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When adjusted for maternal age, sex of child and parity, women with less than 12 years of education have a nearly 20% excess odds of preterm delivery and a nearly 30% excess odds of preterm low birthweight delivery, compared to women with more than a high school education.
As BMI was missing in 247 (24 cases and 223 controls) of 2,963 women, multiple imputation (50 repeats) and proxy indicator analysis were used to estimate the association between ICP and perinatal outcomes, based on birthweight, delivery mode, ethnic group, and parity.
It was estimated that enrolling 733 women out of the anticipated 2000 deliveries in the two hospitals during the study period at an assumed low birthweight delivery rate of 14% (from National Demographic Health Survey data [ 12]) would give an estimated exact error of 2.0% at 95% level of confidence and power of 80% (using WinEpiscope 2.0 statistical software).
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ED during pregnancy are associated with an increased risk of intrauterine growth restriction and low birthweight deliveries.
Although regionalized perinatal care is well-established for high-risk deliveries, it is crucial to examine the outcomes of normal birthweight deliveries in local community hospitals.
Evidence of particular health benefit in children is now emerging, including reductions in low birthweight deliveries, preterm birth and asthma exacerbations.
Recent trends in developed nations indicate a possible increase in the proportion of low birthweight deliveries in contrast to decades of improvement [ 7].
The financial burden of managing preterm, low birthweight deliveries in developing countries can be prohibitive compared with the cost of preventing these poor outcomes.
These low uptakes and prevailing use of herbal remedies may have contributed to the high preterm and low birthweight deliveries demonstrated in this study.
Stronger associations between maternal migraine status and risk of low birthweight deliveries (aOR = 1.84; 95% CI 0.90-3.77) wereportedted from a study of Italian women [ 26].
The issue of whether high-technology hospitals provide better quality of care for normal birthweight deliveries than small maternity units has been examined extensively; however, the literature shows conflicting results regarding the outcome of normal birthweight infants in local community hospitals [ 7- 15].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com