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. 2020 Sep 23;114(6):1242–1249. doi: 10.1016/j.fertnstert.2020.09.153

Table 2.

Risk of maternal and paternal preconception exposure (up to 3 months before conception) on preterm birth and pregnancy loss.

Diagnosis All pregnancies (n = 999,866) Full term (n = 734,050) PTB (n = 51,759) Pregnancy loss (n = 214,057) SAB TAB PTB vs. full term
Pregnancy loss vs. LB
RR (95% CI) E value (CI)a RR (95% CI) E value (CI)a
Sepsis
 Female 308 192 (62.3) 25 (8.1) 91 (29.6) 62 (20.1) 17 (5.5) 1.61 (1.02–2.54) 2.6 (1.16) 1.38 (1.07–1.78) 2.1 (1.34)
 Male 315 196 (62.2) 19 (6.0) 100 (31.8) 67 (21.3) 21 (6.7) 1.24 (0.75–2.05) 1.79 (1.0) 1.55 (1.22–1.98) 2.47 (1.74)
Critical respiratory illnessb
 Female 920 586 (63.7) 59 (6.4) 275 (29.9) 167 (18.2) 63 (6.9) 1.26 (0.95–1.67) 1.83 (1.0) 1.31 (1.13–1.53) 1.95 (1.51)
 Male 1,142 769 (67.3) 71 (6.2) 302 (26.4) 196 (17.2) 56 (4.9) 1.20 (0.93–1.54) 1.69 (1.0) 1.13 (0.99–1.30) 1.51 (1.0)
Hypotension/shock
 Female 489 320 (65.4) 35 (7.2) 134 (27.4) 89 (18.2) 24 (4.9) 1.43 (0.97–2.09) 2.21 (1.0) 1.31 (1.07–1.61) 1.95 (1.34)
 Male 358 243 (67.9) 17 (4.8) 98 (27.4) 64 (17.9) 22 (6.2) 0.92 (0.56–1.50) 1.39 (1.0) 1.31 (1.04–1.65) 1.95 (1.24)
Critical care evaluation
 Female 675 383 (56.7) 42 (6.2) 250 (37.0) 139 (20.6) 50 (7.4) 1.38 (0.99–1.92) 2.1 (1.0) 1.99 (1.69–2.34) 3.39 (2.77)
 Male 714 436 (61.1) 44 (6.2) 234 (32.8) 139 (19.5) 59 (8.3) 1.30 (0.92–1.84) 1.92 (1.0) 1.67 (1.43–1.96) 2.73 (2.21)
Influenza
 Female 4,135 3,041 (73.5) 199 (4.8) 895 (21.6) 604 (14.6) 167 (4.0) 0.90 (0.78–1.05) 1.46 (1.0) 1.05 (0.97–1.13) 1.28 (1.0)
 Male 4,460 3,317 (74.4) 195 (4.4) 948 (21.3) 656 (14.7) 156 (3.5) 0.82 (0.70–0.95) 1.74 (1.29) 1.03 (0.96–1.11) 1.21 (1.0)

Note: Results are presented as n (%) unless otherwise specified. Percentages may not add up to 100% owing to rounding. RRs adjusted for year of birth, maternal age, region of birth, and maternal factors including obesity, diabetes mellitus, hypertension, hyperlipidemia, and smoking. CI = confidence interval; RR = risk ratio; LB = live birth; PTB = preterm birth; RR = risk ratio; SAB = spontaneous abortion, TAB = therapeutic abortion.

a

E values estimate the minimum strength of association on the risk ratio scale that an unmeasured confounder would need to have with both the exposure and the outcome to fully explain away a specific exposure-outcome association. The lowest possible E value is 1, meaning that no unmeasured confounding would explain the association.

b

Acute respiratory failure, acute respiratory distress syndrome, acute on chronic respiratory failure.