Abstract
STUDY OBJECTIVE—To identify variables available in early Swedish delivery records and their relation to birth outcomes for home and hospital deliveries in Gothenburg at the early part of this century. DESIGN—A retrospective recovery of original delivery records and social variables in a cross sectional population. SETTING—Gothenburg, Sweden. PARTICIPANTS—851 fullterm singleton female births with known gestational age born into five birth cohorts on selected dates (1908, 1914, 1918, 1922 and 1930). MAIN RESULTS—Delivery site, maternal parity, gestational age, and social group were significant factors influencing birth outcome as birth weight and length. The mean birth weight and length of hospital born infants was consistently lower than for home deliveries across all cohorts. Site of delivery changed significantly during the period of births under study, 1908-1930. CONCLUSIONS—In this study, which was based on original delivery records from the early part of this century, it was found that delivery site was an important factor influencing birth outcome across five birth cohorts. Utilisation of delivery services changed during the period of study. Thus, to avoid selection bias, the application of delivery records should reflect the birthing practice of the time period in question. Keywords: sociodemographic; birth weight; birth length; delivery site
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- Barker D. J., Godfrey K. M., Osmond C., Bull A. The relation of fetal length, ponderal index and head circumference to blood pressure and the risk of hypertension in adult life. Paediatr Perinat Epidemiol. 1992 Jan;6(1):35–44. doi: 10.1111/j.1365-3016.1992.tb00741.x. [DOI] [PubMed] [Google Scholar]
- Barker D. J., Hales C. N., Fall C. H., Osmond C., Phipps K., Clark P. M. Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth. Diabetologia. 1993 Jan;36(1):62–67. doi: 10.1007/BF00399095. [DOI] [PubMed] [Google Scholar]
- Barker D. J., Osmond C., Simmonds S. J., Wield G. A. The relation of small head circumference and thinness at birth to death from cardiovascular disease in adult life. BMJ. 1993 Feb 13;306(6875):422–426. doi: 10.1136/bmj.306.6875.422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barker D. J. The fetal origins of coronary heart disease. Acta Paediatr Suppl. 1997 Jul;422:78–82. doi: 10.1111/j.1651-2227.1997.tb18351.x. [DOI] [PubMed] [Google Scholar]
- Bengtsson C., Ahlqwist M., Andersson K., Björkelund C., Lissner L., Söderström M. The Prospective Population Study of Women in Gothenburg, Sweden, 1968-69 to 1992-93. A 24-year follow-up study with special reference to participation, representativeness, and mortality. Scand J Prim Health Care. 1997 Dec;15(4):214–219. doi: 10.3109/02813439709035031. [DOI] [PubMed] [Google Scholar]
- Bengtsson C., Blohmé G., Hallberg L., Hällström T., Isaksson B., Korsan-Bengtsen K., Rybo G., Tibblin E., Tibblin G., Westerberg H. The study of women in Gothenburg 1968-1969--a population study. General design, purpose and sampling results. Acta Med Scand. 1973 Apr;193(4):311–318. doi: 10.1111/j.0954-6820.1973.tb10583.x. [DOI] [PubMed] [Google Scholar]
- Bengtsson C., Gredmark T., Hallberg L., Hällström T., Isaksson B., Lapidus L., Lindquist O., Lindstedt S., Lurie M., Nyström E. The population study of women in Gothenburg 1980-81--the third phase of a longitudinal study. Comparison between participants and non-participants. Scand J Soc Med. 1989;17(2):141–145. doi: 10.1177/140349488901700203. [DOI] [PubMed] [Google Scholar]
- Bengtsson C., Hallberg L., Hällström T., Hultborn A., Isaksson B., Lennartsson J., Lindquist O., Lindstedt S., Noppa H., Redvall L. The population study of women in Göteborg 1974--1975--the second phase of a longitudinal study. General design, purpose and sampling results. Scand J Soc Med. 1978;6(2):49–54. doi: 10.1177/140349487800600201. [DOI] [PubMed] [Google Scholar]
- Bland J. M., Altman D. G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307–310. [PubMed] [Google Scholar]
- Ekbom A., Trichopoulos D., Adami H. O., Hsieh C. C., Lan S. J. Evidence of prenatal influences on breast cancer risk. Lancet. 1992 Oct 24;340(8826):1015–1018. doi: 10.1016/0140-6736(92)93019-j. [DOI] [PubMed] [Google Scholar]
- Elford J., Whincup P., Shaper A. G. Early life experience and adult cardiovascular disease: longitudinal and case-control studies. Int J Epidemiol. 1991 Dec;20(4):833–844. doi: 10.1093/ije/20.4.833. [DOI] [PubMed] [Google Scholar]
- Ericson A., Eriksson M., Källén B., Zetterström R. Socio-economic variables and pregnancy outcome. Birthweight in singletons. Acta Paediatr Scand Suppl. 1989;360:48–55. doi: 10.1111/j.1651-2227.1989.tb11282.x. [DOI] [PubMed] [Google Scholar]
