Epstein–Barr virus infection during pregnancy and the risk of adverse pregnancy outcome

Objectives  To study the association between Epstein–Barr virus (EBV) antibody status in early pregnancy and pregnancy outcomes including fetal death, length of gestation and fetal weight and length at birth. Design  Nested control study. Setting  Population based health registers. Population  The s...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2005-12, Vol.112 (12), p.1620-1624
Hauptverfasser: Eskild, Anne, Bruu, Anne‐Lise, Stray‐Pedersen, Babill, Jenum, Pål
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container_end_page 1624
container_issue 12
container_start_page 1620
container_title BJOG : an international journal of obstetrics and gynaecology
container_volume 112
creator Eskild, Anne
Bruu, Anne‐Lise
Stray‐Pedersen, Babill
Jenum, Pål
description Objectives  To study the association between Epstein–Barr virus (EBV) antibody status in early pregnancy and pregnancy outcomes including fetal death, length of gestation and fetal weight and length at birth. Design  Nested control study. Setting  Population based health registers. Population  The source population comprised 35,940 pregnant women. Cases were all (280) women with fetal death and a random sample of 940 women with a live born child. Method  Information on pregnancy outcome was obtained from the Norwegian Medical Birth Registry. Serum samples from the first trimester were tested for EBV antibodies. In women seronegative for EBV, further serum from late pregnancy was analysed to detect seroconversion. Main outcome measures  Vital status, length of gestation, weight and length at birth. Results  There was no association between EBV antibody status and fetal death. Women with significant EBV reactivation had a significantly shorter duration of pregnancy, and associated lighter babies, compared with women without significant reactivation (stillborn: 176 vs 197 days, P= 0.16, and live born: 271 vs 279 days, P= 0.03, respectively). Conclusion  Significant reactivation of EBV infection during pregnancy may influence pregnancy duration.
doi_str_mv 10.1111/j.1471-0528.2005.00764.x
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Design  Nested control study. Setting  Population based health registers. Population  The source population comprised 35,940 pregnant women. Cases were all (280) women with fetal death and a random sample of 940 women with a live born child. Method  Information on pregnancy outcome was obtained from the Norwegian Medical Birth Registry. Serum samples from the first trimester were tested for EBV antibodies. In women seronegative for EBV, further serum from late pregnancy was analysed to detect seroconversion. Main outcome measures  Vital status, length of gestation, weight and length at birth. Results  There was no association between EBV antibody status and fetal death. Women with significant EBV reactivation had a significantly shorter duration of pregnancy, and associated lighter babies, compared with women without significant reactivation (stillborn: 176 vs 197 days, P= 0.16, and live born: 271 vs 279 days, P= 0.03, respectively). Conclusion  Significant reactivation of EBV infection during pregnancy may influence pregnancy duration.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2005.00764.x</identifier><identifier>PMID: 16305564</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>Oxford, UK and Malden, USA: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Antibodies, Viral - blood ; Biological and medical sciences ; Birth Weight ; Case-Control Studies ; Epstein-Barr virus ; Epstein-Barr Virus Infections - complications ; Female ; Fetal Death - virology ; Gynecology. Andrology. Obstetrics ; Herpesvirus 4, Human - immunology ; Humans ; Infectious diseases ; Maternal Age ; Medical sciences ; Middle Aged ; Parity ; Pregnancy ; Pregnancy Complications, Infectious - virology ; Pregnancy Outcome ; Pregnancy Trimester, First ; Risk Factors ; Viruses</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2005-12, Vol.112 (12), p.1620-1624</ispartof><rights>2006 INIST-CNRS</rights><rights>RCOG 2005 BJOG: an International Journal of Obstetrics and Gynaecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5764-164ee0eb79d04bb808039153b1785e35f720cc215b7945c4c2a865c3b078db1d3</citedby><cites>FETCH-LOGICAL-c5764-164ee0eb79d04bb808039153b1785e35f720cc215b7945c4c2a865c3b078db1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.2005.00764.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.2005.00764.