Chance of live birth in the first pregnancy after referral among patients with recurrent pregnancy loss is not influenced by their relatives’ reproductive history
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Chance of live birth in the first pregnancy after referral among patients with recurrent pregnancy loss is not influenced by their relatives’ reproductive history. / Kolte, A. M.; Blom, C.; Shabdar, A.; Christiansen, O. B.; Nielsen, H. S.
I: European Journal of Contraception and Reproductive Health Care, Bind 25, Nr. 3, 2020, s. 209-212.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Chance of live birth in the first pregnancy after referral among patients with recurrent pregnancy loss is not influenced by their relatives’ reproductive history
AU - Kolte, A. M.
AU - Blom, C.
AU - Shabdar, A.
AU - Christiansen, O. B.
AU - Nielsen, H. S.
PY - 2020
Y1 - 2020
N2 - Purpose: Recurrent pregnancy loss (RPL) is defined as three or more consecutive pregnancy losses and affects 1–3% of couples trying to conceive. Pregnancy loss is more common among RPL patients’ siblings than in the general population. Our objective was to investigate whether first-degree relatives with pregnancy losses influenced the chance of live birth in the first pregnancy after referral among women with RPL. Materials and methods: This is a cohort study of 2138 women with RPL seen at the Danish RPL Unit at Copenhagen University Hospital, Rigshospitalet between January 1st 2000 and December 31st 2017 with follow-up until December 2018. Pregnancies among first-degree relatives were reported by patients at their first consultation. Chance of live birth after referral was compared by logistic regression analysis. Results: Overall, 76% of the referred women achieved a pregnancy after referral and of these, 58% delivered a live born child. Women whose mother had experienced pregnancy loss were referred at a younger age than women with no pregnancy losses among first-degree relatives (mean age 33.6 (SD 4.6) versus 34.3 (SD 4.5), p = 0.002). Pregnancy losses among first-degree relatives did not influence chance of live birth. Conclusions: Our results indicate that pregnancy losses among first-degree family members is not an important risk factor for outcome of the first pregnancy after referral among women with RPL.
AB - Purpose: Recurrent pregnancy loss (RPL) is defined as three or more consecutive pregnancy losses and affects 1–3% of couples trying to conceive. Pregnancy loss is more common among RPL patients’ siblings than in the general population. Our objective was to investigate whether first-degree relatives with pregnancy losses influenced the chance of live birth in the first pregnancy after referral among women with RPL. Materials and methods: This is a cohort study of 2138 women with RPL seen at the Danish RPL Unit at Copenhagen University Hospital, Rigshospitalet between January 1st 2000 and December 31st 2017 with follow-up until December 2018. Pregnancies among first-degree relatives were reported by patients at their first consultation. Chance of live birth after referral was compared by logistic regression analysis. Results: Overall, 76% of the referred women achieved a pregnancy after referral and of these, 58% delivered a live born child. Women whose mother had experienced pregnancy loss were referred at a younger age than women with no pregnancy losses among first-degree relatives (mean age 33.6 (SD 4.6) versus 34.3 (SD 4.5), p = 0.002). Pregnancy losses among first-degree relatives did not influence chance of live birth. Conclusions: Our results indicate that pregnancy losses among first-degree family members is not an important risk factor for outcome of the first pregnancy after referral among women with RPL.
KW - cohort study
KW - family history
KW - Recurrent pregnancy loss
U2 - 10.1080/13625187.2020.1755033
DO - 10.1080/13625187.2020.1755033
M3 - Journal article
C2 - 32436443
AN - SCOPUS:85085483479
VL - 25
SP - 209
EP - 212
JO - The European Journal of Contraception and Reproductive Health Care
JF - The European Journal of Contraception and Reproductive Health Care
SN - 1362-5187
IS - 3
ER -
ID: 251581390