Causes of Adverse Pregnancy Outcomes and the Role of Maternal Periodontal Status – A Review of the Literature

Preterm (PT) and Low birth weight (LBW) are considered to be the most relevant biological determinants of newborn infants survival, both in developed and in developing countries. Numerous risk factors for PT and LBW have been defined in the literature. Infections of the genitourinary tract infections along with various biological and genetic factors are considered to be the most common etiological factors for PT/LBW deliveries. However, evidence suggests that sub-clinical infection sites that are also distant from the genitor-urinary tract may be an important cause for PT/LBW deliveries. Maternal periodontal status has also been reported by many authors as a possible risk factor for PT and LBW, though not all of the actual data support such hypothesis. The aim of this paper is to review the evidence from various published literature on the association between the maternal periodontal status and adverse pregnancy outcomes. Although this review found a consistent association between periodontitis and PT/LBW, this finding should be treated with great caution until the sources of heterogeneity can be explained

Life history and population characteristics of the Antarctic starfish, Anasterias antarctica Luetken, 1856 (Asteroidea: Forcipulatida: Asteriidae) around the Falkland Islands

The biology of littoral fauna of the Falkland Islands is largely unknown. This pilot study was launched by Shallow Marine Surveys Group and was aimed at investigating life history of the Antarctic starfish, Anasterias antarctica, a dominating invertebrate predator of intertidal and subtidal, including its distribution, seasonal and ontogenetic migrations, spawning seasonality, fecundity, growth, and feeding habits. A total of 3,426 starfish were sampled in different habitats around the Falkland Islands at low tide using SCUBA diving. Sampling included measuring arm length, presence/absence of brooding and feeding; the prey was identified to the lowest taxa and measured if condition permitted. In a total of 48 broods, eggs were counted and embryonic stage assigned. This medium-sized species attains an arm length of 96 mm (85.4 g). The size increased with depth and starfish carry out seasonal bathymetric migrations with smaller animals (10 m depth in winter. Egg laying occurs between March and July, and juvenile dispersal—mostly in October–November. Fecundity (52–363 eggs) and egg/offspring size increase with maternal size. Juvenile starfish are of ca. 2 mm arm length and grow to 9–11 mm in 1 year. Feeding intensity is at a maximum before and after the reproductive period. Females might occasionally resume feeding when they are still brooding a small number of juveniles. The starfish prey upon isopods (Sphaeromatidae), molluscs Pareuthria spp. and variety of gastropods, bivalves chitons, barnacles, and also scavenges. Prey size increases with starfish size

Maternal adiposity prior to pregnancy is associated with ADHD symptoms in offspring: evidence from three prospective pregnancy cohorts

Objectives: We examine whether pregnancy weight (pre-pregnancy body mass index (BMI) and/or weight gain) is related to core symptoms of attention deficit hyperactivity disorder (ADHD) in school-age offspring. Design: Follow-up of prospective pregnancy cohorts from Sweden, Denmark and Finland within the Nordic Network on ADHD. Methods: Maternal pregnancy and delivery data were collected prospectively. Teachers rated inattention and hyperactivity symptoms in offspring. High scores were defined as at least one core symptom rated as ‘severe’ and two as ‘present’ (approximately 10% of children scored in this range). Logistic regression and latent class analyses were used to examine maternal pregnancy weight in relation to children's ADHD core symptoms. Results: Teacher rated 12 556 school-aged children. Gestational weight gain outside of the Institute of Medicine guidelines was not related to ADHD symptoms (below recommendations: odds ratio (OR): 0.96; 95% confidence interval (CI): 0.81, 1.14; above recommendations: OR: 0.98; 95% CI: 0.82, 1.16). To examine various patterns of pre-pregnancy BMI and weight gain, we used latent class analysis and found significant associations between classes that included pre-pregnancy overweight or obesity and a high ADHD symptom score in offspring, ORs ranged between 1.37 (95% CI: 1.07, 1.75) and 1.89 (95% CI: 1.13, 3.15) adjusted for gestational age, birth weight, weight gain, pregnancy smoking, maternal age, maternal education, child gender, family structure and cohort country of origin. Children of women who were both overweight and gained a large amount of weight during gestation had a 2-fold risk of ADHD symptoms (OR: 2.10, 95% CI: 1.19, 3.72) compared to normal-weight women. Conclusions: We show for the first time that pre-pregnancy BMI is associated with ADHD symptoms in children. Our results are of public health significance if the associations are causal and will then add ADHD symptoms in offspring to the list of deleterious outcomes related to overweight and obesity in the prenatal period