Table 2: Associations between subjects with assisted reproductive technology and antepartum obstetrical and medical complications.
|
Obstetrical and
medical
complication
|
Rate per 100 of morbidity
unless otherwise specified
(no. of cases)
|
Crude odds
ratio (95%
confidence
interval)
|
P-value
|
Adjusted
odds ratio
(95%
confidence
interval)*
|
P-value
|
ART absent
(n=406,334)
|
ARTpresent
(n=551)
|
|
Preterm delivery
|
6.2 (25,152)
|
18.5 (102)
|
3.4 (2.8-4.3)
|
<.001
|
0.7 (0.7-1.2)
|
0.65
|
Gestational
diabetes
|
7.3 (29,603)
|
13.4 (74)
|
2.0 (1.5-2.5)
|
<.001
|
1.1 (0.8-1.4)
|
0.65
|
Urinary tract
infection
|
1.2 (4,680)
|
2.7 (15)
|
2.4 (1.4-.0)
|
.001
|
1.7 (1.0-2.9)
|
0.05
|
Gestational
hypertension
|
2.2 (8,871)
|
3.6 (20)
|
1.7 (1.1-2.6)
|
0.02
|
1.1 (0.7-1.7)
|
0.84
|
Mild Preeclampsia
|
1.9 (7,847)
|
5.3 (29)
|
2.8 (1.9-4.1)
|
<.001
|
1.5 (1.0-2.2)
|
0.04
|
Severe
preeclampsia
|
1.0 (4,172)
|
3.1 (17)
|
3.1 (1.9-5.0)
|
<.001
|
1.3 (0.8-2.1)
|
0.35
|
Abruption (cases
per 1,000)
|
9.1 (3,682)
|
30.9 (17)
|
3.5 (2.1-5.6)
|
<.001
|
2.4 (1.5-4.0)
|
<.001
|
Placenta previa (cases per 1,000) |
7.6 (3,106)
|
34.4 (19)
|
4.6 (2.9-7.3)
|
<.001
|
1.8 (1.1-2.9)
|
.02
|
Oligohydramnios |
2.7 (10,981)
|
4.2 (23)
|
1.6 (1.0-2.4)
|
0.03
|
1.5 (1.0-2.3)
|
0.06
|
Fetal growth
restriction
|
1.4 (5,560)
|
5.3 (29)
|
4.0 (2.8-5.8)
|
<.001
|
1.6 (1.1-2.3)
|
0.02
|
Chorioamnionitis |
1.9 (7,764)
|
3.1 (17)
|
1.6 (1.0-2.7)
|
0.04
|
1.7 (1.1-2.8)
|
0.03
|
Obstructed labor
|
3.0 (12,057)
|
8.0 (44)
|
2.8 (2.1-3.9)
|
<.001
|
1.7 (1.2-2.3)
|
<.001
|
Cesarean
delivery
|
31.7 (128,780)
|
54.8 (302)
|
2.6 (2.2-3.1)
|
<.001
|
1.2 (1.0-1.4)
|
.05
|
Manual placenta
extraction (per 1,000)
|
5.7 (2,305)
|
16.3 (9)
|
2.9 (1.5-5.6)
|
.001
|
2.1 (1.1-4.1)
|
.03
|
Postpartum
hemorrhage
|
2.4 (9,817)
|
6.4 (35)
|
2.7 (1.9-3.9)
|
<.001
|
1.8 (1.2-2.5) |
.002
|
* = adjusted for age, race/ethnicity, insurance type, year of delivery, chronic hypertension, diabetes,
obesity, thyroid disease, and multiple gestations (unless variable being adjusted for is outcome itself).
|