Prolonged
Pregnancies
May Affect Fetal Brain
Excerpt
By
Charnicia E. Huggins, Reuters Health
NEW YORK (Reuters Health) - A pregnancy that stretches 2 weeks
or more beyond the due date may not only be uncomfortable for
the expectant mother but may also have detrimental effects on
the brain of her fetus, according to preliminary study results.
The extra-long gestation may cause problems that are evident
during the child's preschool years, study author Dr. Michael Divon
of Lenox-Hill Hospital in New York told Reuters Health.
``It's possible that pregnancies that reach 42 weeks or more
are associated with problems later on in life,'' he said.
Lenox and his colleagues performed a long-term study of 284 children
delivered at 42 or more weeks gestation. For comparison, they
also studied 382 children who were born at 37 to 41 weeks. A full
term pregnancy is 40 weeks.
In general, the study group weighed more at birth, were longer
and had larger head sizes than the comparison infants, the investigators
reported last week during the 22nd annual meeting of the Society
for Maternal-Fetal Medicine in New Orleans, Louisiana.
By the ages of 4 and/or 5.5 years, roughly 6% of the study group
had a motor or speech deficiency, an attention deficit, or some
other major developmental abnormality, in comparison to about
3% of their peers, study findings indicate.
The prolonged pregnancies did not seem to contribute to any vision
or hearing deficiencies among the study group or any differences
in growth between the two groups, other than an increased incidence
of abnormal head sizes at 12 months of age among the study group
infants.
``The challenge is to identify which post-date pregnancies are
more likely to result in a problem,'' Divon said.
Most pregnancies that are labeled as post-date, however, ''are
falsely labeled so,'' the researcher added. To prevent this from
happening, ``gestational age has to be established early in pregnancy...by
an early ultrasound,'' he said.
Reference
Source 89
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