Document Detail


Neonatal outcome in pregnancies from ovarian stimulation.
MedLine Citation:
PMID:  12220758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the neonatal outcome in pregnancies after ovarian stimulation, not including in vitro fertilization. The outcomes studied were multiple birth, preterm birth, and low birth weight among singletons, congenital malformations, and infant death. METHODS: We identified 4029 women who delivered between 1995-1999 after ovarian stimulation alone and compared them with 438,582 women who neither had ovarian stimulation nor in vitro fertilization. We controlled for the confounding effect of year of birth, maternal age, parity, and length of subfertility before the pregnancy. RESULTS: The twinning rate was 5.9% in the study group and 1.2% in the control group. The triplet rate was 0.5% in the study group and 0.02% in the control group. A nearly doubling of the rate of monozygotic twinning was indicated in the study group compared with the control group. There was an excess of singleton preterm births and low birth weight infants in the study group, but this was mainly explainable by confounding of maternal age, parity, and subfertility. The rates of congenital malformations and perinatal deaths were increased, also mainly explainable by maternal characteristics. No increase in specific types of congenital malformations was seen. CONCLUSION: As the deviations in neonatal outcome after ovarian stimulation alone were reduced or disappeared when the confounding of maternal age, parity, and subfertility was taken into consideration, there is probably little direct effect of the stimulation procedure as such.
Authors:
B Källén; P Otterblad Olausson; K G Nygren
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  100     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-10     Completed Date:  2002-09-25     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-9     Citation Subset:  AIM; IM    
Affiliation:
Tornblad Institute, University of Lund, Sweden. embryol@embryol.lu.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Confidence Intervals
Congenital Abnormalities / diagnosis,  epidemiology*
Female
Humans
Infant Mortality / trends*
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight*
Middle Aged
Ovulation Induction / adverse effects*,  methods
Poisson Distribution
Pregnancy
Pregnancy Outcome*
Pregnancy, Multiple / statistics & numerical data*
Registries
Retrospective Studies
Risk Assessment
Risk Factors
Triplets
Twins

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


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