Acute Associations Between Outdoor Temperature and Premature Rupture of Membranes

Epidemiology
Sandie HaPauline Mendola

Abstract

Extreme ambient temperatures have been linked to preterm birth. Preterm premature rupture of membranes is a common precursor to preterm birth but is rarely studied in relation to temperature. We linked 15,381 singleton pregnancies with premature rupture of membranes from a nationwide US obstetrics cohort (2002-2008) to local temperature. Case-crossover analyses compared daily temperature during the week preceding delivery and the day of delivery to 2 control periods, before and after the case period. Conditional logistic regression models calculated the odds ratio (OR) and 95% confidence intervals (CIs) of preterm and term premature rupture of membranes for a 1°C increase in temperature during the warm (May-September) and cold (October-April) season separately after adjusting for humidity, barometric pressure, ozone, and particulate matter. During the warm season, 1°C increase during the week before delivery was associated with a 5% (95% CI, 3%, 6%) increased preterm premature rupture of membranes risk, and a 4% (95% CI, 3%, 5%) increased term premature rupture of membranes risk. During the cold season, 1°C increase was associated with a 2% decreased risk for both preterm (95% CI, 1%, 3%) and term premature rupture of membranes...Continue Reading

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Citations

Jun 18, 2020·Frontiers in Physiology·Sean M HarrisRita Loch-Caruso
Oct 21, 2020·Environmental Science and Pollution Research International·Peng ChengJiahu Hao
May 6, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Frédéric BlavierLeonardo Gucciardo
Jul 13, 2021·International Journal of Climatology : a Journal of the Royal Meteorological Society·Iván Gutiérrez-AvilaAllan C Just
Jul 15, 2021·International Journal of Environmental Health Research·Bozhen LiZhaohan Wang

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