1-14.
  21. Ahn HL. An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. The Journal of Nurses Academic Society 1985;15(1):5-16.
  22. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  23. Rosenberg M. Society and the adolescent self-image. Middletowm, CT: Princeton University Press; 1965.
  24. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong Collection of Treatises. 1974;11:107-130.
  25. Everly GS, Girdano DD. Implementing behavior modification in a weight control program. Health Education. 1980;11(4): 15-17. https://doi.org/10.1080/00970050.1980.10618094
  26. Jang HG, Kang SK. Stress and mental health. Seoul: Hakjisa; 1996. p. 101-119.
  27. Cnattingius S, Villamor E, Johansson S, Bonamy AKE, Persson M, Wikstrom AK, et al. Maternal obesity and risk of preterm delivery. Journal of the American Medical Association. 2013; 309(22):2362-2370. https://doi.org/10.1001/jama.2013.6295
  28. Blondel B, Macfarlane A, Gissler M, Breart G, Zeitlin J. General obstetrics: Preterm birth and multiple pregnancy in European countries participating in the PERISTAT project. BJOG: An International Journal of Obstetrics and Gynaecology. 2006;113(5):528-535. https://doi.org/10.1111/j.1471-0528.2006.00923.x
  29. Chung IS, Kim KS, Ryu SY, Na BJ. Anxiety of pregnant women and its related factors. Journal of the Korean Society of Maternal and Child Health. 2002;6(1):137-141. https://doi.org/10.1023/A:1015472409558

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