Temporal changes in key maternal and fetal factors affecting birth outcomes: A 32-year population-based study in an industrial city
2008

Changes in Maternal and Fetal Factors Affecting Birth Outcomes Over 32 Years

Sample size: 97809 publication Evidence: high

Author Information

Author(s): Svetlana V Glinianaia, Judith Rankin, Tanja Pless-Mulloli, Mark S Pearce, Martin Charlton, Louise Parker

Primary Institution: Newcastle University

Hypothesis

What are the temporal changes in key maternal and fetal factors affecting birth outcomes in Newcastle upon Tyne over three decades?

Conclusion

Key maternal and fetal factors affecting birth outcomes changed significantly from 1961 to 1992.

Supporting Evidence

  • The average family size decreased due to fewer families with 3 or more children.
  • Maternal age trends showed a peak in teenage mothers in the mid-1970s.
  • Mean birthweight gradually increased from the mid-1970s.
  • The percentage of preterm births increased alongside caesarean sections among preterm births.

Takeaway

Over 32 years, things like mothers' ages and the weight of babies changed a lot, which can affect how babies are born.

Methodology

Descriptive analyses using data from a population-based birth record database for singleton births from 1961 to 1992.

Potential Biases

Potential bias in gestational age estimation due to varying methods over time.

Limitations

Lack of information on some important determinants of fetal weight such as maternal height and smoking.

Participant Demographics

Mothers resident in Newcastle upon Tyne, with a low percentage of ethnic minorities (about 2%).

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2393-8-39

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