Obstetric outcomes in women with Turner karyotype
Open accessAbstract
CONTEXT: Women with Turner syndrome (TS) have high risk of cardiovascular complications and hypertensive disorders. Few studies have analyzed obstetric outcome in women with TS. OBJECTIVE: This study compared obstetric outcome in women with TS karyotype with women in the general population. DESIGN: The Swedish Genetic Turner Register was cross-linked with the Swedish Medical Birth Register between 1973 and 2007. Obstetric outcome in singletons was compared with a reference group of 56,000 women from the general population. Obstetric outcome in twins was described separately. RESULTS: A total of 202 singletons and three sets of twins were born to 115 women with a TS karyotype that was unknown in 52% at time of pregnancy. At first delivery, TS women of singletons were older than controls (median 30 vs. 26 yr, P < 0.0001). Preeclampsia occurred in 6.3 vs. 3.0% (P = 0.07). Aortic dissection occurred in one woman. Compared with the general population, the gestational age was shorter in children born by TS women (-6.4 d, P = 0.0067), and median birth weight was lower (-208 g, P = 0.0012), but sd scores for weight and length at birth were similar. The cesarean section rate was 35.6% in TS women and 11.8% in controls (P < 0.0001). There was no difference in birth defects in children of TS women as compared with controls. CONCLUSIONS: Obstetric outcomes in women with a TS karyotype were mostly favorable. Singletons of TS women had shorter gestational age, but similar size at birth, adjusted for gestational age and sex. Birth defects did not differ between TS and controls.
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Caesarean section rates in large TS cohorts are higher (35.6%) compared with the background population (12%).
“Caesarean section rates in large TS cohorts are higher (35.6%) compared with the background population (12%).561,589”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [589]
The risk of developing preeclampsia is 6.3%-11% in TS vs. 3% in the general population.
“The risk of developing preeclampsia is 6.3%-11% in TS vs. 3% in the general population.511,561,589”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [589]
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- Authors
- Hagman, A., Källén, K., Barrenäs, M.-L., Landin-Wilhelmsen, K., Hanson, C., Bryman, I., & Wennerholm, U.-B.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Lund University (SE)
- Corresponding author
- Hagman, A.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2011-11
- Volume
- 96
- Issue
- 11
- Pages
- 3475-3482
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W1997197280
- Cited by
- 48
- References
- 38
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 7 · 2013: 6 · 2012: 5
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- Funders
- Forskningsrådet för Arbetsliv och Socialvetenskap
- Stiftelsen Handlanden Hjalmar Svenssons
- Göteborgs Läkaresällskap
- Sahlgrenska Universitetssjukhuset
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- Turner syndrome, obstetric outcomes, pregnancy, preeclampsia, aortic dissection, cesarean section, gestational age, birth weight, twins, congenital malformations, cardiovascular complications
- MeSH terms
- Adult, Female, Humans, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Registries, Turner Syndrome, Karyotype
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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