Adverse effects of maternal age, weight and smoking during pregnancy in Pleven, Bulgaria

South Eastern European Journal of Public Health (SEEJPH)

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Title Adverse effects of maternal age, weight and smoking during pregnancy in Pleven, Bulgaria
 
Creator Kamburova, Mariela Stefanova
Hristova, Petkana Angelova
Georgieva, Stela Ludmilova
Khan, Azhar
 
Subject
Bulgaria; lifestyle; Pleven; premature birth; risk factors
 
Description Aim: This paper aims to study the relationship between mothers’ age, body mass index (BMI), gestational weight gain (GWG) and smoking and the risk for premature birth in Pleven, Bulgaria.Methods: A case-control study was conducted in Pleven in 2007. The study was comprehensive for all premature children (N=58) and representative for full-term infants (N=192, or 10.4% of all of the 1827 full-term children) born in 2007 at the University Hospital of Pleven and resident in the city of Pleven. Retrospective data on determinants under study were collected from all the mothers included in this study (N=250).Results: Mothers of premature children were more likely to be above 35 years old (27.6%), with a BMI ≥25 kg/m2 (23.1%), GWG below the recommended value (38.5%) and to smoke during pregnancy (37.9%). The odds of being a smoker during pregnancy were five times higher among mothers with low birth weight (LBW) newborns compared with their counterparts with normal birth weight newborns (OR=5.1, 95%CI=2.4-10.6). There was a positive association between BMI and LBW in infants whose mothers were overweight (OR=2.1, 95%CI=1.0-4.0). The risk of LBW increased when GWG was less than recommended (OR=1.8, 95%CI=1.0-3.1).Conclusion: Our results indicate that pre-pregnancy BMI ≥25 kg/m2, less than recommended GWG and smoking during pregnancy are risk factors for premature birth in Pleven region. Findings from this study suggest the need for active health and educational actions by health professionals in order to avoid premature births in Bulgaria.
 
Publisher South Eastern European Journal of Public Health
South Eastern European Journal of Public Health
 
Contributor The authors are very grateful to the staff of the Obstetric Clinic at University Hospital in Pleven, Bulgaria, for their continuous support for the whole duration of this study.
 
Date 2015-11-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://www.seejph.com/index.php/seejph/article/view/11
10.4119/UNIBI/SEEJPH-2015-11
 
Source South Eastern European Journal of Public Health; Volume IV, 2015
South Eastern European Journal of Public Health; Volume IV, 2015
2197-5248
 
Language eng
 
Relation http://www.seejph.com/index.php/seejph/article/view/11/10
10.4119/UNIBI/SEEJPH-2015-11
 
Rights Copyright (c) 2015 Mariela Stefanova Kamburova, Petkana Angelova Hristova, Stela Ludmilova Georgieva, Azhar Khan
http://creativecommons.org/licenses/by/4.0
 

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