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The inherited risk of retained placenta: a population based cohort study.
Karolinska Inst, Dept Clin Sci & Educ, Södersjukhuset, Stockholm, Sweden.
Karolinska Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Obstetrics. Karolinska Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden.ORCID iD: 0000-0002-6311-9506
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Obstetrics. Karolinska Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden.
2018 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 125, no 6, p. 737-744Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate whether retained placenta in the first generation is associated with an increased risk of retained placenta in the second generation.

Design: Population‐based cohort study.

Setting: Sweden.

Population: Using linked generational data from the Swedish Medical Birth Register 1973–2012, we identified 494 000 second‐generation births with information on the birth of the mother (first‐generation index birth). For 292 897 of these births there was information also on the birth of the father.

Methods: Risk of retained placenta in the second generation was calculated as adjusted odds ratios (aOR) by unconditional logistic regression with 95% confidence intervals (95% CI) according to whether retained placenta occurred in a first generation birth or not.

Main outcome: Retained placenta in the second generation.

Results: The risk of retained placenta in a second‐generation birth was increased if retained placenta had occurred at the mother's own birth (aOR 1.66, 95% CI 1.52–1.82), at the birth of one of her siblings (aOR 1.58, 95% CI 1.43–1.76) or both (aOR 2.75, 95% CI 2.18–3.46). The risk was slightly increased if retained placenta had occurred at the birth of the father (aOR 1.23, 95% CI 1.07–1.41). For preterm births in both generations, the risk of retained placenta in the second generation was increased six‐fold if retained placenta had occurred at the mother's birth (OR 6.55, 95% CI 2.68–16.02).

Conclusion: There is an intergenerational recurrence of retained placenta on the maternal and most likely also on the paternal side. The recurrence risk seems strongest in preterm pregnancies.

Tweetable abstract: A population‐based cohort study suggests that there is an intergenerational recurrence of retained placenta.

Place, publisher, year, edition, pages
2018. Vol. 125, no 6, p. 737-744
Keywords [en]
inherited risk, retained placenta
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:uu:diva-336792DOI: 10.1111/1471-0528.14828ISI: 000431000400022PubMedID: 28731581OAI: oai:DiVA.org:uu-336792DiVA, id: diva2:1167053
Funder
Swedish Research Council, 2014-3561Available from: 2017-12-17 Created: 2017-12-17 Last updated: 2018-08-10Bibliographically approved

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Granfors, MichaelaWikström, Anna-Karin

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