Document Detail

Maternal and neonatal outcome in pregnancies with no risk factors.
MedLine Citation:
PMID:  3651944     Owner:  NLM     Status:  MEDLINE    
Between November 1979 and April 1984, 790 consecutive pregnant women who considered themselves as having a "normal" pregnancy were followed in private practice from 9 weeks' gestation until 6 weeks post partum. The women had no pre-existing disease or problem classified as a risk to the pregnancy at the time of their first visit, had a singleton pregnancy and gave birth at Notre-Dame Hospital, Montreal. Maternal complications occurred during the course of pregnancy in 181 women (23%). Complications were mostly related to obstetric conditions (10%), such as preterm labour, intrauterine growth retardation (IUGR) and antepartum hemorrhage, or to medical conditions (12%), the most prevalent of which was hypertension (77% of medical conditions). Neonatal complications occurred in 183 infants (23%). The corrected perinatal death rate was 2.5 per 1000. Prematurity, IUGR and dysmaturity/postmaturity accounted for nearly half of the complications. Hyperbilirubinemia occurred in 7% of the cases. Among women without any maternal complications during pregnancy, the frequency rate of neonatal complications was 19%, compared with 23% among the entire group of 790 women. Our results suggest that the absence of maternal complications does not protect the infant from a neonatal complication. Further refinement is needed to identify markers of obstetric, medical and neonatal complications in pregnancies with no risk factors.
J M Moutquin; R Gagnon; C Rainville; L Giroux; G Amyot; R Bilodeau; P Raynauld
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne     Volume:  137     ISSN:  0820-3946     ISO Abbreviation:  CMAJ     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-11-18     Completed Date:  1987-11-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9711805     Medline TA:  CMAJ     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  728-32     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Notre-Dame Hospital, University of Montreal, PQ.
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MeSH Terms
Congenital Abnormalities / epidemiology
Hypertension / diagnosis,  epidemiology
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Obstetric Labor, Premature / epidemiology
Pre-Eclampsia / diagnosis,  epidemiology
Pregnancy Complications / diagnosis,  epidemiology*
Pregnancy Complications, Cardiovascular / diagnosis,  epidemiology
Pregnancy Outcome*
Prospective Studies
Retrospective Studies
Risk Factors

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

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