Physical Exertion Immediately Prior to Placental Abruption: A Case-Crossover Study
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Autor
Chahal, Harpreet SGelaye, Bizu
Mostofsky, Elizabeth
Sanchez, Sixto E
Mittleman, Murray A
Maclure, Malcolm
Pacora, Percy
Torres, Jose A
Romero, Roberto
Ananth, Cande V
Williams, Michelle A
Fecha de publicación
2018-10-01xmlui.metadata.dc.contributor.email
[email protected]
Metadatos
Mostrar el registro completo del ítemEditorial
Oxford University PressJournal
American Journal of EpidemiologyDOI
10.1093/aje/kwy138Enlaces adicionales
https://academic.oup.com/aje/article/187/10/2073/5050980Resumen
While there is consistent evidence that episodes of physical exertion are associated with an immediately higher risk of acute ischemic vascular events, the risk of placental abruption immediately following episodes of physical exertion has not been studied. In a multicenter case-crossover study, we interviewed 663 women with placental abruption at 7 Peruvian hospitals between January 2013 and August 2015. We asked women about physical exertion in the hour before symptom onset and compared this with their frequency of physical exertion over the prior week. Compared with times with light or no exertion, the risk of placental abruption was 7.8 (95% confidence interval (CI): 5.5, 11.0) times greater in the hour following moderate or heavy physical exertion. The instantaneous incidence rate ratio of placental abruption within an hour of moderate or heavy physical exertion was lower for women who habitually engaged in moderate or heavy physical activity more than 3 times per week in the year before pregnancy (rate ratio (RR) = 3.0, 95% CI: 1.6, 5.9) compared with more sedentary women (RR = 17.3, 95% CI: 11.3, 26.7; P for homogeneity < 0.001), and the rate ratio was higher among women with preeclampsia/eclampsia (RR = 13.6, 95% CI: 7.0, 26.2) than among women without (RR = 6.7, 95% CI: 4.4, 10.0; P for homogeneity = 0.07).Tipo
info:eu-repo/semantics/articleDerechos
info:eu-repo/semantics/embargoedAccessIdioma
engDescripción
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.ISSN
0002-92621476-6256
ae974a485f413a2113503eed53cd6c53
10.1093/aje/kwy138
Scopus Count
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