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Hum. Reprod. Advance Access published online on March 31, 2005

Human Reproduction, doi:10.1093/humrep/dei009
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© The Author 2005. 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@oupjournals.org
Received December 28, 2004
Revised February 25, 2005
Accepted March 3, 2005

Article

Birth weight in offspring of mothers with polycystic ovarian syndrome

Teresa Sir-Petermann 1*, Catalina Hitchsfeld 1, Manuel Maliqueo 1, Ethel Codner 2, Bárbara Echiburú 1, Raimundo Gazitúa 1, Sergio Recabarren 3, and Fernando Cassorla 2

1 Laboratory of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, University of Chile, Santiago, Chile
2 Institute of Maternal and Child Research, School of Medicine, University of Chile, Santiago, Chile
3 Laboratory of Animal Physiology and Endocrinology, School of Veterinary Medicine, University of Concepción, Chillán, Chile

* To whom correspondence should be addressed.
Teresa Sir-Petermann, E-mail: tsir{at}med.uchile.cl


   Abstract

BACKGROUND: A relationship between reduced fetal growth and the polycystic ovary syndrome (PCOS) has been proposed in girls with PCOS. However, the birth weight in the offspring of PCOS mothers has not been systematically investigated. The aim of this study was to establish the birth weight of newborns of mothers with PCOS and to compare it with a control group of newborns of normal women matched by age and weight at the beginning of pregnancy. METHODS: The birth weight of 47 infants born from singleton pregnancies in women with well-documented PCOS was compared with 180 infants born from singleton pregnancies in healthy controls. RESULTS: The prevalence of small for gestational age (SGA) infants was significantly higher in the PCOS group compared to the control group (12. 8% versus 2.8%, respectively, P<0.02). Moreover, SGA infants born to PCOS mothers were smaller than those born to control mothers (P<0.05). The prevalence of large for gestational age infants (LGA) was similar in both groups, but birth length of LGA newborns was greater in PCOS women than controls (P<0.05). CONCLUSIONS: PCOS mothers showed a significantly higher prevalence of SGA newborns which cannot be completely attributed to pregnancy complications, and seems to be more related to the PCOS condition of the mother.

Keywords: birth weight; macrosomia; metformin; polycystic ovary syndrome; small for gestational age.
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