RESUMEN
BACKGROUND: The relationship between periodontal disease (PD) and adverse pregnancy outcomes remain unclear. The authors' objective was to assess the risk of adverse pregnancy outcomes in Jordanian women with periodontal disease compared to those without. MATERIALS AND METHODS: Between April 2009 and June 2010, 277 pregnant women with no systemic diseases at gestational age < 20 weeks were enrolled in the study. Dental and oral health examination was performed at enrollment after demographic, medical, and obstetrical information were recorded. Pregnancy outcomes were obtained by phone contact and review of medical records. RESULTS: The incidence of periodontal disease in the pregnant women enrolled was 31%. Women with PD were at higher risk for developing preeclampsia (PE), preterm birth (PB), and low birth weight (LBW). The rate of PE in women with PD was 18.6% compared to 7.3% in the control group (p = 0.005) (OR = 2.7, 95% CI: 1.2, 6.0). The OR for PB was (4.4, 95% CI: 1.7, 11.7) and for LBW was (3.5, 95% CI: 1.6, 7.5). CONCLUSIONS: PD is associated with increased risk of PE, PB, and LBW in healthy Jordanian women.
Asunto(s)
Enfermedades Periodontales/epidemiología , Resultado del Embarazo , Adolescente , Adulto , Estudios de Cohortes , Femenino , Humanos , Jordania/epidemiología , Persona de Mediana Edad , Salud Bucal , Periodontitis/epidemiología , Preeclampsia/epidemiología , Embarazo , Nacimiento Prematuro/epidemiología , Adulto JovenRESUMEN
We evaluated maternal complications in relation to number of previous caesarean sections in Princess Badea Teaching Hospital, Irbid, Jordan. Analysis of the medical records of 1739 patients delivered by caesarean section was conducted. It revealed a 14-fold increase in the risk of caesarean hysterectomy in patients with placenta praevia and previous caesarean section compared to patients with placenta praevia and no previous caesarean section. The risk of caesarean hysterectomy increased with increasing number of previous caesarean sections. Those with 3 or more previous caesarean sections were at significantly higher risk of blood transfusion. Post-operative pyrexia was commoner in women with 3 or more previous caesarean sections compared to those undergoing their first one.
Asunto(s)
Cesárea/efectos adversos , Resultado del Embarazo/epidemiología , Trastornos Puerperales , Transfusión Sanguínea/estadística & datos numéricos , Cesárea Repetida/efectos adversos , Femenino , Fiebre/epidemiología , Fiebre/etiología , Edad Gestacional , Hospitales de Enseñanza , Humanos , Histerectomía/estadística & datos numéricos , Jordania/epidemiología , Edad Materna , Mortalidad Materna , Paridad , Placenta Previa/epidemiología , Placenta Previa/etiología , Embarazo , Embarazo de Alto Riesgo , Trastornos Puerperales/epidemiología , Trastornos Puerperales/etiología , Estudios Retrospectivos , Factores de Riesgo , Esterilización Tubaria/estadística & datos numéricos , Dehiscencia de la Herida Operatoria/epidemiología , Dehiscencia de la Herida Operatoria/etiología , Infección de la Herida Quirúrgica/epidemiología , Infección de la Herida Quirúrgica/etiología , Rotura Uterina/epidemiología , Rotura Uterina/etiologíaRESUMEN
We investigated the complication rates of repeat caesarean deliveries in 3 hospitals (national health, military, university) in Irbid by examining the obstetric records of 989 women from 1 December 1999 to 30 March 2004. There was a statistically significant difference between the number of previous caesarean sections and hospital. In total, 579 (58.5%) patients underwent elective caesarean section. There were statistically significant differences between hospitals for "failure to progress in labour" and "other" indications for caesarean section. After adjusting for the number of caesarean sections, regression analysis revealed that women from the military and university hospitals were more likely to have placenta praevia. There were no statistically significant differences between hospitals as regards post-operative complications.