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Masoomeh Ghahramani 2 Articles
Predictors of miscarriage: a matched case-control study
Jalal Poorolajal, Parvin Cheraghi, Zahra Cheraghi, Masoomeh Ghahramani, Amin Doosti Irani
Epidemiol Health. 2014;36:e2014031.   Published online November 20, 2014
DOI: https://doi.org/10.4178/epih/e2014031
  • 16,903 View
  • 189 Download
  • 8 Citations
AbstractAbstract PDF
Abstract
OBJECTIVES
The risk factors for miscarriage vary across communities and countries. This study was conducted to investigate the predictors of miscarriage in the west of Iran.
METHODS
This matched case-control study was conducted in Hamadan Province from April 2013 to March 2014. Cases were selected from women who had a recent spontaneous abortion and controls were selected from women who had a recent live birth. Two controls were selected for every case and matched for date of pregnancy and area of residence. Multivariate conditional logistic regression analysis was performed and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.
RESULTS
Five hundred fifty cases were compared with 1,091 controls. The OR of miscarriage was 1.58 (95% CI=1.30-1.92) for every five-year increase in age, 0.20 (95% CI=0.14-0.28) for every live birth, and 3.43 (95% CI=2.03-5.79) for a history of previous spontaneous abortion. Compared to nulliparous women, primiparous or multiparous women had an OR of 17.85 (95% CI=6.65-47.91) for miscarriage. There was a strong association between miscarriage and abnormal amniotic status (OR, 2.46; 95% CI, 0.46-13.09) and also abnormal placenta status (OR, 10.44; 95% CI, 0.95-114.92); however, these associations were not statistically significant. No significant associations were observed between miscarriage and body mass index, previous history of stillbirth, low birth weight, congenital anomaly, ectopic pregnancy, impaired thyroid function, or high blood pressure.
CONCLUSIONS
Our study suggests that miscarriage is a multifactorial outcome associated with several modifiable and non-modifiable risk factors that may vary among different communities.
Summary
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Citations

