Maternal Baseline Characteristics and Perinatal Outcomes: The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study.


Journal

Journal of epidemiology
ISSN: 1349-9092
Titre abrégé: J Epidemiol
Pays: Japan
ID NLM: 9607688

Informations de publication

Date de publication:
05 02 2022
Historique:
pubmed: 13 10 2020
medline: 12 3 2022
entrez: 12 10 2020
Statut: ppublish

Résumé

The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study was launched in 2013 to evaluate the complex interactions of genetic and environmental factors in multifactorial diseases. The present study describes the maternal baseline profile and perinatal data of participating mothers and infants. Expectant mothers living in Miyagi Prefecture were recruited from obstetric facilities or affiliated centers between 2013 and 2017. Three sets of self-administered questionnaires were collected, and the medical records were reviewed to obtain precise information about each antenatal visit and each delivery. Biospecimens, including blood, urine, umbilical cord blood, and breast milk, were collected for the study biobank. The baseline maternal sociodemographic characteristics, results of screening tests, and obstetric outcomes were analyzed according to the maternal age group. A total of 23,406 pregnancies involving 23,730 fetuses resulted in 23,143 live births. Younger maternal participants had a tendency toward a higher incidence of threatened abortion and threatened premature labor, while older age groups exhibited a significantly higher rate of low lying placenta, placenta previa, gestational diabetes, and hypertensive disorders of pregnancy. The present study clearly shows the distribution of maternal baseline characteristics and the range of perinatal outcomes according to maternal age group. This cohort study can provide strategic information for creating breakthroughs in the pathophysiology of perinatal, developmental, and noncommunicable diseases by collaborative data visiting or sharing.

Sections du résumé

BACKGROUND
The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study was launched in 2013 to evaluate the complex interactions of genetic and environmental factors in multifactorial diseases. The present study describes the maternal baseline profile and perinatal data of participating mothers and infants.
METHODS
Expectant mothers living in Miyagi Prefecture were recruited from obstetric facilities or affiliated centers between 2013 and 2017. Three sets of self-administered questionnaires were collected, and the medical records were reviewed to obtain precise information about each antenatal visit and each delivery. Biospecimens, including blood, urine, umbilical cord blood, and breast milk, were collected for the study biobank. The baseline maternal sociodemographic characteristics, results of screening tests, and obstetric outcomes were analyzed according to the maternal age group.
RESULTS
A total of 23,406 pregnancies involving 23,730 fetuses resulted in 23,143 live births. Younger maternal participants had a tendency toward a higher incidence of threatened abortion and threatened premature labor, while older age groups exhibited a significantly higher rate of low lying placenta, placenta previa, gestational diabetes, and hypertensive disorders of pregnancy.
CONCLUSIONS
The present study clearly shows the distribution of maternal baseline characteristics and the range of perinatal outcomes according to maternal age group. This cohort study can provide strategic information for creating breakthroughs in the pathophysiology of perinatal, developmental, and noncommunicable diseases by collaborative data visiting or sharing.

Identifiants

pubmed: 33041318
doi: 10.2188/jea.JE20200338
pmc: PMC8761563
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

69-79

Auteurs

Junichi Sugawara (J)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.
Tohoku University Hospital.

Mami Ishikuro (M)

Tohoku Medical Megabank Organization, Tohoku University.

Taku Obara (T)

Tohoku Medical Megabank Organization, Tohoku University.

Tomomi Onuma (T)

Tohoku Medical Megabank Organization, Tohoku University.

Keiko Murakami (K)

Tohoku Medical Megabank Organization, Tohoku University.

Masahiro Kikuya (M)

Tohoku Medical Megabank Organization, Tohoku University.
School of Medicine, Teikyo University.

Fumihiko Ueno (F)

Tohoku Medical Megabank Organization, Tohoku University.

Aoi Noda (A)

Tohoku Medical Megabank Organization, Tohoku University.

Satoshi Mizuno (S)

Tohoku Medical Megabank Organization, Tohoku University.

Tomoko Kobayashi (T)

Tohoku Medical Megabank Organization, Tohoku University.

Yohei Hamanaka (Y)

Tohoku Medical Megabank Organization, Tohoku University.

Kichiya Suzuki (K)

Tohoku Medical Megabank Organization, Tohoku University.

Eiichi Kodama (E)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.
International Research Institute of Disaster Science, Tohoku University.

Naho Tsuchiya (N)

Tohoku Medical Megabank Organization, Tohoku University.

Akira Uruno (A)

Tohoku Medical Megabank Organization, Tohoku University.

Yoichi Suzuki (Y)

Tohoku Medical Megabank Organization, Tohoku University.
Ageo Central General Hospital.

Osamu Tanabe (O)

Tohoku Medical Megabank Organization, Tohoku University.
Radiation Effects Research Foundation.

Hideyasu Kiyomoto (H)

Tohoku Medical Megabank Organization, Tohoku University.

Akito Tsuboi (A)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Dentistry, Tohoku University.

Atsushi Shimizu (A)

Tohoku Medical Megabank Organization, Tohoku University.
Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University.

Seizo Koshiba (S)

Tohoku Medical Megabank Organization, Tohoku University.
The Advanced Research Center for Innovations in Next-Generation Medicine, Tohoku University.

Naoko Minegishi (N)

Tohoku Medical Megabank Organization, Tohoku University.

Soichi Ogishima (S)

Tohoku Medical Megabank Organization, Tohoku University.
The Advanced Research Center for Innovations in Next-Generation Medicine, Tohoku University.

Gen Tamiya (G)

Tohoku Medical Megabank Organization, Tohoku University.
Center for Advanced Intelligence Project, RIKEN.

Hirohito Metoki (H)

Tohoku Medical Megabank Organization, Tohoku University.
Faculty of Medicine, Tohoku Medical Pharmaceutical University.

Atsushi Hozawa (A)

Tohoku Medical Megabank Organization, Tohoku University.

Nobuo Fuse (N)

Tohoku Medical Megabank Organization, Tohoku University.

Kengo Kinoshita (K)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Information Sciences, Tohoku University.

Shigeo Kure (S)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.
Tohoku University Hospital.

Nobuo Yaegashi (N)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.
Tohoku University Hospital.

Shinichi Kuriyama (S)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.
International Research Institute of Disaster Science, Tohoku University.

Masayuki Yamamoto (M)

Tohoku Medical Megabank Organization, Tohoku University.
Graduate School of Medicine, Tohoku University.

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