Walfisch, Asnat and Nikolovski, Sotir and Talevska, Biljana and Hallak, Mordechai (2013) Fetal growth restriction and maternal smoking in the Macedonian Roma population: a causality dilemma. Official Journal of the German Society for Gynecology and Obstetrics, 287 (6). ISSN 0932-0067
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Abstract
Abstract
Purpose Macedonia is one of the top five countries
globally in reported smoking rates. Over 10 % of the
population consists of the underprivileged Roma minority.
We aimed to determine whether Roma ethnicity is an
independent risk factor for adverse pregnancy outcome or
merely mediating maternal smoking.
Methods Maternal data were retrieved from the perinatal
computerized database for all deliveries during 2007–2011
at the only Clinical Hospital in Bitola, Macedonia. Multivariable
regression models were constructed to control for
confounders.
Results Of nearly 7,000 deliveries, 8.65 % were of
maternal Roma ethnicity and 40 % of the Romani women
admitted to regularly smoke during pregnancy. Both Roma
ethnicity and maternal smoking were significantly associated
with the absence of maternal education, history of
abortions and intra uterine growth restriction (IUGR) in the
univariate analysis. Both maternal Roma ethnicity (OR
2.46, 95 % CI 1.79–3.38) and smoking status (OR 1.37,
95 % CI 1.02–1.85) were found to be independent predictors
of IUGR using the multivariate analysis. Lower
birthweight and smaller head circumference were both
independently associated with Roma ethnicity and
smoking.
Conclusions Underprivileged ethnic background is a
significant risk factor for IUGR, independent of maternal
smoking status. To the best of our knowledge, this is the
first publication focusing on pregnancy outcome in Romani
Macedonian parturients.
| Item Type: | Article |
|---|---|
| Subjects: | Scientific Fields (Frascati) > Medical and Health Sciences > Other medical sciences |
| Divisions: | Higher Medical School |
| Depositing User: | Vms Eprints |
| Date Deposited: | 28 May 2020 18:19 |
| Last Modified: | 28 May 2020 18:19 |
| URI: | https://eprints.uklo.edu.mk/id/eprint/5340 |
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