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17294236$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16305564$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eskild, Anne</creatorcontrib><creatorcontrib>Bruu, Anne‐Lise</creatorcontrib><creatorcontrib>Stray‐Pedersen, Babill</creatorcontrib><creatorcontrib>Jenum, Pål</creatorcontrib><title>Epstein–Barr virus infection during pregnancy and the risk of adverse pregnancy outcome</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objectives  To study the association between Epstein–Barr virus (EBV) antibody status in early pregnancy and pregnancy outcomes including fetal death, length of gestation and fetal weight and length at birth. Design  Nested control study. Setting  Population based health registers. Population  The source population comprised 35,940 pregnant women. Cases were all (280) women with fetal death and a random sample of 940 women with a live born child. Method  Information on pregnancy outcome was obtained from the Norwegian Medical Birth Registry. Serum samples from the first trimester were tested for EBV antibodies. In women seronegative for EBV, further serum from late pregnancy was analysed to detect seroconversion. Main outcome measures  Vital status, length of gestation, weight and length at birth. Results  There was no association between EBV antibody status and fetal death. Women with significant EBV reactivation had a significantly shorter duration of pregnancy, and associated lighter babies, compared with women without significant reactivation (stillborn: 176 vs 197 days, P= 0.16, and live born: 271 vs 279 days, P= 0.03, respectively). 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Obstetrics</subject><subject>Herpesvirus 4, Human - immunology</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - virology</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Trimester, First</subject><subject>Risk Factors</subject><subject>Viruses</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0c1u1DAQB3ALgWgpvAKykOCWMP52Lki0Ki2oUi9w4GQ5jlO8ZJPFTkr3xjvwhn2SOrurtuKy-GJL_s1oRn-EMIGS5PN-URKuSAGC6pICiBJASV7ePEGH9x9PN28ogFF9gF6ktAAgkgJ7jg6IZCCE5Ifo--kqjT70t3_-HtsY8XWIU8Khb70bw9DjZoqhv8Kr6K9627s1tn2Dxx8ex5B-4qHFtrn2MflHYphGNyz9S_SstV3yr3b3Efr26fTryXlxcXn2-eTjReFEnrkgknsPvlZVA7yuNWhgFRGsJkoLz0SrKDhHiciCC8cdtVoKx2pQuqlJw47Qu23fVRx-TT6NZhmS811nez9MyUitKSeK7YWUgMxSZvjmH7gYptjnJQylQlJaEbofKV3tQ4RDpTLSW-TikFL0rVnFsLRxbQiYOW6zMHOqZk7VzHGbTdzmJpe-3vWf6qVvHgp3-WbwdgdscrZrY04opAenaMUpm1f-sHW_Q-fX_z2AOf5yuXmyO_pXw9Y</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Eskild, Anne</creator><creator>Bruu, Anne‐Lise</creator><creator>Stray‐Pedersen, Babill</creator><creator>Jenum, Pål</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Epstein–Barr virus infection during pregnancy and the risk of adverse pregnancy outcome</title><author>Eskild, Anne ; Bruu, Anne‐Lise ; Stray‐Pedersen, Babill ; Jenum, Pål</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5764-164ee0eb79d04bb808039153b1785e35f720cc215b7945c4c2a865c3b078db1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antibodies, Viral - blood</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Case-Control Studies</topic><topic>Epstein-Barr virus</topic><topic>Epstein-Barr Virus Infections - complications</topic><topic>Female</topic><topic>Fetal Death - virology</topic><topic>Gynecology. 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Design  Nested control study. Setting  Population based health registers. Population  The source population comprised 35,940 pregnant women. Cases were all (280) women with fetal death and a random sample of 940 women with a live born child. Method  Information on pregnancy outcome was obtained from the Norwegian Medical Birth Registry. Serum samples from the first trimester were tested for EBV antibodies. In women seronegative for EBV, further serum from late pregnancy was analysed to detect seroconversion. Main outcome measures  Vital status, length of gestation, weight and length at birth. Results  There was no association between EBV antibody status and fetal death. Women with significant EBV reactivation had a significantly shorter duration of pregnancy, and associated lighter babies, compared with women without significant reactivation (stillborn: 176 vs 197 days, P= 0.16, and live born: 271 vs 279 days, P= 0.03, respectively). 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Antibodies, Viral - blood
Biological and medical sciences
Birth Weight
Case-Control Studies
Epstein-Barr virus
Epstein-Barr Virus Infections - complications
Female
Fetal Death - virology
Gynecology. Andrology. Obstetrics
Herpesvirus 4, Human - immunology
Humans
Infectious diseases
Maternal Age
Medical sciences
Middle Aged
Parity
Pregnancy
Pregnancy Complications, Infectious - virology
Pregnancy Outcome
Pregnancy Trimester, First
Risk Factors
Viruses
title Epstein–Barr virus infection during pregnancy and the risk of adverse pregnancy outcome
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