Dear Friends:
J Asthma. 2000;37(7):589-94. Related Articles, Links
Obstetric complications and asthma in childhood.
Xu B, Pekkanen J, Jarvelin MR.
Unit of Environmental Epidemiology, National Public Health Institute, Kuopio,
Finland. [log in to unmask]
Studies have shown that perinatal factors are associated with childhood
asthma. The current analyses examined the association between obstetric
complications and risk of asthma at the age of 7 years using a prospectively
population-based birth cohort in northern Finland. Results indicated that obstetric
complications were associated with a higher risk of asthma among children. Those
children who were administered special procedures at birth, i.e., cesarean
section, vacuum extraction, and other procedures, including use of forceps, manual
auxiliary, and extraction breech, had an adjusted odds ratio (OR) for asthma of
1.38 (95% confidence interval [CI] 1.00-1.92), 1.32 (95% CI 0.80-2.19), and
2.14 (95% CI 1.06-4.33), respectively, as compared to children who were
delivered normally. Children who had a lower Apgar score at the first and the fifth
minute after birth also had a higher risk as compared to those who had an Apgar
score of 9-10. The results encourage further evaluation of the association
between obstetric complications and risk of asthma among children in other
populations, and further exploration of possible mechanisms underlying the
association.
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
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