RT Journal Article
SR Electronic
T1 Socio-demographic characteristics of women sustaining injuries during pregnancy: a study from the Danish National Birth Cohort
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e000826
DO 10.1136/bmjopen-2012-000826
VO 2
IS 4
A1 Virk, Jasveer
A1 Hsu, Paul
A1 Olsen, Jørn
YR 2012
UL http://bmjopen.bmj.com/content/2/4/e000826.abstract
AB Objectives To describe adverse birth outcomes associated with hospital-treated injuries that took place among women in the Danish National Birth Cohort.Design Longitudinal cohort study.Setting Denmark.Participants 90 452 women and their offspring selected from the Danish National Birth Cohort.Primary and secondary outcome measures To determine if injured women were more likely to deliver an infant preterm, with low birth weight, stillborn or have a spontaneous abortion, the authors estimated HRs. ORs were generated to assess APGAR scores and infants born small for gestational age (SGA). Models were adjusted for maternal smoking and drinking during pregnancy, household socioeconomic status, eclampsia/pre-eclampsia or gestational diabetes status during pregnancy and maternal age at birth; estimates for preterm birth were also adjusted for prior history of preterm birth.Results In the cohort of 90 452 pregnant women, 3561 (3.9%) received medical treatment for an injury during pregnancy. Injured pregnant women were more likely to deliver infants that were stillborn or have pregnancies terminated by spontaneous abortion. The authors did not detect an adverse effect between injuries sustained during pregnancy and delivery of preterm, low birth weight or SGA infants, or infants with an APGAR score of <7.Conclusions The study shows that injuries occurring among women from an unselected population may not have an adverse effect on birth weight, gestational age, APGAR score or SGA status but may adversely affect the risk of stillbirth and spontaneous abortions in some situations.