Acute and chronic respiratory diseases in pregnancy: Associations with spontaneous premature rupture of membranes
- 1 January 2007
- journal article
- research article
- Published by Informa UK Limited in The Journal of Maternal-Fetal & Neonatal Medicine
- Vol. 20 (9), 669-675
- https://doi.org/10.1080/14767050701516063
Abstract
Objective. To examine whether acute and chronic respiratory diseases are associated with an increased risk of spontaneous premature rupture of the membranes (PROM). Methods. We used the 1993–2004 National Hospital Discharge Survey data of singleton deliveries in the USA (N = 41 250 539). The International Classification of Diseases Ninth Revision was utilized to identify acute (acute upper respiratory diseases, viral/bacterial pneumonia, and acute bronchitis/bronchiolitis) and chronic (chronic bronchitis and asthma) respiratory conditions and spontaneous PROM. All analyses were adjusted for potential confounders. Results. The incidence of PROM was 5%, and rates of acute and chronic respiratory conditions were 2.1 and 9.5 per 1000 pregnancies, respectively. Chronic bronchitis was associated with a reduced risk of PROM (RR 0.39, 95% CI 0.31, 0.48). Asthma was significantly associated with PROM at preterm (RR 1.15, 95% CI 1.14, 1.17) and term (RR 1.27, 95% CI 1.23, 1.30). Stratification by race showed that acute upper respiratory disease was associated with preterm PROM in whites (RR 1.90, 95% CI 1.71, 2.11) and blacks (RR 6.76, 95% CI 5.67, 8.07). Viral/bacterial pneumonia was associated with preterm PROM in blacks and term PROM in both races. Asthma was associated with term PROM in blacks but not whites. Conclusions. Acute respiratory diseases and asthma during pregnancy are associated with spontaneous PROM, with substantially stronger association among blacks than whites. We speculate that timely diagnosis and treatment, coupled with closely mentoring of pregnant women may help reduce the rate of PROM and associated complications.Keywords
This publication has 37 references indexed in Scilit:
- Trends in Preterm Birth and Perinatal Mortality Among Singletons: United States, 1989 Through 2000Obstetrics & Gynecology, 2005
- Preterm Premature Rupture of Membranes, Intrauterine Infection, and OligohydramniosObstetrics & Gynecology, 2004
- Recent evidence associated with the condition of preterm prelabour rupture of the membranesCurrent Opinion in Obstetrics and Gynecology, 2003
- PREMATURE RUPTURE OF THE FETAL MEMBRANESMCN: The American Journal of Maternal/Child Nursing, 2001
- Risk factors associated with early-onset sepsis in premature infantsEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1999
- Perinatal and neonatal outcome and late pulmonary sequelae in infants born after preterm premature rupture of membranesPublished by Ovid Technologies (Wolters Kluwer Health) ,1998
- Risk factors for neonatal sepsisObstetrics & Gynecology, 1996
- Risk factors for the development of preterm premature rupture of the membranes after arrest of preterm laborAmerican Journal of Obstetrics and Gynecology, 1995
- Premature rupture of the membranes between 20 and 25 weeks' gestation: Role of amniotic fluid volume in perinatal outcomeAmerican Journal of Obstetrics and Gynecology, 1994
- Premature rupture of the fetal membranesAmerican Journal of Obstetrics and Gynecology, 1970