Document Detail


Recurrence of gestational age in sibships: implications for perinatal mortality.
MedLine Citation:
PMID:  10512429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors studied the extent to which preterm birth and perinatal mortality are dependent on the gestational ages of previous births within sibships. The study was based on data collected by the Medical Birth Registry of Norway from 1967 to 1995. Newborns were linked to their mothers through Norway's unique personal identification number, yielding 429,554 pairs of mothers and first and second singleton newborns with gestational ages of 22-46 weeks, based on menstrual dates. Siblings' gestational ages were significantly correlated (r = 0.26). The risk of having a preterm second birth was nearly 10 times higher among mothers whose firstborn child had been delivered before 32 weeks' gestation than among mothers whose first child had been born at 40 weeks. However, perinatal mortality in preterm second births was significantly higher among mothers whose first infant had been born at term, compared with mothers whose firstborn child was delivered at 32-37 weeks. Since perinatal mortality among preterm infants is dependent on the gestational age in the mother's previous birth, a common threshold of 37 weeks' gestation for defining preterm birth as a risk factor for perinatal death may not be appropriate for all births to all mothers.
Authors:
K K Melve; R Skjaerven; H K Gjessing; N Oyen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of epidemiology     Volume:  150     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-10-19     Completed Date:  1999-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  756-62     Citation Subset:  IM    
Affiliation:
Department of Public Health and Primary Health Care, Faculty of Medicine, University of Bergen, Norway.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Order
Female
Gestational Age*
Humans
Infant Mortality*
Infant, Newborn
Infant, Premature*
Norway / epidemiology
Nuclear Family*
Pregnancy
Registries
Risk Factors

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


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