Monday, June 29, 2009

Women who fail at a greater risk of premature birth later

The results of international experts, it should be easier to predict women need special attention to the distorting pregnancy.Women rather an anticipation of the birth to the next pregnancy, doctors have found.

The results of an international group of experts on the annual conference today by the European Society of Human Reproduction and Embryology (ESHRE) in Amsterdam, Netherlands, Austria, should be easier for physicians predict which women are in need of care and attention during pregnancy.

Premature births, the survival of as early as 22 weeks of pregnancy, but they are on the borderline of profitability. Each additional week of life in the womb increases the chances of survival and improve the prospects for health in the long-term disability.

Dr. Robbert van Oppenraaij of the Section of Obstetrics and Gynecology at the Erasmus University Medical Center in Rotterdam, the Netherlands, and colleagues from the United Kingdom, Denmark and Spain checked 75 studies between 1980 and 2008 the incidence of complications in early pregnancy.

They found that women, complications of experience early in the pregnancy or their current state, would have had a miscarriage or other problem in a previous pregnancy was in danger, in anticipation of working with or other difficulties in recent weeks.

Women who have had one or more abortions were almost twice as high as the risk in the next pregnancy, premature birth. Who had three or more abortions were even greater risk.

The termination of a previous pregnancy, which for some reason, the risk of premature birth during a subsequent pregnancy.

A whole series of problems in the first three months of pregnancy has been automatic late complications:

• bleeding increases the risk of preeclampsia or dangerous hypertension in women, as well as increasing the chances that the baby was born premature and under-weight.

• The survivors of a small twin pregnancy (where a double room early miscarries) was probably born too early, had three times the normal risk of very low birth weight and was more than three times more likely to die at the time of birth.

• Women, the extremes of the disease very early in the morning was three times higher before the baby is born too early and was almost three times more likely of little weight.

The determination of these women at high risk for problem births contribute to their children the best chance of survival by careful monitoring of child development, said Van Oppenraaij. Further studies are needed to confirm the results, he said.

Manifestations and complications of pregnancy can be very burdensome for women, "said Van Oppenraaij. For the doctor, it is important to interpret the symptoms and understand not only the short term but also long-term consequences of this first pregnancy. This is particularly important for reassuring and supports the couple in a difficult period.

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