- Eriksson M., Cnattingius S., Svärdsudd K., Tibblin G. Factors associated with birth weight in Sweden: the study of men born in 1913. J Epidemiol Community Health. 1997 Feb;51(1):19–23. doi: 10.1136/jech.51.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Frankel S., Elwood P., Sweetnam P., Yarnell J., Smith G. D. Birthweight, body-mass index in middle age, and incident coronary heart disease. Lancet. 1996 Nov 30;348(9040):1478–1480. doi: 10.1016/S0140-6736(96)03482-4. [DOI] [PubMed] [Google Scholar]
- Joseph K. S., Kramer M. S. Review of the evidence on fetal and early childhood antecedents of adult chronic disease. Epidemiol Rev. 1996;18(2):158–174. doi: 10.1093/oxfordjournals.epirev.a017923. [DOI] [PubMed] [Google Scholar]
- Koupilová I., Leon D. A., McKeigue P. M., Lithell H. O. Is the effect of low birth weight on cardiovascular mortality mediated through high blood pressure? J Hypertens. 1999 Jan;17(1):19–25. doi: 10.1097/00004872-199917010-00004. [DOI] [PubMed] [Google Scholar]
- Launer L. J., Hofman A., Grobbee D. E. Relation between birth weight and blood pressure: longitudinal study of infants and children. BMJ. 1993 Dec 4;307(6917):1451–1454. doi: 10.1136/bmj.307.6917.1451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Law C. M., Shiell A. W. Is blood pressure inversely related to birth weight? The strength of evidence from a systematic review of the literature. J Hypertens. 1996 Aug;14(8):935–941. [PubMed] [Google Scholar]
- Leon D. A., Lithell H. O., Vâgerö D., Koupilová I., Mohsen R., Berglund L., Lithell U. B., McKeigue P. M. Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15 000 Swedish men and women born 1915-29. BMJ. 1998 Jul 25;317(7153):241–245. doi: 10.1136/bmj.317.7153.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lithell H. O., McKeigue P. M., Berglund L., Mohsen R., Lithell U. B., Leon D. A. Relation of size at birth to non-insulin dependent diabetes and insulin concentrations in men aged 50-60 years. BMJ. 1996 Feb 17;312(7028):406–410. doi: 10.1136/bmj.312.7028.406. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Michels K. B., Trichopoulos D., Robins J. M., Rosner B. A., Manson J. E., Hunter D. J., Colditz G. A., Hankinson S. E., Speizer F. E., Willett W. C. Birthweight as a risk factor for breast cancer. Lancet. 1996 Dec 7;348(9041):1542–1546. doi: 10.1016/S0140-6736(96)03102-9. [DOI] [PubMed] [Google Scholar]
- Paneth N., Susser M. Early origin of coronary heart disease (the "Barker hypothesis") BMJ. 1995 Feb 18;310(6977):411–412. doi: 10.1136/bmj.310.6977.411. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rich-Edwards J. W., Colditz G. A., Stampfer M. J., Willett W. C., Gillman M. W., Hennekens C. H., Speizer F. E., Manson J. E. Birthweight and the risk for type 2 diabetes mellitus in adult women. Ann Intern Med. 1999 Feb 16;130(4 Pt 1):278–284. doi: 10.7326/0003-4819-130-4_part_1-199902160-00005. [DOI] [PubMed] [Google Scholar]
- Rich-Edwards J. W., Stampfer M. J., Manson J. E., Rosner B., Hankinson S. E., Colditz G. A., Willett W. C., Hennekens C. H. Birth weight and risk of cardiovascular disease in a cohort of women followed up since 1976. BMJ. 1997 Aug 16;315(7105):396–400. doi: 10.1136/bmj.315.7105.396. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sanderson M., Williams M. A., Malone K. E., Stanford J. L., Emanuel I., White E., Daling J. R. Perinatal factors and risk of breast cancer. Epidemiology. 1996 Jan;7(1):34–37. doi: 10.1097/00001648-199601000-00007. [DOI] [PubMed] [Google Scholar]
- Seidman D. S., Ever-Hadani P., Stevenson D. K., Slater P. E., Harlap S., Gale R. Birth order and birth weight reexamined. Obstet Gynecol. 1988 Aug;72(2):158–162. [PubMed] [Google Scholar]
- Siewert-Delle A., Ljungman S. The impact of birth weight and gestational age on blood pressure in adult life: a population-based study of 49-year-old men. Am J Hypertens. 1998 Aug;11(8 Pt 1):946–953. doi: 10.1016/s0895-7061(98)00090-9. [DOI] [PubMed] [Google Scholar]
- Tibblin G., Eriksson M., Cnattingius S., Ekbom A. High birthweight as a predictor of prostate cancer risk. Epidemiology. 1995 Jul;6(4):423–424. doi: 10.1097/00001648-199507000-00017. [DOI] [PubMed] [Google Scholar]
- Troy L. M., Michels K. B., Hunter D. J., Spiegelman D., Manson J. E., Colditz G. A., Stampfer M. J., Willett W. C. Self-reported birthweight and history of having been breastfed among younger women: an assessment of validity. Int J Epidemiol. 1996 Feb;25(1):122–127. doi: 10.1093/ije/25.1.122. [DOI] [PubMed] [Google Scholar]