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The birth order puzzle.

Studies relating intellectual performance to birth order report conflicting results, some finding intellectual scores to increase, others to decrease with birth order. In contrast, the relationship between intellectual performance and family size is stable and consistently replicable. Why do these two highly related variables generate such divergent results? This birth order puzzle is resolved by means of the confluence model that quantifies the influences upon intellectual growth arising within the family context. At the time of a new birth, two opposing influences act upon intellectual growth of the elder sibling: (a) his or her intellectual environment is "diluted" and (b) he or she loses the "last-born's handicap" and begins serving as an intellectual resource to the younger sibling. Since these opposite effects are not equal in magnitude, the differences in intellectual performance among birth ranks are shown to be age dependent. While elder children may surpass their younger siblings in intellectual performance at some ages, they may be overtaken by them at others. Thus when age is taken into consideration, the birth order literature loses its chaotic character and an orderly pattern of results emerges.

Adolescent↗

The relationship of schizophrenic births to 16 infectious diseases.

BACKGROUND: Recently, several investigators have reported an association between influenza epidemics and increased birth rates of 'preschizophrenic' individuals some four to six months later. Here we examine whether maternal exposure to other infectious diseases can also predispose the foetus to later schizophrenia. METHOD: Two independent sets of dates of birth of first admission schizophrenic patients, born between 1938 and 1965 in England and Wales, were obtained from the Mental Health Enquiry in England and Wales. Data on the number of deaths per month from 16 infectious diseases between 1937 and 1965 in England and Wales were also collected. We used a Poisson regression model to examine the relationship between deaths from infectious diseases and schizophrenic births. RESULTS: In the two separate data sets, increased national deaths from bronchopneumonia preceded, by three and five months respectively, increased numbers of schizophrenic births. We did not find any other significant associations between schizophrenic births and any of the other 15 infectious diseases. CONCLUSIONS: The association between deaths from bronchopneumonia and increased schizophrenic births some months later may be a reflection of the fact that bronchopneumonia deaths increase markedly during influenza epidemics.

Adult↗

Hourly distribution of time of parturition in the domestic goat.

Data on 2589 records collected during 12 years in one breed of dairy goats that were maintained in stables were analysed to examine the influence of various factors on the time of parturition. Parturitions were observed from mid-January to the end of April. Hourly frequencies of birth showed an unimodal distribution with maximum births at midday and minimum births around midnight with 90.6% of deliveries occurring between 0600 and 2000 h. The distribution showed a noticeable homogeneity when the following parameters were taken into account: litter-size, litters with live or stillborn kids, time of the year and length of gestation. In two other herds, 117 and 166 records obtained after 4 and 3 years of observation were studied. As in the first herd, births were more frequent between 0700 to 1900 h (day; 72.3 and 70.2 %, respectively) than between 1900 and 0700 h (night; P<0.001). These observations on the time of birth of the domestic goat suggest a regulation of the birth process by circadian events which themselves remain unknown.

Journal Article↗

[Risk factors to develop adenoid vegetations in children].

To evaluate perinatal factors of risk to develop adenoid vegetations in childhood, 600 children were examined. Their perinatal period and health in the first year of life were investigated. 400 examinees aged 2-12 years had adenoids of the second-third degree. 200 children aged 13-14 had no history of the lymphadenoid pharyngeal ring. The degree of the studied factors impact on development of pharyngeal tonsil affection was estimated using the unifactor dispersion analysis. Correlation was found between some complications of pregnancy and labour, health problems at birth and first year of life and development of adenoid vegetations.

Adenoids↗

[Glucose tolerance in intensive care premature infants with a birth weight below 1,500 g in the first 5 days].

UNLABELLED: Plasma insulin and blood glucose values were studied in 11 stressed premature infants with birth weight below 1 500 g during the first five days after birth under increasing fluid and glucose infusion rates. The group 11 small premature neonates was subdivided; group A consisted of 6 stressed premature infants with respiratory distress syndrome (RDS stage III-IV) and/or intraventricular haemorrhage (IVH stage III-IV), and group B of 5 slightly stressed premature infants with RDS (stage I-II and/or IVH (stage I-II). During the first two days there was no difference in caloric and fluid intake in both groups. From the third day on caloric intake was much higher in group B than in group A (day 5: group A: 61.33 +/- 13.01 kcal/kg BW; group B: 78.2 +/- 18.49 kcal/kg BW). Plasma insulin values increased in both groups during the first five days after birth (group A: day 1: mean plasma insulin values 8.18 +/- 7.59 microU/ml; day 4: 27.22 +/- 32.85 microU/ml; group B: day 1: mean plasma insulin values 4.34 +/- 2.62; day 4: 11.18 +/- 8.38). Blood glucose and plasma insulin values were significantly higher in group A than in group B. CONCLUSION: Impaired glucose utilisation in severely stressed premature infants with parenteral nutrition might be due to stress induced peripheral insulin resistance.

Birth Weight↗

Effect of maternal and infant covariates on sibship correlation in birth weight.

