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  • Title: Early pregnancy lipid concentrations and spontaneous preterm birth.
    Author: Catov JM, Bodnar LM, Kip KE, Hubel C, Ness RB, Harger G, Roberts JM.
    Journal: Am J Obstet Gynecol; 2007 Dec; 197(6):610.e1-7. PubMed ID: 18060950.
    Abstract:
    OBJECTIVE: Women who deliver preterm infants may be at increased risk for cardiovascular disease, perhaps related to dyslipidemia. STUDY DESIGN: In a nested case control study of women with spontaneous preterm birth, cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides were evaluated. Lipid concentrations and gestational changes, as well as risk for preterm birth, were evaluated in women who delivered <34 (n = 23), >or=34-<37 (n = 67), and >or=37 weeks (n = 199). RESULTS: High cholesterol or triglycerides <or=15 weeks were associated with a 2.8-fold (1.0-7.9) and 2.0-fold (1.0-3.9) increased risk for preterm birth <34 weeks and >or=34-<37 weeks, respectively. Overweight women who delivered <34 weeks had particularly elevated early pregnancy concentrations of cholesterol and low-density lipoprotein; lean women with moderate preterm birth had elevated triglycerides. There was a reduced triglyceride response in the first half of pregnancy among women who delivered <34 weeks. CONCLUSION: Our results indicate the presence of dyslipidemia in women with spontaneous preterm birth.
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