Epidemiology of maternal injuries during pregnancy in a population-based study, 1997-2005

Sarah C Tinker; Jennita Reefhuis; Ann M Dellinger; Denise J Jamieson; National Birth Defects Prevention Study

doi:10.1089/jwh.2010.2160

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Epidemiology of maternal injuries during pregnancy in a population-based study, 1997-2005

Journal article

Peer reviewed

Epidemiology of maternal injuries during pregnancy in a population-based study, 1997-2005

Sarah C Tinker, Jennita Reefhuis, Ann M Dellinger, Denise J Jamieson and National Birth Defects Prevention Study

Journal of women's health (Larchmont, N.Y. 2002), Vol.19(12), pp.2211-2218

12/2010

DOI: 10.1089/jwh.2010.2160

PMID: 21034174

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Abstract

Maternal injuries during pregnancy are common and can cause adverse pregnancy outcomes. We sought to describe factors related to injury during pregnancy. We analyzed data from the National Birth Defects Prevention Study (NBDPS), a population-based, case-control study of birth defects in 10 U.S. states. We estimated the proportion of control mothers, a random sample of mothers delivering infants without major birth defects in the study regions, who reported an injury during pregnancy. We assessed associations with maternal and paternal characteristics using logistic regression to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Between October 1997 and December 2005, 490 (7.4%) of 6609 mothers reported 527 injuries during pregnancy. Falls caused over half of reported injuries during pregnancy (51.6%), and 9.5% of reported injuries were intentionally inflicted. Mothers who reported an injury during pregnancy were more likely to be aged <18 years vs. 18-29 years (aOR 2.84, 95% CI 1.54-5.23) and less likely to be aged ≥30 years (aOR 0.67, 95% CI 0.51-0.89). They were more likely to use alcohol during pregnancy (aOR for nonbinge drinking 1.38, 95% CI 1.05-1.81), to smoke during pregnancy (aOR 1.37, 95% CI 1.02-1.85), to have epilepsy (aOR 3.31, 95% CI 1.48-7.38), and to be employed (aOR 1.44, 95% CI 1.08-1.93) than mothers who did not report an injury. We identified several factors associated with maternal injury during pregnancy, an important step in identifying women who may be at higher risk and in designing interventions to prevent injuries during pregnancy.

Pregnancy

Accidental Falls - statistics & numerical data

Adult

Case-Control Studies

Confidence Intervals

Female

Humans

Logistic Models

Mothers - statistics & numerical data

Odds Ratio

Pregnancy Complications - epidemiology

Pregnancy Outcome

Prenatal Exposure Delayed Effects - epidemiology

Risk Factors

United States - epidemiology

Violence - statistics & numerical data

Wounds and Injuries - epidemiology

Details

Title: Subtitle: Epidemiology of maternal injuries during pregnancy in a population-based study, 1997-2005
Creators: Sarah C Tinker - National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. zzu9@cdc.gov
Jennita Reefhuis
Ann M Dellinger
Denise J Jamieson
National Birth Defects Prevention Study
Contributors: Paul A Romitti (Contributor) - University of Iowa, Epidemiology
Resource Type: Journal article
Publication Details: Journal of women's health (Larchmont, N.Y. 2002), Vol.19(12), pp.2211-2218
DOI: 10.1089/jwh.2010.2160
PMID: 21034174
ISSN: 1540-9996
eISSN: 1931-843X
Language: English
Date published: 12/2010
Academic Unit: Epidemiology; Biostatistics; Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984213372502771

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