Introduction
Background
Objectives
Method
Study design
Study population
Measurement
Variables
Bias
Statistical methods
Results
Participants
Descriptive data
General characteristics of patients
UF (n = 105) | Non-UF (n = 602) | All patients (n = 707) |
p-value
| |
---|---|---|---|---|
Age (SD) | 35.6(4.8) | 32.3(4.5) | 32.7(4.8) |
< 0.01
|
Advanced maternal age | 53(50.5%) | 161(26.7%) | 214(30.3%) |
< 0.01
|
BMI (SD) | 26.4(4.0) | 23.5(3.9) | 23.9(4.1) |
< 0.01
|
Living location (Guangzhou) | 96(91.4%) | 547(90.9%) | 643(90.9%) | 0.85 |
Gravidity (SD) | 2.4(1.2) | 2.1(1.1) | 2.2(1.1) |
0.03
|
Parity (SD) | 0.6 (0.5) | 0.5(0.5) | 0.5(0.5) | 0.57 |
Abortion (SD) | 0.8(0.9) | 0.6(0.8) | 0.6(0.9) |
0.01
|
Smoking | 0(0.0%) | 0(0.0%) | 0(0.0%) | – |
Partner Smoking | 24(22.9%) | 85(14.1%) | 109(15.4%) |
0.02
|
Partner Alcoholics | 14(13.3%) | 43(7.1%) | 57(8.1%) |
0.03
|
Multipara | 5(4.8%) | 101(16.8%) | 106(15.0%) |
< 0.01
|
Surgical history | 26(24.8%) | 149(24.8%) | 175(24.8%) | 1.00 |
Uterine scar | 33(31.4%) | 131(21.8%) | 164(23.2%) |
0.03
|
Hepatitis B | 1(1.0%) | 14(2.3%) | 15(2.1%) | 0.37 |
Heart disease | 1(1.0%) | 5(0.8%) | 6(0.9%) | 0.90 |
Below median EQ5D score (n = 52) | Above median EQ5D score (n = 51) | All UF patients (n = 103) | p-value | |
---|---|---|---|---|
Cesarean Section | 39(75.0) | 31(60.8) | 70(68.0) | 0.91 |
Preterm labor | 5(9.6) | 9(17.6) | 14(13.6) | 0.67 |
Precipitate labor | 0(0.0) | 3(5.9) | 3(2.9) | 0.11 |
Placenta adherence | 8(15.4) | 7(13.7) | 15(14.6) | 0.34 |
Nuchal cord around neck | 10(19.2) | 15(29.4) | 25(24.3) | 0.19 |
PROM | 11(21.2) | 15(29.4) | 26(25.2) | 0.28 |
Postpartum hemorrhage | 1(1.9) | 2(3.9) | 3(2.9) | 0.44 |
Amniotic fluid turbidity | 6(11.5) | 6(11.8) | 12(11.7) | 0.31 |
Perineal laceration | 7(13.5) | 10(19.6) | 17(16.5) | 0.83 |
Hypertensive disorders | 14(26.9) | 9(17.7) | 23(22.3) | 0.90 |
Gestation age at birth | 37.8(1.4) | 38.1(1.9) | 37.9(1.7) | 0.73 |
Apgar score - 1 min | 9.85(0.5) | 9.75(0.63) | 9.8(0.57) | 0.13 |
Fetal distress | 5(9.6) | 12(23.5) | 17(16.5) | 0.07 |
Outcome data
The characteristics of clinical outcomes in pregnant women with UFs
Main results
The EQ-5D and EQ-VAS values assessed using the EQ-5D-5 L
EQ5D Index (n = 707) | |||
Unadjusted | Age adjust | Age & BMI adjusted | |
UF group | 0.79(0.21) | 0.79(0.00) | 0.79(0.00) |
Non-UF group | 0.84(0.18) | 0.84(0.00) | 0.84(0.00) |
p-value
| 0.017 | 0.002 | 0.007 |
EQ5D-VAS (n = 707) | |||
Unadjusted | Age-adjusted | Age & BMI adjusted | |
UF group | 88.0(8.6) | 88.0(0.01) | 88.0(0.01) |
Non-UF group | 87.3(9.9) | 87.2(0.00) | 87.3(0.00) |
p-value
| 0.480 | 0.522 | 0.486 |
Uterine fibroids and other factors contributing to health quality
EQ-5D Dimension | Uterine fibroid | Total (%) | ||
---|---|---|---|---|
UF (%) | Non-UF (%) | |||
Mobility | Level 1 | 80(76.2) | 488(81.1) | 568(80.3) |
Level 2 | 20(19.1) | 91(15.1) | 111(15.7) | |
Level 3 | 1(1.0) | 9(1.5) | 10(1.4) | |
