Associations Between Prenatal Care Indicators and Preterm Delivery
Entire Sample | Term Delivery | Preterm Delivery | P value | Preterm OR | 95% CI | |
---|---|---|---|---|---|---|
Pregnancy intention (n = 549) | 0.72* | |||||
Intended (REF) | 331 | 229 (69.2) | 102 (30.8) | --- | --- | |
Unintended | 218 | 154 (70.6) | 64 (29.4) | 0.93 | 0.64-1.36 | |
Prenatal intake visit (n = 660) | 0.61* | |||||
Intake visit <12 wks gestation (REF) | 567 | 381 (67.2) | 186 (32.8) | --- | --- | |
No intake visit <12 wks gestation | 93 | 60 (64.5) | 33 (35.5) | 1.13 | 0.71-1.78 | |
Multivitamin use (n = 169) | 0.17* | |||||
≥3 Months of prenatal use (REF) | 96 | 51 (53.1) | 45 (46.9) | --- | --- | |
<3 Months of prenatal use | 73 | 31 (42.5) | 42 (57.5) | 1.54 | 0.83-2.84 | |
Tobacco avoidance (n = 653) | 0.80* | |||||
Yes (REF) | 583 | 391 (67.1) | 192 (32.9) | --- | --- | |
No | 70 | 48 (68.6) | 22 (31.4) | 0.93 | 0.55-1.59 | |
Depression screening (n = 542) | 0.68* | |||||
Negative (REF) | 482 | 341 (70.7) | 141 (29.3) | --- | --- | |
Positive | 60 | 44 (73.3) | 16 (26.7) | 0.88 | 0.48-1.61 | |
BMI (n = 647) | <0.001* | |||||
BMI >18 and <30 (REF) | 374 | 274 (73.3) | 100 (26.7) | --- | --- | |
BMI ≤18 and ≥30 | 273 | 163 (59.7) | 110 (40.3) | 1.85 | 1.33-2.58 | |
STI screening (n = 622) | 0.07* | |||||
Negative (REF) | 604 | 422 (69.9) | 182 (30.1) | --- | --- | |
Positive | 18 | 9 (50.0) | 9 (50.0) | 2.32 | 0.91-5.94 | |
A1c goal (n = 59) | 0.07* | |||||
<6.5 (REF) | 43 | 22 (51.2) | 21 (48.8) | --- | --- | |
≥6.5 | 16 | 4 (25.0) | 12 (75.0) | 3.14 | 0.87-11.30 | |
Teratogenic medication use (n = 661) | 0.33† | |||||
No (REF) | 660 | 440 (66.7) | 220 (33.3) | --- | --- | |
Yes | 1 | 0 (0.0) | 1 (100.0) | n/a | n/a | |
Blood pressure (n = 634) | 0.002* | |||||
<120/80 (REF) | 364 | 264 (72.5) | 100 (27.5) | --- | --- | |
≥120/80 | 270 | 165 (61.1) | 105 (38.9) | 1.68 | 1.20-2.35 | |
Harmful drug use (n = 653) | 0.69* | |||||
Avoided harmful substances (REF) | 604 | 402 (66.6) | 202 (33.4) | --- | --- | |
Use of harmful substances | 49 | 34 (69.4) | 15 (30.6) | 0.88 | 0.47-1.65 |