Characteristic | Total study population (n = 201) | 0 CL (n = 8) | 1 CL (n = 142) | > 1 CL (n = 51) | p-value |
---|---|---|---|---|---|
Maternal | |||||
Age, years | 32.2 ± 4.5 | 30.5 ± 3.9 | 32.0 ± 4.4 | 33.0 ± 4.7 | 0.25 |
Nulliparous (n, %) | 115 (57.2) | 6 (75.0) | 68 (47.6) | 42 (82.4) | < 0.01*3 |
Mode of conception, IVF/ICSI (n, %) | 82 (40.8) | Â | Â | Â | Â |
Frozen ET, programmed cycle | 8 (9.8) | Â | Â | Â | Â |
Frozen ET, natural cycle | 23 (28.0) | Â | Â | Â | Â |
Fresh ET | 51 (62.2) | Â | Â | Â | Â |
GA at first visit, days | 55 [51, 65] | 54 [51, 58] | 62 [52, 65] | 53 [50, 63] | 0.021*3 |
Geographic origin (n, %) | Â | Â | Â | Â | 0.24 |
Dutch | 156 (79.2) | 6 (75.0) | 104 (75.4) | 46 (90.2) | Â |
Western other | 6 (3.0) | 0 (0.0) | 5 (3.6) | 1 (2.0) | Â |
Non-western | 35 (17.8) | 2 (25.0) | 29 (21.0) | 4 (7.8) | Â |
Educational level (n, %) | Â | Â | Â | Â | 0.53 |
Low | 18 (9.1) | 0 (0.0) | 14 (10.1) | 4 (7.8) | Â |
Middle | 65 (33.0) | 4 (50.0) | 41 (29.7) | 20 (39.2) | Â |
High | 114 (57.9) | 4 (50.0) | 83 (60.1) | 27 (52.9) | Â |
BMI at first visit in first trimester, measured (kg/m2) | 24.9 [22.2;28.5] | 21.4 [20.9;22.8] | 25.2 [22.6;29.2] | 23.9 [21.8;27.4] | 0.02*1 |
MAP at first visit in first trimester, measured (mmHg) | 80.3 ± 7.2 | 80.8 (12.1) | 80.7 (6.8) | 79.6 (7.1) | 0.74 |
Folic acid supplement use, (n, %) | 198 (98.5) | 8 (100.0) | 139 (97.9) | 51 (100.0) | 1.00 |
Preconception initiation (n, %) | 165 (82.1) | 8 (100.0) | 110 (77.5) | 51 (100.0) | 0.001*3 |
Alcohol consumption (n, %) | 57 (28.4) | 5 (62.5) | 42 (29.4) | 10 (19.6) | 0.04*2 |
Smoking (n, %) | 27 (13.4) | 1 (12.5) | 21 (14.7) | 5 (9.8) | 0.68 |
Vitamin supplement use (n, %) | 118 (58.7) | 4 (50.0) | 83 (58.5) | 31 (60.8) | 0.16 |
First-trimester blood measurements | |||||
9 weeks GA, n = 111 |  |  |  |  |  |
Renin, pg/mL | 25 [18;33] | 10 [9;14] | 25 [18;32] | 30 [23;38] | < 0.001*1–3 |
Prorenin, pg/mL | 277 [201;380] | 107 [75;134] | 264 [191;365] | 373 [270;443] | < 0.001*1–3 |
Aldosterone, pg/mL | 357 [216;571] | 323 [214;469] | 297 [185;496] | 533 [348;866] | < 0.001*2,3 |
11 weeks GA, n = 192 |  |  |  |  |  |
Renin, pg/mL | 25 [17;32] | 12 [11;17] | 23.4 [17;31] | 27.0 [23;34] | 0.001*1–3 |
Prorenin, pg/mL | 266 [206;386] | 129 [109;152] | 245.2 [204;340] | 351 [278;465] | < 0.001*1–3 |
Aldosterone, pg/mL | 314 [222;465] | 360 [266;411] | 288 [209;398] | 454 [301;727] | 0.002*3 |
Birth outcomes | Â | Â | Â | Â | Â |
GA at birth, days | 39+ 1 [38+ 0;40+ 0] | 39+ 0 [38+ 6;40+ 0] | 39+ 0 [37+ 6;39+ 5] | 39+ 2 [37+ 3;40+ 4] | 0.19 |
Birthweight, gram | 3330 [2975;3570] | 3490 [3243; 3530] | 3305 [2939; 3562] | 3335 [3045; 3682] | 0.70 |
Placental weight, gram | 455 [387;569] | 380 [260; 426] | 438 [360; 514] | 491 [433; 563] | 0.34 |
Fetal sex, girls (n, %) | 94 (47.7) | 3 (42.9) | 64 (46.0) | 27 (52.9) | 0.91 |
Placenta-related complication**(n, %) | 50 (24.9) | 1 (12.5) | 39 (27.5) | 10 (19.6) | 0.38 |
PIH | 9 (4.5) | 0 (0.0) | 7 (4.9) | 2 (3.9) | 0.79 |
PE | 7 (3.5) | 0 (0.0) | 6 (4.2) | 1 (2.0) | 0.65 |
FGR | 14 (7.0) | 0 (0.0) | 11 (7.7) | 3 (5.9) | 0.67 |
PTB (iatrogenic and spontaneous) | 21 (10.4) | 1 (12.5) | 17 (11.9) | 3 (5.9) | 0.47 |
SGA | 19 (9.5) | 0 (0.0) | 16 (11.2) | 3 (5.9) | 0.35 |