Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study
Objective. To determine the contribution of drug use during pregnancy to the route of delivery. Methods. A case-control study was conducted at a hospital in Coimbra, Portugal, between 2001 and 2014. Drug-dependent pregnant women (n=236) were compared with a control group of low risk women (n=228) in...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2017/1630967 |
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| _version_ | 1849398163182452736 |
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| author | Ana Raquel Neves Fabiane Neves Isabel Santos Silva Maria do Céu Almeida Pitorra Monteiro |
| author_facet | Ana Raquel Neves Fabiane Neves Isabel Santos Silva Maria do Céu Almeida Pitorra Monteiro |
| author_sort | Ana Raquel Neves |
| collection | DOAJ |
| description | Objective. To determine the contribution of drug use during pregnancy to the route of delivery. Methods. A case-control study was conducted at a hospital in Coimbra, Portugal, between 2001 and 2014. Drug-dependent pregnant women (n=236) were compared with a control group of low risk women (n=228) in terms of maternal characteristics, obstetric history, pregnancy complications, and labor details. Factors that influenced the mode of delivery were determined. Statistical analysis was performed with SPSS v. 23.0 (IBM Corp.). p values < 0.05 were considered statistically significant. Results. Drug-dependent women presented a lower rate of cesarean delivery (18.2 versus 28.9%, p=0.006). After adjusting for the factors that were significantly related to the mode of delivery, drug dependency influenced the rate of cesarean section (β=0.567; 95% CI = 0.328–0.980). Within the drug-dependent group, the mode of delivery was significantly related to previous cesarean or vaginal delivery (p=0.008 and p<0.001, resp.) and fetal presentation (p<0.001), but not with the type of drug, route of administration, or substitution maintenance therapy. Conclusions. The drug-dependent group presented a significantly higher rate of vaginal delivery. However, this was not associated with the behavioral factors analyzed. We hypothesize that other social and psychological factors might explain this difference. |
| format | Article |
| id | doaj-art-9eee7b6be5894276b2b654435bf4fb2a |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-9eee7b6be5894276b2b654435bf4fb2a2025-08-20T03:38:43ZengWileyJournal of Pregnancy2090-27272090-27352017-01-01201710.1155/2017/16309671630967Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control StudyAna Raquel Neves0Fabiane Neves1Isabel Santos Silva2Maria do Céu Almeida3Pitorra Monteiro4Department of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalDepartment of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalDepartment of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalDepartment of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalDepartment of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalObjective. To determine the contribution of drug use during pregnancy to the route of delivery. Methods. A case-control study was conducted at a hospital in Coimbra, Portugal, between 2001 and 2014. Drug-dependent pregnant women (n=236) were compared with a control group of low risk women (n=228) in terms of maternal characteristics, obstetric history, pregnancy complications, and labor details. Factors that influenced the mode of delivery were determined. Statistical analysis was performed with SPSS v. 23.0 (IBM Corp.). p values < 0.05 were considered statistically significant. Results. Drug-dependent women presented a lower rate of cesarean delivery (18.2 versus 28.9%, p=0.006). After adjusting for the factors that were significantly related to the mode of delivery, drug dependency influenced the rate of cesarean section (β=0.567; 95% CI = 0.328–0.980). Within the drug-dependent group, the mode of delivery was significantly related to previous cesarean or vaginal delivery (p=0.008 and p<0.001, resp.) and fetal presentation (p<0.001), but not with the type of drug, route of administration, or substitution maintenance therapy. Conclusions. The drug-dependent group presented a significantly higher rate of vaginal delivery. However, this was not associated with the behavioral factors analyzed. We hypothesize that other social and psychological factors might explain this difference.http://dx.doi.org/10.1155/2017/1630967 |
| spellingShingle | Ana Raquel Neves Fabiane Neves Isabel Santos Silva Maria do Céu Almeida Pitorra Monteiro Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study Journal of Pregnancy |
| title | Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study |
| title_full | Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study |
| title_fullStr | Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study |
| title_full_unstemmed | Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study |
| title_short | Mode of Delivery in Drug-Dependent Pregnant Women: A Case Control Study |
| title_sort | mode of delivery in drug dependent pregnant women a case control study |
| url | http://dx.doi.org/10.1155/2017/1630967 |
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