Hypospadias and early gestation growth restriction in infants.

作者: N. Hussain , A. Chaghtai , C. D. A. Herndon , V. C. Herson , T. S. Rosenkrantz

DOI: 10.1542/PEDS.109.3.473

关键词: HypospadiasGynecologyGestational ageGestational diabetesIntensive careLow birth weightMedicineObstetricsBirth weightPopulationSmall for gestational age

摘要: Objective. There has been a major increase in the incidence of hypospadias infants 1990s, but risk factors are not known. Although there scattered reports literature regarding association low birth weight and hypospadias, this systematically studied. The objective study was to determine between early gestation intrauterine growth hypospadias. Methods. A retrospective review 13 years admissions 2 tertiary care neonatal intensive units (NI-CUs) Connecticut (1987-2000) showed that 112 (1.66%) 6746 male had any degree Of these, 8 were part genetic syndrome excluded. cohort analysis these 6738 performed. Infant parameters at (weight, head circumference, length) analyzed along with maternal known be associated changes fetal growth, including age, race, diagnosis preeclampsia, gestational diabetes, use alcohol or tobacco substance abuse during pregnancy. Results. NICU population increased 10-fold from 0.4% 1987 4% first quarter 2000. Hypospadias significantly more common who uniformly poor (<10th percentiles) various measured: weight, length, circumference. no significant differences age nor alcohol, tobacco, street drugs by mother. singletons multiple-gestation births. However, frequency occurrence higher among first-born (1.9%) compared all other (0.9%). Conclusions. our 13-year period study. growth. restriction probably cause as proportionate involvement somatic (weight brain (head circumference). increasing its originating suggests environmental factors) have an impact on both conditions may involved.

参考文章(39)
J. R. Britton, J. Gaines, H. L. Britton, W. J. R. Daily, R. Jennett, Weight, length, head and chest circumference at birth in Phoenix, Arizona. Journal of Reproductive Medicine. ,vol. 38, pp. 215- 222 ,(1993)
Ong Lc, Boo Ny, Lye Ms, Intrauterine growth of liveborn Malaysian infants between gestation of 28 to 42 weeks. Singapore Medical Journal. ,vol. 35, pp. 163- 166 ,(1994)
J.M. Gatti, A.J. Kirsch, W.A. Troyer, M.R. Perez-Brayfield, E.A. Smith, H.C. Scherz, Increased incidence of hypospadias in small-for-gestational age infants in a neonatal intensive-care unit. BJUI. ,vol. 87, pp. 548- 550 ,(2001) , 10.1046/J.1464-410X.2001.00088.X
Samuel Shapiro, Olli P. Heinonen, Dennis Slone, Birth defects and drugs in pregnancy ,(1977)
Richard W. Sutherland, John S. Wiener, Joseph P. Hicks, Marco Marcelli, Edmond T. Gonzales, David R. Roth, Dolores J. Lamb, Androgen Receptor Gene Mutations are Rarely Associated with Isolated Penile Hypospadias The Journal of Urology. ,vol. 156, pp. 828- 831 ,(1996) , 10.1016/S0022-5347(01)65830-0
Richard A. Greig, George Sennefelder, PCB concentrations in winter flounder from Long Island Sound, 1984–1986 Bulletin of Environmental Contamination and Toxicology. ,vol. 39, pp. 863- 868 ,(1987) , 10.1007/BF01855867
J. Jernvall, J. P. Hunter, M. Fortelius, Molar Tooth Diversity, Disparity, and Ecology in Cenozoic Ungulate Radiations Science. ,vol. 274, pp. 1489- 1492 ,(1996) , 10.1126/SCIENCE.274.5292.1489
L. Earl Gray, William R. Kelce, Latent Effects of Pesticides and Toxic Substances On Sexual Differentiation of Rodents Toxicology and Industrial Health. ,vol. 12, pp. 515- 531 ,(1996) , 10.1177/074823379601200323
RICHARD I. SILVER, RONALD RODRIGUEZ, THOMAS S.K. CHANG, JOHN P. GEARHART, In vitro fertilization is associated with an increased risk of hypospadias. The Journal of Urology. ,vol. 161, pp. 1954- 1957 ,(1999) , 10.1016/S0022-5347(05)68863-5
IDA SLOTH WEIDNER, HENRIK MOLLER, TINA KOLD JENSEN, NIELS E. SKAKKEBAEK, RISK FACTORS FOR CRYPTORCHIDISM AND HYPOSPADIAS The Journal of Urology. ,vol. 161, pp. 1606- 1609 ,(1999) , 10.1016/S0022-5347(05)68992-6