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Hum. Reprod. Advance Access originally published online on September 26, 2008
Human Reproduction 2009 24(1):226-232; doi:10.1093/humrep/den357
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© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Waiting time to pregnancy according to maternal birthweight and prepregnancy BMI

E.A. Nohr1,6, M. Vaeth2, S. Rasmussen3, C.H. Ramlau-Hansen4 and J. Olsen1,5

1 Department of Epidemiology, Institute of Public Health, University of Aarhus, Vennelyst Boulevard 6, Building 260, 8000 Aarhus C, Denmark 2 Department of Biostatistics, Institute of Public Health, University of Aarhus, 8000 Aarhus C, Denmark 3 Department of Health Statistics, National Board of Health, 2300 Copenhagen S, Denmark 4 Department of Occupational Medicine, Aarhus University Hospital, 8000 Aarhus C, Denmark 5 Department of Epidemiology, UCLA School of Public Health, Los Angeles, CA, USA

6 Correspondence address. Tel: +45 8942 6087; Fax: +45 8613 1580; E-mail: ean{at}soci.au.dk

BACKGROUND: An association between a woman’s own birthweight and her fecundity has been suggested, but no empirical data have been published on the association between maternal birthweight and waiting time to pregnancy (TTP).

METHODS: In the Danish National Birth Cohort (1996–2002), which is an ongoing study of 92 274 women and their pregnancies, information about TTP and prepregnancy BMI was collected during pregnancy. At the 7-year follow-up of the children, 21 786 mothers reported their own birthweight and whether they were born at term or preterm. The association between maternal birthweight and TTP is presented as adjusted odds ratios with 95% confidence intervals.

RESULTS: Low maternal birthweight (≤2500 g for term and ≤1500 g for preterm birth) was associated with an increased risk of TTP of >1 year [term: 1.2 (1.0–1.5); preterm: 1.8 (1.1–3.1)]. The latter association was strongest in women with a BMI < 25 kg/m2 [2.6 (1.4–4.7)]. High maternal birthweight (>4500 g for term and >3500 g for preterm) was also associated with an increased risk of TTP of >1 year [1.5 (1.0–2.0) and 1.3 (0.7–2.4), respectively], especially in women with a BMI ≥ 25 kg/m2 [1.8 (1.1–3.1) and 2.5 (1.0–6.4), respectively].

CONCLUSIONS: High or low maternal birthweight was associated with TTP > 1 year. Longer waiting times in women with very low birthweight may reflect an effect of being born very preterm. Subfecundity may partly be programmed in foetal life by factors that cause or correlate with foetal growth.

Key words: fecundity/time to pregnancy/maternal birthweight/foetal growth/preterm birth

Submitted on July 13, 2008; resubmitted on September 4, 2008; accepted on September 8, 2008.


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