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Prenatal risk indicators of a prolonged pregnancy. The Danish Birth Cohort 1998-2001
Annette W Olesen1, Jes G Westergaard, Jørn Olsen
1Department of Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark. a.w.olesen@stofanet.dk
Background:
Few prenatal risk factors of prolonged pregnancy, a pregnancy of 42 weeks or more, are known. The objective was to examine whether sociodemographic, reproductive, toxicologic, or medical health conditions were associated with the risk of prolonged pregnancy.
Methods:
Data from the Danish Birth Cohort in Denmark were used. Interview data from 53,392 participants with live-born singleton deliveries in the period 1998-2001 were available at the time of this study. The participants were interviewed by telephone at 12 and 30 weeks' gestation, and 6 and 18 months after delivery. Statistical analyses were done using logistic regression.
Results:
Women with a pre-pregnancy body mass index of 25 kg/m2 or more had a high risk of prolonged pregnancy. If the pre-pregnancy body mass index was 35 kg/m2 or more the odds ratio was 1.52 (95% CI 1.28-1.82). Nulliparity also increased the risk of prolonged pregnancy (OR (95% CI) = 1.35 (1.27-1.44)).
Conclusions:
The risk of post-term delivery was high in women with a pre-pregnancy body mass index of 25 kg/m2 or more, and in nulliparous women.
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