Behavioral Influences on Preterm Birth: A Review

Savitz, David A.; Murnane, Pamela

doi:10.1097/ede.0b013e3181d3ca63

Cited by 97Preterm Birth and ChorioamnionitisPrenatal Substance Exposure EffectsInfant Development and Preterm Care

Behavioral Influences on Preterm Birth: A Review

Savitz, David A., Murnane, Pamela·2010·Epidemiology

DOI 10.1097/ede.0b013e3181d3ca63

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Abstract

Epidemiologic studies of potential behavioral influences on preterm birth have proliferated and yet, with the exception of tobacco smoking, none can be considered an established cause. We conducted a comprehensive summary of the epidemiologic evidence on tobacco, alcohol, and illicit drug use, and physical, sexual, and occupational activity, to identify promising research directions, as well as research topics that are at an impasse based on currently available methods. Tobacco use is weakly but consistently associated with preterm birth-stronger for heavier smoking, and for spontaneous preterm birth and earlier preterm births. Weaker evidence suggests an adverse effect of environmental tobacco smoke, heavy alcohol or cocaine use, and physically strenuous work. Low levels of alcohol use, caffeine, sexual activity, and employment have generally not been found to be associated with preterm birth, and leisure-time physical activity has generated mixed results. Progress will require more detailed consideration of antecedents, new technologies for assessing exposure, and examination of biologic consequences of the behaviors of interest, focusing on pathways thought to mediate preterm delivery. New strategies-rather than more applications of the same approaches used in past studies-will move the research toward identifying causal relationships and, ultimately, may suggest preventive measures.

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The association of these factors with preterm delivery has been inconsistent and controversial.
“Nevertheless, the association of these factors with preterm delivery has been inconsistent and controversial23.”
From Triggers of Spontaneous Preterm Delivery – Why Today? (2014) · cites this paper as [23]

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Untitled work
D’Agostino (1998) · doi:10.1002/(sici)1097-0258(19981015)17:19

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Exercise and pregnancy in recreational and elite athletes: 2016/2017 evidence summary from the IOC expert group meeting, Lausanne. Part 5. Recommendations for health professionals and active women
Bø, K., Artal, R., Barakat, R., Brown, W. J., Davies, G. A. L., Dooley, M., Evenson, K. R., Haakstad, L. A. H., Kayser, B., Kinnunen, T. I., et al. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-099351 · Cited by 133 · see citing works
Association Between Preterm Delivery and Pre-pregnancy Body Mass (BMI), Exercise and Sleep During Pregnancy Among Working Women in Southern California
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Triggers of Spontaneous Preterm Delivery – Why Today?
Hernández‐Díaz, S., Boeke, C. E., Romans, A. T., Young, B., Margulis, A. V., McElrath, T. F., Ecker, J. L., & Bateman, B. T. (2014) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12105 · Cited by 25 · see citing works

Authors: Savitz, D. A., & Murnane, P.
Affiliations: Icahn School of Medicine at Mount Sinai (US)
Columbia University (US)
Corresponding author: Savitz, David A.
ORCID: Savitz, David A.
Murnane, Pamela
Venue: Epidemiology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-05
Volume: 21
Issue: 3
Pages: 291-299
ISSN: 1044-3983 (ISSN-L)
DOI: 10.1097/ede.0b013e3181d3ca63
OpenAlex: W2050144709
Cited by: 97
References: 110
Citations by year: 2026: 4 · 2025: 2 · 2024: 4 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 5 · 2016: 11 · 2015: 10 · 2014: 6 · 2013: 5 · 2012: 12
FWCI: 0.98
Type: journal article
Language: en
Open access: closed
Locations: Epidemiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords: preterm birth, smoking, environmental tobacco smoke, alcohol consumption, cocaine use, illicit drug use, caffeine, physical activity, sexual activity, occupational activity, exposure assessment, causal pathways, preterm birth prevention
MeSH terms: Female, Humans, Pregnancy, Smoking, Health Behavior, Exercise, Substance-Related Disorders, Premature Birth

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Behavioral Influences on Preterm Birth: A Review

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