Longer time-to-pregnancy in spontaneously conceived pregnancies is associated with lower PAPP-A and free β-hCG in first trimester screening for Down syndrome
Research output: Contribution to journal › Journal article › Research › peer-review
OBJECTIVE: The aim of this study was to investigate whether subfertility, measured as longer time-to-pregnancy (TTP) in spontaneously conceived pregnancies, affects the first trimester levels of pregnancy-associated plasma protein-A (PAPP-A) and free beta-human chorionic gonadotrophin (β-hCG) and hence the risk estimates in Down syndrome screening.
METHODS: The study included a cohort of 10 469 singleton pregnant women who underwent first trimester combined screening and responded to a questionnaire regarding TTP. PAPP-A and free β-hCG levels were measured between gestational week 8 + 0 and 13 + 6 and were related to TTP.
RESULTS: The median PAPP-A and free β-hCG MoMs were significantly lower in women with a TTP ≥24 months compared with the reference group with a TTP <6 months (PAPP-A: 0.96 vs 1.06 MoM, p = 0.003; free β-hCG: 1.04 vs 1.12 MoM, p = 0.03). This led to an increased odds for trisomy 21 risk ≥1 : 300 for TTP ≥24 months compared with TTP <6 months, but when adjusting for potential confounders, the odds ratio (OR) lost significance (OR 1.4, 95% confidence interval; 0.8-2.4).
CONCLUSION: Time-to-pregnancy ≥24 months in spontaneously conceived pregnancies is associated with decreased levels of PAPP-A and free β-hCG.
Original language | English |
---|---|
Journal | Prenatal Diagnosis |
Volume | 34 |
Issue number | 3 |
Pages (from-to) | 235-240 |
Number of pages | 6 |
ISSN | 0197-3851 |
DOIs | |
Publication status | Published - Mar 2014 |
- Adult, Biological Markers, Chorionic Gonadotropin, beta Subunit, Human, Cohort Studies, Down Syndrome, Female, Humans, Pregnancy, Pregnancy Trimester, First, Pregnancy-Associated Plasma Protein-A, Time-to-Pregnancy
Research areas
ID: 138308577