| Hyperemesis gravidarum and fetal outcome. | |
| | |
MedLine Citation:
|
PMID: 15772386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Hyperemesis gravidarum (HG) is reported in 0.5-2% of all pregnancies. The purpose of this research was to evaluate the relationship of maternal HG, neonatal birth weight, and birth outcomes. METHODS: This is a prospective cohort study of 45 patients diagnosed, by Fairweather's criteria, with HG compared with 306 non-HG control pregnant patients with singleton pregnancies. Sociodemographic and clinical data were obtained from the pregnant patients. Neonatal data were also collected, including indicators of neonatal wellness. RESULTS: Significantly higher incidences of being nonwhite (33% vs 16%; p < .05) and of attaining post-high school education (60% vs 38%) were noted in the HG group, relative to controls. Mothers in the control group experienced greater gestational weight gain, 14.9 +/- 0.3 kg (mean +/- SEM) relative to mothers in the HG group (10.6 +/- 1.3 kg). Infants from HG pregnancies manifested significantly lower birth weight (3.23 +/- 0.09 kg vs 3.52 +/- 0.03 kg), younger gestational age (38.4 +/- 0.3 weeks vs 39.7 +/- 0.1 weeks), and a greater length of hospital stay (2.9 +/- 0.5 days vs 1.8 +/- 0.1 day), relative to infants from the control group. After undergoing multivariate analysis, HG was a significant predictor of decreased gestational age and increased hospital length of stay. CONCLUSIONS: Infants born of women who had HG are more likely to experience decreased gestational age and increased length of hospital stay. Efficacy of early and aggressive treatment of HG, including nutrition support, in minimizing these outcomes needs to be studied. |
| | |
Authors:
|
James D Paauw; Sandra Bierling; Curtis R Cook; Alan T Davis |
Related Documents
:
|
20934506 - Influence of maternal redox status on birth weight. 16647916 - Maternal periodontal disease in early pregnancy and risk for a small-for-gestational-ag... 19576706 - Intergenerational birth weight associations by mother's birth order - the mechanisms be... 15175826 - Validation of the taiwan birth registry using obstetric records. 8047076 - A new look at some old mechanisms in human newborns: taste and tactile determinants of ... 6790846 - Lactic acidosis due to pyruvate carboxylase deficiency. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: JPEN. Journal of parenteral and enteral nutrition Volume: 29 ISSN: 0148-6071 ISO Abbreviation: JPEN J Parenter Enteral Nutr Publication Date: 2005 Mar-Apr |
Date Detail:
|
Created Date: 2005-03-17 Completed Date: 2005-09-01 Revised Date: 2007-02-21 |
Medline Journal Info:
|
Nlm Unique ID: 7804134 Medline TA: JPEN J Parenter Enteral Nutr Country: United States |
Other Details:
|
Languages: eng Pagination: 93-6 Citation Subset: IM |
Affiliation:
|
Spectrum Health Nutrition Support Service, Grand Rapids, MI 49503, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Apgar Score Birth Weight / physiology* Case-Control Studies Cohort Studies Continental Population Groups Educational Status Female Gestational Age* Humans Hyperemesis Gravidarum / physiopathology* Infant, Newborn Length of Stay Male Multivariate Analysis Pregnancy Pregnancy Outcome* Prospective Studies Weight Gain* |
| Comments/Corrections | |
Comment In:
|
JPEN J Parenter Enteral Nutr. 2005 Mar-Apr;29(2):134-5
[PMID:
15772393
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Changes in serum insulin-like growth factors, not leptin, are associated with postnatal weight gain ...
Next Document: Glucagon-like peptide 2 is an endogenous mediator of postresection intestinal adaptation.