Level 4 | 0(0.0) | 3(0.5) | 3(0.4) | |
Level 5 | 4(3.8) | 11(1.8) | 15(1.4) | |
Self-care | Level 1 | 84(80.0) | 558(92.7) | 642(90.8) |
Level 2 | 17(16.2) | 29(4.8) | 46(6.5) | |
Level 3 | 1(1.0) | 2(0.3) | 3(0.4) | |
Level 4 | 0(0.0) | 1(0.2) | 1(0.1) | |
Level 5 | 3(2.9) | 12(2.0) | 15(2.1) | |
Usual Activity | Level 1 | 74(70.5) | 505(84.0) | 579(81.9) |
Level 2 | 26(24.8) | 75(12.5) | 101(14.3) | |
Level 3 | 2(1.9) | 11(1.8) | 13(1.8) | |
Level 4 | 0(0.0) | 3(0.5) | 3(0.4) | |
Level 5 | 3(2.9) | 8(1.3) | 11(1.6) | |
Pain/Discomfort | Level 1 | 50(47.6) | 327(54.3) | 377(53.3) |
Level 2 | 49(46.7) | 246(40.9) | 295(41.7) | |
Level 3 | 3(2.9) | 15(2.5) | 18(2.6) | |
Level 4 | 0(0.0) | 6(1.0) | 6(0.9) | |
Level 5 | 3(2.9) | 8(1.3) | 11(1.6) | |
Anxiety/ Depression | Level 1 | 68(64.8) | 421(69.9) | 489(69.2) |
Level 2 | 34(32.4) | 157(26.1) | 191(27.0) | |
Level 3 | 0(0.0) | 11(1.8) | 11(1.6) | |
Level 4 | 1(1.0) | 4(0.7) | 5(0.7) | |
Level 5 | 2(1.9) | 9(1.5) | 11(1.6) |
Odds ratio | 95% CI |
p-value
| ||
---|---|---|---|---|
Mobility | Age | 0.98 | 0.93, 1.02 | 0.35 |
BMI | 1.03 | 0.98, 1.08 | 0.26 | |
Local | 0.83 | 0.48, 1.43 | 0.50 | |
Gestation trimester | 1.77 | 1.21, 2.60 |
< 0.01
| |
Partner smoking | 1.10 | 0.64, 1.87 | 0.74 | |
Partner Alcoholics | 1.21 | 0.59,2.51 | 0.60 | |
Gravidity | 1.17 | 0.95, 1.45 | 0.15 | |
Parity | 0.97 | 0.60, 1.57 | 0.90 | |
UF | 1.32 | 0.77, 2.25 | 0.31 | |
Self-care | Age | 0.96 | 0.90, 1.02 | 0.17 |
BMI | 1.00 | 0.94, 1.08 | 0.94 | |
Local | 1.15 | 0.48, 2.76 | 0.16 | |
Gestation trimester | 1.58 | 0.95, 2.65 | 0.08 | |
Partner smoking | 0.74 | 0.38, 1.42 | 0.36 | |
Partner alcoholics | 1.79 | 0.59, 5.37 | 0.30 | |
Gravidity | 0.91 | 0.64, 1.28 | 0.59 | |
Parity | 0.72 | 0.35, 1.49 | 0.38 | |
UF | 3.69 | 1.94, 7.03 |
< 0.01
| |
Usual activity | Age | 0.98 | 0.93, 1.03 | 0.47 |
BMI | 1.03 | 0.97, 1.08 | 0.34 | |
Local | 0.74 | 0.43, 1.29 | 0.29 | |
Gestation trimester | 1.38 | 0.94, 2.00 | 0.10 | |
Partner smoking | 1.46 | 0.80, 2.66 | 0.22 | |
Partner alcoholics | 1.16 | 0.54, 2.49 | 0.71 | |
Gravidity | 1.33 | 1.07, 1.66 |
0.01
| |
Parity | 0.56 | 0.33, 0.94 |
0.03
| |
UF | 2.11 | 1.25, 3.55 |
< 0.01
| |
Pain/Discomfort | Age | 0.96 | 0.93, 1.00 | 0.06 |
BMI | 1.00 | 0.96, 1.04 | 0.96 | |
Local | 2.16 | 1.26, 3.71 |
< 0.01
| |
Gestation trimester | 1.46 | 1.11 1.93 |
< 0.01
| |
Partner smoking | 1.26 | 0.82, 1.93 | 0.29 | |
Partner alcoholics | 0.71 | 0.41, 1.26 | 0.25 | |
Gravidity | 1.07 | 0.90, 1.29 | 0.45 | |
Parity | 0.75 | 0.51, 1.10 | 0.14 | |
UF | 1.47 | 0.94, 2.28 | 0.09 | |
Anxiety/depression | Age | 1.00 | 0.96, 1.04 | 0.93 |
BMI | 1.01 | 0.97, 1.06 | 0.55 | |
Local | 1.07 | 0.65, 1.78 | 0.78 | |
Gestation trimester | 0.90 | 0.68, 1.21 | 0.49 | |
Partner smoking | 0.85 | 0.56, 1.31 | 0.47 | |
Partner alcoholics | 0.97 | 0.53, 1.76 | 0.91 | |
Gravidity | 1.04 | 0.86, 1.26 | 0.68 | |
Parity | 0.60 | 0.39, 0.91 |
0.02
| |
UF | 1.18 | 0.74, 1.89 | 0.75 |