Women participating in a web-based preconception study have a high prevalence of risk factors for adverse pregnancy outcomes

BMC Pregnancy and Childbirth

Alberto E Tozzi¹  Pierpaolo Mastroiacovo²  Emanuela Carloni¹  Mariateresa Romano³  Francesco Gesualdo¹  Micaela Veronica Gonfiantini¹  Eleonora Agricola¹  Elisabetta Pandolfi¹ 

[1]Bambino Gesù Children’s Hospital IRCCS, Epidemiology Unit, Piazza S. Onofrio 4, 00165 Rome, Italy

[2]Alessandra Lisi International Centre on Birth Defects and Prematurity, Via Carlo Mirabello 14, 00192 Rome, Italy

[3]Departement of Onco-Ematology and Transplantation Medicine, Bambino Gesù Children’s Hospital IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy

关键词: Maternal-child health services;    Preconception care;    Prevalence;    Adverse pregnancy outcomes;   

Others  :  1127318
DOI  :  10.1186/1471-2393-14-169

 received in 2013-12-03, accepted in 2014-04-28,  发布年份 2014

【 摘 要 】

Background

Adverse pregnancy outcomes (APOs) can be increased by preconception risk factors and lifestyles.

We measured the prevalence of preconception risk factors for APOs in a population of Italian women of childbearing age enrolled in a web-based study.

Methods

Participants were enrolled through a web platform (http://www.mammainforma.it webcite). After enrollment, participants filled in a questionnaire regarding socio-demographic characteristics, clinical data and preconception risk factors for adverse pregnancy outcomes. Through logistic regression, we explored how the prevalence of risk factors was affected by age, education level, employment, parity, physician’s recommendation and knowledge of the specific risk factor.

Results

We enrolled a total of 728 women. Sixty-two percent had a University degree, 84% were employed and 77% were planning their first pregnancy.

Nearly 70% drank alcohol in any quantity; 16% were smokers; 6% was underweight; 21.4% was overweight; 51.6% did not assume folic acid; 22% was susceptible to rubella, 44.5% to hepatitis b and 13.2% to varicella.

According to the multivariate analysis, compared to women who already had at least one pregnancy, nulliparous women had a higher BMI [OR 1.60 (CI 1.02;2.48)] and were less likely to be susceptible to rubella [OR 0.33 (CI 0.20;0.58)] and to be consuming alcohol [OR 0.47 (CI 0.31;0.70)] or cigarettes [OR 0.48 (CI 0.26;0.90)].

Appropriate knowledge was associated with a correct behavior regarding smoking, drinking alcohol and folic acid supplementation.

Conclusions

This study shows that the prevalence of risk factors for APOs in our population is high.

Interventions aimed at reducing risk factors for APOs are needed and, to this purpose, a web intervention may represent a feasible tool to integrate tailored information and to inform preconception counseling targeting a specific group of women planning a pregnancy who are engaged on the web.

【 授权许可】

   
2014 Pandolfi et al.; licensee BioMed Central Ltd.

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