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Potential confounders included demographic factors (age, self assigned ethnic group, marital status, employment, and body mass index), risk factors suggested in previous publications (bleeding during pregnancy, folic acid use, use of multivitamins or alcohol at 15 weeks gestation, and depression, stress, and anxiety scores at 15 weeks’ gestation). The logistic regression model for spontaneous preterm birth also included history of previous miscarriage or termination of pregnancy and large loop excision of the cervical transformation zone. All variables were obligatory data points and were available for all of the participants, with the exception of scores for the psychological scales, which were missing in 18 (0.7%) of the participants.

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