Relationship between interpregnancy interval and birth defects in Washington State

被引：49

作者：

Kwon, S. ^{[1
]}

Lazo-Escalante, M. ^{[2
]}

Villaran, M. V. ^{[3
]}

Li, C. I. ^{[4
,5
]}

机构：

[1] Univ Washington, Dept Surg, Seattle, WA 98195 USA

[2] Univ Peruana Cayetano Heredia, Epidemiol STD & HIV Unit, Sch Publ Hlth & Adm, Lima, Peru

[3] US Naval Med Res Ctr Detachment NMRCD, Dept Virol, Lima, Peru

[4] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98104 USA

[5] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

来源：

JOURNAL OF PERINATOLOGY | 2012年 / 32卷 / 01期

关键词：

birth defects; interpregnancy interval; perinatal outcomes; CONGENITAL-MALFORMATIONS; INFANT-MORTALITY; MATERNAL AGE; RISK-FACTORS; PREGNANCY; FOLATE; OUTCOMES; HOMOCYSTEINE;

D O I：

10.1038/jp.2011.49

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: Interpregnancy interval (IPI) influences numerous adverse perinatal outcomes. IPI's impact on birth defects is unclear. Study Design: We conducted a population-based case-control study, using 1998 to 2008 administrative data from Washington State. A total of 10 772 cases, women whose second of two births resulted in an infant with a birth defect, were compared with 32 310 controls, women whose second of two births did not result in an infant with a birth defect. Result: Compared with mothers with an IPI between 18 to 23 months, those with an IPI <6 months or >= 60 months had elevated risks of delivering an infant with a birth defect (odds ratio = 1.15, 95% confidence interval: 1.03 to 1.28, and odds ratio 1.15, 95% confidence interval: 1.04 to 1.26, respectively). Conclusion: We observed a J-shaped relationship between IPI and risk of having an infant with a birth defect. As this is one of the first studies to evaluate this association, confirmatory studies are needed. Journal of Perinatology (2012) 32, 45-50; doi:10.1038/jp.2011.49; published online 5 May 2011

引用

页码：45 / 50

页数：6

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