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Juárez Azpilcueta A, Rivera A, Islas L, Duran M, Tellez S. Abdomen agudo in utero, gastrosquisis etiológica y consumo de cocaína materna. Reporte de caso. CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA 2014. [DOI: 10.1016/j.gine.2010.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ortega-García JA, Soldin OP, Sánchez-Sauco MF, Cánovas-Conesa A, Gomaríz-Peñalver V, Jaimes-Vega DC, Perales JE, Cárceles-Alvarez A, Martínez-Ros MT, Ruiz D. Violence against women and gastroschisis: a case-control study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:5178-90. [PMID: 24142184 PMCID: PMC3823316 DOI: 10.3390/ijerph10105178] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/26/2013] [Revised: 09/29/2013] [Accepted: 09/29/2013] [Indexed: 11/16/2022]
Abstract
BACKGROUND Gastroschisis, a birth defect characterized by herniated fetal abdominal wall, occurs more commonly in infants born to teenage and young mothers. Ischemia of the vascular vitelline vessels is the likely mechanism of pathogenesis. Given that chronic stress and violence against women are risk factors for cardiovascular disease we explored whether these may represent risk factors for gastroschisis, when they occur during pregnancy. A case-control study was conducted, with 15 incident cases of children born with gastroschisis in the Region of Murcia, Spain, from December 2007 to June 2013. Forty concurrent controls were recruited at gestation weeks 20-24 or post-partum. All mothers of cases and controls completed a comprehensive, in-person, 'green sheet' questionnaire on environmental exposures. RESULTS Mothers of children with gastroschisis were younger, smoked more cigarettes per week relative to controls, were exposed to higher amounts of illegal drugs, and suffered from domestic violence more frequently than the controls. Multivariable logistic regression analysis highlights periconceptional 'gender-related violence' (OR: 16.6, 95% CI 2.7 to 101.7) and younger maternal age (OR 1.1, 95% CI 1.0-1.3). CONCLUSIONS Violence against pregnant women is associated with birth defects, and should be studied in more depth as a cause-effect teratogenic. Psychosocial risk factors, including gender-based violence, are important for insuring the health and safety of the pregnant mother and the fetus.
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Affiliation(s)
- Juan Antonio Ortega-García
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Offie P. Soldin
- Georgetown University Medical Center, Washington, DC 20007, USA; E-Mail:
| | - Miguel Felipe Sánchez-Sauco
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Alicia Cánovas-Conesa
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Virtudes Gomaríz-Peñalver
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Diana Carolina Jaimes-Vega
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Joseph E. Perales
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Alberto Cárceles-Alvarez
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
| | - Maria Teresa Martínez-Ros
- Direction of Healthcare System, Murcia Health Service, Regional Ministry of Health, Murcia, 30008, Spain; E-Mail:
| | - Daniel Ruiz
- Paediatric Environmental Health Speciality Unit, Department of Paediatrics, Hospital Clinic University Virgen of Arrixaca, Murcia, 30120, Spain; E-Mails: (M.F.S.-S.); (A.C.-C.); (V.G.-P.); (D.C.J.-V.); (J.E.P.); (A.C.-A.); (D.R.)
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Cánovas-Conesa A, Gomariz-Peñalver V, Sánchez-Sauco MF, Jaimes Vega DC, Ortega-García JA, Aranda García MJ, Delgado Marín JL, Trujillo Ascanio A, López Hernández F, Ruiz Jimenez JI, de Paco Matallana C, Soldin OP, Sánchez Solis M. [The association of adherence to a Mediterranean diet during early pregnancy and the risk of gastroschisis in the offspring]. CIRUGIA PEDIATRICA : ORGANO OFICIAL DE LA SOCIEDAD ESPANOLA DE CIRUGIA PEDIATRICA 2013; 26:37-43. [PMID: 23833926 PMCID: PMC5240468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVES The aim of this study was to study the association of adherence to the Mediterranean diet in early pregnancy maternal and the offspring's risk of gastroschisis. METHODS Case-control study. We describe 11 cases of gastroschisis in the region of Murcia from 2007 to 2012 and 34 concurrent controls. At the time of diagnosis each of the cases completed a validated Food Frequency Questionnaire (FFQ) consisting of 98 items on the periconceptional diet. Confounding factors: smoking, exposure to cannabis / marihuana, age of the parents, BMI, income and educational level. We conducted a descriptive and multivariate logistic regression statistical analysis. RESULTS Mothers of children with gastroschisis were younger (20.8 years, 95% CI 17.3 to 24.2) and their diet consisted of less caloric intake, saturated fat and monounsaturated fats and proteins than controls. The Odds Ratio (OR) in the multivariate model controlling for confounding factors: maternal age (year) 0.70 (95% CI 0.51 to 0.96), monounsaturated fatty acids (oleic acid, g) 0.79 (95% CI 0.65 to 0, 97) and vegetable intake (rations/week) 0.70 (95% CI 0.48 to 1.00). CONCLUSION A maternal diet rich in oleic acid and vegetable products may prevent vascular risk of onphalomesenteric arteries reducing the risk of gastroschisis.
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Affiliation(s)
- A Cánovas-Conesa
- Unidad de Salud Medioambiental Pediátrica, Hospital Universitario Virgen de la Arrixaca, Madrid-Cartagena, El Palmar
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