Reference population for international comparisons and time trend surveillance of preterm delivery proportions in three countries
2008

Comparing Preterm Delivery Rates in Scandinavia

Sample size: 2111014 publication 10 minutes Evidence: moderate

Author Information

Author(s): Morken Nils-Halvdan, Vogel Ida, Kallen Karin, Skjærven Rolv, Langhoff-Roos Jens, Kesmodel Ulrik Schiøler, Jacobsson Bo

Hypothesis

Does the baseline preterm delivery rate differ between populations?

Conclusion

Reference populations can facilitate overview and thereby explanations for changing preterm delivery rates.

Supporting Evidence

  • The total preterm delivery rate increased in Denmark and Norway but remained unchanged in Sweden.
  • The reference population model allows for better comparisons of preterm delivery rates over time.
  • Changes in maternal age, parity, and assisted reproduction were noted as factors influencing preterm delivery rates.

Takeaway

This study looked at preterm delivery rates in Sweden, Denmark, and Norway to see how they compare over time. It found that using a specific group of low-risk mothers helps understand these rates better.

Methodology

A population-based multinational comparative study analyzing live births and stillbirths from medical birth registers in Sweden, Denmark, and Norway from 1995 to 2004.

Potential Biases

Potential biases due to the exclusion of certain risk factors like smoking and the reliance on secondary data sources.

Limitations

The study could not account for smoking as a risk factor due to lack of registration in some countries.

Participant Demographics

The study focused on low-risk primiparous women aged 20-35 with singleton, spontaneously conceived pregnancies.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6874-8-16

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