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Substance-related diagnosis type predicts the likelihood and co-occurrence of preterm and cesarean delivery

Substance-related diagnosis type predicts the likelihood and co-occurrence of preterm and... Abstract Objective: This article aimed to evaluate whether a substance-related diagnosis (SRD; i.e., alcohol, opioids, cannabis, stimulants, nicotine) predicts the likelihood and co-occurrence of preterm (20–37 weeks’ gestation) and cesarean delivery. Methods: This study reviewed electronic health record data on women (aged 18–44 years) who delivered a single live or stillbirth at ≥ 20 weeks of gestation from 2012 to 2019. Women with and without an SRD were matched on key demographic characteristics at a 1:1 ratio. Adjusting for covariates, odds ratios and 95% confidence intervals were calculated. Results: Of the 19,346 deliveries, a matched cohort of 2,158 deliveries was identified. Of these, 1,079 (50%) had an SRD, 280 (13%) had a preterm delivery, 833 (39%) had a cesarean delivery, and 166 (8%) had a co-occurring preterm and cesarean delivery. An SRD was significantly associated with preterm and cesarean delivery (AOR = 1.84 [95% CI, 1.41–2.39], p-value= <0.0001; AOR = 1.51 [95% CI, 1.23–1.85], p-value= <0.0001). An alcohol-related diagnosis (AOR = 1.82 [95% CI, 1.01–3.28], p-value= 0.0471), opioid-related diagnosis (AOR = 1.94 [95% CI, 1.26–2.98], p-value= 0.0027), stimulant-related diagnosis (AOR = 1.65 [95% CI, 1.11–2.45], p-value= 0.0142), and nicotine-related diagnosis (AOR = 1.54 [95% CI, 1.05–2.26], p-value= 0.0278) were associated with co-occurring preterm and cesarean delivery. Conclusions: Pregnant women with an SRD experienced disproportionally higher odds of preterm and cesarean delivery compared to pregnant women without an SRD. Substance-type predicts the type of delivery outcome. An SRD in pregnant women should be identified early to reduce potential harm through intervention and treatment. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Addictive Diseases Taylor & Francis

Substance-related diagnosis type predicts the likelihood and co-occurrence of preterm and cesarean delivery

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References (40)

Publisher
Taylor & Francis
Copyright
© 2022 Taylor & Francis Group, LLC
ISSN
1545-0848
eISSN
1055-0887
DOI
10.1080/10550887.2022.2082834
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: This article aimed to evaluate whether a substance-related diagnosis (SRD; i.e., alcohol, opioids, cannabis, stimulants, nicotine) predicts the likelihood and co-occurrence of preterm (20–37 weeks’ gestation) and cesarean delivery. Methods: This study reviewed electronic health record data on women (aged 18–44 years) who delivered a single live or stillbirth at ≥ 20 weeks of gestation from 2012 to 2019. Women with and without an SRD were matched on key demographic characteristics at a 1:1 ratio. Adjusting for covariates, odds ratios and 95% confidence intervals were calculated. Results: Of the 19,346 deliveries, a matched cohort of 2,158 deliveries was identified. Of these, 1,079 (50%) had an SRD, 280 (13%) had a preterm delivery, 833 (39%) had a cesarean delivery, and 166 (8%) had a co-occurring preterm and cesarean delivery. An SRD was significantly associated with preterm and cesarean delivery (AOR = 1.84 [95% CI, 1.41–2.39], p-value= <0.0001; AOR = 1.51 [95% CI, 1.23–1.85], p-value= <0.0001). An alcohol-related diagnosis (AOR = 1.82 [95% CI, 1.01–3.28], p-value= 0.0471), opioid-related diagnosis (AOR = 1.94 [95% CI, 1.26–2.98], p-value= 0.0027), stimulant-related diagnosis (AOR = 1.65 [95% CI, 1.11–2.45], p-value= 0.0142), and nicotine-related diagnosis (AOR = 1.54 [95% CI, 1.05–2.26], p-value= 0.0278) were associated with co-occurring preterm and cesarean delivery. Conclusions: Pregnant women with an SRD experienced disproportionally higher odds of preterm and cesarean delivery compared to pregnant women without an SRD. Substance-type predicts the type of delivery outcome. An SRD in pregnant women should be identified early to reduce potential harm through intervention and treatment.

Journal

Journal of Addictive Diseases – Taylor & Francis

Published: Apr 3, 2023

Keywords: Substance use; pregnancy; preterm delivery; cesarean delivery; electronic health record data

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