Citations to this article as recorded by  
  • A Validation Study on the Frequency and Natural History of Miscarriages Using the Spanish Primary Care Database BIFAP
    Sara Sanchez Ortiz, Consuelo Huerta, Ana Llorente-García, Paloma Ortega, Paloma Astasio, Lucía Cea-Soriano
    Healthcare.2021; 9(5): 596.     CrossRef
  • Cytogenetic Analysis of Spontaneous Miscarriages Using Long-Term Culturing of Chorionic Villi
    Isao Horiuchi, Yu Wakimoto, Tomoyuki Kuwata, Hideaki Sawai, Hiroaki Shibahara, Kenjiro Takagi
    Journal of Fetal Medicine.2019; 6(1): 1.     CrossRef
  • Complications in Early Pregnancy
    Elizabeth Pontius, Julie T. Vieth
    Emergency Medicine Clinics of North America.2019; 37(2): 219.     CrossRef
  • Preconception Blood Pressure Levels and Reproductive Outcomes in a Prospective Cohort of Women Attempting Pregnancy
    Carrie J. Nobles, Pauline Mendola, Sunni L. Mumford, Ashley I. Naimi, Edwina H. Yeung, Keewan Kim, Hyojun Park, Brian Wilcox, Robert M. Silver, Neil J. Perkins, Lindsey Sjaarda, Enrique F. Schisterman
    Hypertension.2018; 71(5): 904.     CrossRef
  • Epidemiological Survey and Risk Factor Analysis of Recurrent Spontaneous Miscarriages in Infertile Women at Large Infertility Centers
    Hai-Yan Wang, Jie Qiao, Xiao-Xi Sun, Shu-Yu Wang, Xiao-Yan Liang, Yun Sun, Feng-Hua Liu
    Chinese Medical Journal.2017; 130(17): 2056.     CrossRef
  • Maternal pre-pregnancy risk factors for miscarriage from a prevention perspective: a cohort study in China
    Huan Zhou, Yongping Liu, Lu Liu, Min Zhang, Xingzhi Chen, Yulong Qi
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2016; 206: 57.     CrossRef
  • Systematic review and meta-analysis on the association of prepregnancy underweight and miscarriage
    Montserrat Balsells, Apolonia García-Patterson, Rosa Corcoy
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2016; 207: 73.     CrossRef
  • Fasting blood glucose and newborn birth weight of non- diabetic Sudanese women
    Abdelmageed Elmugabil, Duria A. Rayis, Ishag Adam, Mohamed F. Lutfi
    F1000Research.2016; 5: 641.     CrossRef
Risk factors for maternal mortality in the west of Iran: a nested case-control study
Jalal Poorolajal, Behnaz Alafchi, Roya Najafi Vosoogh, Sahar Hamzeh, Masoomeh Ghahramani
Epidemiol Health. 2014;36:e2014028.   Published online November 8, 2014
DOI: https://doi.org/10.4178/epih/e2014028
  • 13,257 View
  • 139 Download
  • 5 Citations
AbstractAbstract PDF
Abstract
OBJECTIVES
With a gradual decline in maternal mortality in recent years in Iran, this study was conducted to identify the remaining risk factors for maternal death.
METHODS
This 8-year nested case-control study was conducted in Hamadan Province, in the west of Iran, from April 2006 to March 2014. It included 185 women (37 cases and 148 controls). All maternal deaths that occurred during the study period were considered cases. For every case, four women with a live birth were selected as controls from the same area and date. Conditional logistic regression analysis was performed and the odds ratio (OR) and its 95% confidence interval (CI) were obtained for each risk factor.
RESULTS
The majority of cases were aged 20-34 years, died in hospital, and lived in urban areas. The most common causes of death were bleeding, systemic disease, infection, and pre-eclampsia. The OR estimate of maternal death was 8.48 (95% CI=1.26-56.99) for advanced maternal age (≥35 years); 2.10 (95% CI=0.07-65.43) for underweight and 10.99 (95% CI=1.65-73.22) for overweight or obese women compared to those with normal weight; 1.56 (95% CI=1.08-2.25) for every unit increase in gravidity compared to those with one gravidity; 1.73 (95% CI=0.34-8.88) for preterm labors compared to term labors; and 17.54 (95% CI= 2.71-113.42) for women with systemic diseases.
CONCLUSIONS
According to our results, advanced maternal age, abnormal body mass index, multiple gravidity, preterm labor, and systemic disease were the main risk factors for maternal death. However, more evidence based on large cohort studies in different settings is required to confirm our results.
Summary
Korean summary
Key Message

Citations

Citations to this article as recorded by  
  • Epidemiological and Maternal Features of Maternal Mortality in the West of Iran: Hamadan, 2011-2019
    Azam Ali Shirzad, Ebrahim Jalili , Fatemeh Shahbazi, Hasan Bahrami, Salman Khazaei, Samereh Ghelichkhani
    Current Women s Health Reviews.2022;[Epub]     CrossRef
  • A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries
    Maryam Tajvar, Alireza Hajizadeh, Rostam Zalvand
    BMC Public Health.2022;[Epub]     CrossRef
  • Determinants and causes of maternal mortality in Iran based on ICD-MM: a systematic review
    Rostam Zalvand, Maryam Tajvar, Abolghasem Pourreza, Hadi Asheghi
    Reproductive Health.2019;[Epub]     CrossRef
  • Evaluation of Satisfaction with Natural Delivery Experience and its Related Factors in Rasht Women
    Mona Ghobadi, Tahereh Ziaee, Noshaz Mirhaghjo, Farzaneh Pazandeh, Ehsan Kazemnejad lili
    Journal of Health and Care.2018; 20(3): 215.     CrossRef
  • Predictors and measurement of satisfaction with postpartum care in a government hospital
    Simge Zeyneloğlu, Sezer Kısa, Hülya Özberk, Aysun Badem
    Nursing & Health Sciences.2017; 19(2): 198.     CrossRef

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