Table 1

Antenatal risk factors for the early life origins of asthma

Risk factors for wheeze in childhoodOR
(95% CI)
Outcome
Maternal stress/stressors17 *1.56 (1.36 to 1.80)Childhood asthma or wheeze
Maternal smoking62 *1.23 (1.12 to 1.36)Asthma aged >5 years
Socioeconomic status63 *1.38 (1.37 to 1.39)Asthma prevalence
Low birth weight64 *1.13 (1.01 to 1.27)School-aged asthma
Maternal history of asthma*
Paternal history of asthma65 *
3.15 (2.53 to 3.93)
2.60 (2.28 to 2.96)
Asthma aged >5 years
Prematurity (22–31 weeks)*
Prematurity (32–36 weeks)23 *
4.92 (2.91 to 8.31)
2.04 (1.38 to 3.01)
Asthma aged 6–9 years
Exposure to inhaled pollutants33 1.28 (1.15 to 1.41)Diagnosed asthma by 6 years
(male only)
Emergency caesarean section*
Elective caesarean section66 *
1.18 (1.07 to 1.29)
1.23 (1.20 to 1.26)
Childhood asthma
Caesarean section without medical indication67 1.58 (1.17 to 2.13)Asthma aged 4–12 years
Pre-eclampsia68 1.23 (1.07 to 1.43)Ever or recurrent wheeze
(up to 24 months)
Maternal obesity
(BMI≥30 kg/m2)69
1.36 (1.08 to 1.68)Current asthma or wheeze
(14 months to 16 years)
  • *Asterisk labelled references are the most recently published systematic reviews or metanalyses for antenatal risk factors. Non-asterisked references are case series addressing risk factors for which there are no published systematic reviews.

  • BMI, body mass index.