Robin J. Edison, MD, MPH (a), Kate Berg, PhD (a), Alan Remaley, MD (b), Richard Kelley, MD, PhD (c), Charles Rotimi, PhD (d), Roger E. Stevenson, MD (e) and Maximilian Muenke, MD (a)
a) Medical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland; b) National Institutes of Health Clinical Center, Bethesda, Maryland; c) Kennedy Krieger Institute, Baltimore, Maryland; d) National Human Genome Research Center, Howard University, Washington, DC; e) Greenwood Genetic Center, Greenwood, South Carolina
OBJECTIVE. The objective of this study was to assess whether low maternal serum cholesterol during pregnancy is associated with preterm delivery, impaired fetal growth, or congenital anomalies in women without identified major risk factors for adverse pregnancy outcome.
METHODS. Mother-infant pairs were retrospectively ascertained from among a cohort of 9938 women who were referred to South Carolina prenatal clinics for routine second-trimester serum screening. Banked sera were assayed for total cholesterol; <10th>10th percentile but <90th percentile.
RESULTS. Prevalence of preterm delivery among mothers with low total cholesterol was 12.7%, compared with 5.0% among control subjects with mid–total cholesterol. The association of low maternal serum cholesterol with preterm birth was observed only among white mothers. Term infants of mothers with low total cholesterol weighed on average 150 g less than those who were born to control mothers. A trend of increased microcephaly risk among neonates of mothers with low total cholesterol was found. Low maternal serum cholesterol was unassociated with risk for congenital anomalies.
CONCLUSIONS. Total serum cholesterol <10th>
PEDIATRICS Vol. 120 No. 4 October 2007, pp. 723-733
© 2007 American Academy of Pediatrics.
http://pediatrics.aappublications.org/cgi/content/abstract/120/4/723
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