Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study
Joint Authors
Almeida, Maria do Céu
Neves, Ana Raquel
Neves, Fabiane
Santos Silva, Isabel
Monteiro, Pitorra
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-26
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To determine the contribution of drug use during pregnancy to the route of delivery.
Methods.
A case-control study was conducted at a hospital in Coimbra, Portugal, between 2001 and 2014.
Drug-dependent pregnant women (n=236) were compared with a control group of low risk women (n=228) in terms of maternal characteristics, obstetric history, pregnancy complications, and labor details.
Factors that influenced the mode of delivery were determined.
Statistical analysis was performed with SPSS v.
23.0 (IBM Corp.).
p values < 0.05 were considered statistically significant.
Results.
Drug-dependent women presented a lower rate of cesarean delivery (18.2 versus 28.9%, p=0.006).
After adjusting for the factors that were significantly related to the mode of delivery, drug dependency influenced the rate of cesarean section (β=0.567; 95% CI = 0.328–0.980).
Within the drug-dependent group, the mode of delivery was significantly related to previous cesarean or vaginal delivery (p=0.008 and p<0.001, resp.) and fetal presentation (p<0.001), but not with the type of drug, route of administration, or substitution maintenance therapy.
Conclusions.
The drug-dependent group presented a significantly higher rate of vaginal delivery.
However, this was not associated with the behavioral factors analyzed.
We hypothesize that other social and psychological factors might explain this difference.
American Psychological Association (APA)
Neves, Ana Raquel& Neves, Fabiane& Santos Silva, Isabel& Almeida, Maria do Céu& Monteiro, Pitorra. 2017. Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study. Journal of Pregnancy،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1186026
Modern Language Association (MLA)
Neves, Ana Raquel…[et al.]. Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study. Journal of Pregnancy No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1186026
American Medical Association (AMA)
Neves, Ana Raquel& Neves, Fabiane& Santos Silva, Isabel& Almeida, Maria do Céu& Monteiro, Pitorra. Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study. Journal of Pregnancy. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1186026
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1186026