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BMJ Open 4:e004197 doi:10.1136/bmjopen-2013-004197
  • Obstetrics and gynaecology
    • Research

Birth characteristics in a clinical sample of women seeking infertility treatment: a case–control study

  1. Gunilla Sydsjö
  1. Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Department of Obstetrics and Gynecology in Linköping, Linköping University, County Council of Östergötland, Linköping, Sweden
  1. Correspondence to Josefin Vikström; josefin.vikstrom{at}lio.se
  • Received 8 October 2013
  • Revised 10 December 2013
  • Accepted 17 January 2014
  • Published 10 March 2014

Abstract

Objective To determine the distribution of low birth weight (LBW), preterm birth, small for gestational age (SGA) and large for gestational age (LGA) by main cause of infertility (female, combined, male, unexplained) in women seeking infertility treatment.

Design A case–control study.

Setting A Centre for Reproductive Medicine in Sweden.

Participants All women (n=1293) born in Sweden in 1973 or later and who were part of heterosexual couples seeking infertility treatment at a Centre of Reproductive Medicine from 2005 to 2010 were asked to participate. Those who had not begun the diagnostic process and who declined participation in the study were excluded. In total, 1206 women (94.5%) participated in the study.

Main outcome measures Main cause of infertility (female, combined, male, unexplained) collected from the patients’ medical charts. LBW (<2500 g), preterm birth (<37 weeks), SGA (<−2SD of the mean weight for the gestational length) and LGA (>+2SD of the mean weight for the gestational length), collected from the Swedish Medical Birth Register.

Results The risk of being born with LBW was increased about 2.4 times (OR=2.40, CI 1.13 to 5.07, p=0.02) in women seeking treatment for infertility due to female causes rather than for male or unexplained causes. Women with a female infertility factor were 2.7 times more likely to be born SGA (OR=2.73, CI 1.02 to 7.34, p=0.047) compared with those in whom the cause of infertility was unexplained.

Conclusions Women born with LBW or SGA seem to suffer an increased risk of infertility due to a female factor. Thus, infants born with birth characteristics that deviate from the norm may be at greater risk of difficulties in childbearing later on in life. Since this study is the first of its kind, more studies are needed to verify the associations found in this study and to determine their nature.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/

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