title: Fetal outcome among pregnancies in natural family planning acceptors: an international cohort study.
abstract: This international, multicenter, prospective cohort study examines the outcome of pregnancies associated with aging gametes. Comparing pregnancies conceived at or near the peak mucus phase with those occurring before or after the peak provides a means of evaluating the effect of aging gametes. The outcome criteria are (1) rates of spontaneous abortion, (2) low birth weight, and (3) congenital malformations. Preliminary analysis shows a trend toward increased spontaneous abortion with aging gametes in certain subsets (women with prior pregnancy losses) but no effect on birth weight. Too few method failures have yet been studied to make a definitive statement on congenital malformations.
authors.affiliation: Department of Obstetrics and Gynecology, University of Tennessee, Memphis 38163.
authors.forename: J L
authors.initials: JL
authors.lastname: Simpson
authors.forename: R H
authors.initials: RH
authors.lastname: Gray
authors.forename: J T
authors.initials: JT
authors.lastname: Queenan
authors.forename: R T
authors.initials: RT
authors.lastname: Kambic
authors.forename: A
authors.initials: A
authors.lastname: Pérez
authors.forename: P
authors.initials: P
authors.lastname: Mena
authors.forename: M
authors.initials: M
authors.lastname: Barbato
authors.forename: F
authors.initials: F
authors.lastname: Pardo
authors.forename: G
authors.initials: G
authors.lastname: Tagliabue
authors.forename: A
authors.initials: A
authors.lastname: Bitto
mesh_terms: D005193:Family Planning Services / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies