Document Detail


Effects of timing of conception on birth weight and preterm delivery of natural family planning users.
MedLine Citation:
PMID:  9288339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Various birth defects and untoward perinatal outcomes have been claimed to be associated with pregnancies conceived by gametes aged in vivo before fertilization. Thus, these outcomes were systematically assessed in pregnancies occurring in natural family planning (NFP) users. Our international multicenter cohort study of NFP pregnancies (n = 877) is by far the largest systematic study designed to assess pregnancy outcome and is of sufficient power to allow us to address the concern of low birth weight (< 2500 g) and preterm delivery (< 37 weeks gestation). STUDY DESIGN: In addition to gathering baseline medical data, evaluation was performed at 16 weeks, 32 weeks and at term. Data were collected in a systematic cohort fashion, verified by the five collaborating international recruiting centers, and analyzed by investigators in the US. Most recruiting center principal investigators are obstetrician-gynecologists and, if not, have integral relationships with such specialists. Standard criteria could thus be applied within and among centers. In our cohort, birth weight was recorded accurately at delivery. Almost all of the deliveries occurred in hospitals; thus, data should be quite reliable. Neonatal examination for anomalies was usually conducted immediately after delivery, when birth weight was recorded. RESULTS: Analysis of risk factors for low birth weight and preterm delivery showed that this population had a low risk profile. Low birth weight infants (< 2500 g) and preterm deliveries were increased among women with a history of either prior low birth weight or preeclampsia in the index pregnancy. However, mean birth weight was unaffected by the timing of conception vis à vis ovulation or pregnancy history. Mean birth weight for the 877 singleton NFP pregnancies was 3349.6 g. The risk of preterm delivery was increased among older women who drank alcohol, but there were no significant effects of timing of conception vis à vis ovulation on preterm delivery. Results held when analysis was stratified according to whether NFP was being used for contraception or to achieve pregnancy. CONCLUSIONS: Our data do not appear to show striking differences between 877 NFP pregnancies and the general obstetric population. The timing of conception vis à vis ovulation does not exert significant effects on the birth weight or preterm delivery of resulting pregnancies, a reassuring finding for NFP users.
Authors:
M Barbato; A Bitto; R H Gray; J L Simpson; J T Queenan; R T Kambic; A Perez; P Mena; F Pardo; W Stevenson; G Tagliabue; V Jennings; C Li
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Advances in contraception : the official journal of the Society for the Advancement of Contraception     Volume:  13     ISSN:  0267-4874     ISO Abbreviation:  Adv Contracept     Publication Date:    1997 Jun-Sep
Date Detail:
Created Date:  1997-10-15     Completed Date:  1997-10-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8607435     Medline TA:  Adv Contracept     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  215-28     Citation Subset:  IM    
Affiliation:
Centro Ambrosiano Metodi Naturali CAMEN Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight*
Cell Aging
Family Planning Services / methods*
Female
Fertilization*
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Male
Natural Family Planning Methods
Obstetric Labor Complications
Ovulation Detection
Ovum / physiology
Pregnancy
Pregnancy Complications
Spermatozoa / physiology
Time Factors
Grant Support
ID/Acronym/Agency:
5 P30-HD06268/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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