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• W1970173996 abstract "he study by Bublitz et al describes a surprisingly strong T crude odds ratio of 3.82 between experiencing adoption or foster care placement before the age of 18 years and the risk of delivering a preterm infant at <37 completed weeks of gestation. This relationship demonstrates positive confounding after adjustment for sociodemographic, psychosocial, health behavioral, and biomedical conditions with a fully adjusted odds ratio of 4.22 (adjusted odds ratio, 4.22; 95% confidence interval, 1.17e15.29). If this relationship can be confirmed in other studies and in different populations, this finding may provide evidence in support of one or more mechanisms that lead to preterm birth. However, although this retrospective study appears to be conceptually sound with statistically significant results, the number of participants was quite small. Three hundred two low-income, but otherwise apparently low-risk women, oversampled for depression and smoking, whose data was drawn from 2 previous studies of maternal mood and behavior and fetal and infant development, were included in the present analysis. Overall, 39 women (13%) had a history of adoption or foster care placement, and 26 women (9%) had a preterm birth. Six percent of the women (n 1⁄4 16) without a history of placement (n 1⁄4 263) delivered preterm infants, compared with 18% of those women (n 1⁄4 7) with a history of adoption or placement (n 1⁄4 39). Confirmation of these results in other populations with larger sample sizes is crucial. Additionally, little information is provided in this study to help understand the obstetric outcome. Specifically, no information is provided regarding the gestational age or birthweight distribution of the preterm births in women with and without placement history or whether the preterm births were spontaneous or indicated or which obstetric conditions, if any, were associated with the preterm births. Any further study of this issue should define clearly the preterm outcomes by gestational age, by birthweight, by whether the preterm births were indicated or spontaneous, and by likely cause." @default.
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• W1970173996 date "2014-10-01" @default.
• W1970173996 modified "2023-09-26" @default.
• W1970173996 title "Adoption and foster care placement as a risk factor for preterm birth" @default.
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• W1970173996 doi "https://doi.org/10.1016/j.ajog.2014.04.022" @default.
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