1. Fetal sex-specific differences in gestational age at delivery in pre-eclampsia:a meta-analysis
- Author
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Global Pregnancy Collaboration, Schalekamp-Timmermans S, Lr, Arends, Alsaker E, Chappell L, Hansson S, Nk, Harsem, Jälmby M, Jeyabalan A, Laivuori H, Debbie A Lawlor, Macdonald-Wallis C, Magnus P, Myers J, Olsen J, Poston L, Cw, Redman, Ac, Staff, Villa P, Jm, Roberts, Obstetrics & Gynecology, and Research Methods and Techniques
- Subjects
Adult ,Male ,pre-eclampsia ,placenta ,BIRTH ,PLACENTAL DYSFUNCTION ,POPULATION-BASED COHORT ,Women’s Health ,Gestational Age ,PROFILE ,Fetal Development ,Young Adult ,Sexual dimorphism ,Sex Factors ,Pregnancy ,Humans ,RISK ,Fetal Growth Retardation ,Infant, Newborn ,WOMEN ,sex ratio ,ALSPAC ,Delivery, Obstetric ,Pregnancy Complications ,PREGNANCY ,TRIALS ,HYPEREMESIS GRAVIDARUM ,GENERATION R ,Female - Abstract
Background: Pre-eclampsia (PE) is a major pregnancy disorder complicating up to 8% of pregnancies. Increasing evidence indicates a sex-specific interplay between the mother,placenta and fetus. This may lead to different adaptive mechanisms during pregnancy.Methods: We performed an individual participant data meta-analysis to determine associations of fetal sex and PE, with specific focus on gestational age at delivery in PE. This was done on 219 575 independent live-born singleton pregnancies, with a gestational age at birth between 22.0 and 43.0 weeks of gestation, from 11 studies participating in a worldwide consortium of international research groups focusing on pregnancy.Results: Of the women, 9033 (4.1%) experienced PE in their pregnancy and 48.8% of the fetuses were female versus 51.2% male. No differences in the female/male distribution were observed with respect to term PE (delivered >= 37 weeks). Preterm PE (delivered Conclusions: Sexual dimorphic differences in the occurrence of PE exist, with preterm PE being more prevalent among pregnancies with a female fetus as compared with pregnancies with a male fetus and with no differences with respect to term PE.
- Published
- 2017
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