Birth weight on 12,644 singleton infants from 6,196 sibships born in Maryland between 1980 and 1984 were used to estimate the effects of nine maternal and infant covariates on the sibship correlation in birth weight. Assuming a homogeneous correlation across all families, the estimated intraclass correlation was 0.4664 (+/- 0.0099). This high sibship correlation makes it possible to predict, with reasonable accuracy, the birth weight of a child given information on previous sibs, as well as covariates on the mother and/or infant pertinent to a given pregnancy. The reduction in variance associated with incorporating information on the nine covariates used here was approximately equal to that obtained by conditioning on a single previous sib. Testing for heterogeneity in correlation among different groups of families showed that a crude measure of parity (first live birth vs. other), time between births, mother's marital status, and maternal age at the birth of the last child significantly influenced the sibship correlation in birth weight.

Adult↗

Birth of offspring following artificial insemination in the common marmoset, Callithrix jacchus.

The objective of the study was to develop a method for artificial insemination (AI) in the common marmoset, a New World primate species. For AI to be successful, sperm must be deposited at an appropriate site and time in the female reproductive tract, details of which are currently not available for Callitrichid species. Epididymal sperm were deposited in the cervix of 18 marmoset monkeys (Callithrix jacchus) around the time of expected ovulation using either 3, 2, or 1 inseminations. Six out of 18 females conceived, resulting in the first reported births following AI in this species. These pregnancies show that the presence of coagulum in the vagina and the stimulus of the female reproductive tract by natural mating are not essential for effective sperm transport in this species. Although 3 different timing regimes for sperm deposition relative to ovulation were employed, no protocol was demonstrably better than the others in terms of number of conceptions. The proportions of motile, live, and morphologically normal sperm in the suspensions used for AI were comparable with published values for ejaculates from fertile male macaques. These preliminary results indicate that births are possible following AI in marmosets: the technique could be used to aid effective genetic management of the species and possibly to facilitate captive breeding of endangered Callitrichids.

Animals↗

Breast cancer in young women and use of oral contraceptives: possible modifying effect of formulation and age at use.

A case-control study of 314 breast cancer patients aged less than 37 at diagnosis and 314 individually matched controls was done to assess the influence of oral-contraceptive (OC) use on the risk of the disease. Long-term use before age 25 of combination-type OCs with a "high" content of the progestogen component was associated with increased risk of breast cancer: the relative risk was approximately 4 after 5 years of such use, and 9 cases and no controls had used such combination-type OCs for more than 6 years before age 25. Use of combination-type OCs with a "low" progestogen component appears to increase breast-cancer risk little or not at all.

Adult↗

Intraday feeding patterns in infant rhesus monkeys and the effects of missing a meal.

During the first month of life, infant rhesus monkeys (N = 96) were fed 7 times a day for the first 21 days and were fed 6 times a day thereafter. Fifty monkeys were fed SMA, a formula designed for human infants (9% protein, 43% carbohydrate, and 48% fat); 46 were fed one of three laboratory-confected diets varying in the amount of protein and carbohydrates provided. Although the diets had differential effects on weight gain, overall daily consumption was practically unaffected. A characteristic pattern was evident soon after birth: The first meal of the day (8:00 AM) was one of the largest, and the following two meals were usually the smallest; the next peak spanned the 4:00 PM and 8:00 PM feedings. The meal following a missed meal was slightly larger than normal. To some extent, the large meal at 8:00 AM can be attributed to the 10-hr absence of food during the night, but the peak at 4:00 PM and 8:00 PM cannot be so accounted for. The adult bicuspid pattern of eating hence appears to develop very early in life.

Age Factors↗

Human capital, marital and birth timing, and the postnatal labor force participation of married women.

Using materials from the National Longitudinal Surveys of Labor Market Experience of Young Women, this article analyzes postnatal labor force participation data for married husband-present women over a 15-year period in order to study factors associated with the length of time out of the labor force following the 1st birth. Survival analyses and proportional hazards models indicate that human capital variables (education, prebirth work experience, and income) and marital and birth-timing variables (age at 1st marriage and age at 1st birth) have significant estimated effects on the rate and timing of reentry into the paid labor force.

Americas↗

[[Child-sex effects on further births]].

This paper clarifies the child-sex effects on the number of additional children in Japan. The data were retrospective birth histories of the 8th Japanese National Fertility Survey carried out by the Institute of Population Problems in 1982. 1st, the authors found that the majority of the Japanese had a balanced sex preference. There was a slight shift from boy preference to girl preference in terms of the parity progression ratio. The effect of the 1st child's sex was small, but the effect of the parity-2 sex combination was as big or bigger than that of other socioeconomic variables. Next, the authors observed some evidence suggesting strong sex preference in opinion and behavior, such as differential intentions of further childbearing due to the sex of previous children and differences in the number of abortions caused by the sex combination of living children. Finally, the authors noted further issues to be examined in the study of sex preference in Japan.

Abortion, Induced↗

Epidural analgesia in labor and cesarean delivery for dystocia.

Published studies assessing the effect of epidural analgesia in nulliparous labor on the frequency of cesarean delivery for dystocia are reviewed. There are at least four retrospective studies and two prospective studies that suggest that epidural analgesia may increase the risk of cesarean delivery for dystocia in first labors. The potential for epidural to increase the frequency of cesarean delivery for dystocia is likely influenced by multiple variables including parity, cervical dilatation at epidural placement, technique of epidural placement, management of epidural during labor, and the obstetrical management of labor after placement of epidural analgesia. Two studies suggest that delaying placement of the epidural until 5 cm of cervical dilatation or greater may reduce the risk of cesarean birth. Epidural is safe and may be a superior labor analgesic when compared with narcotics. However, patients should be informed that epidural analgesia may increase the risk of cesarean birth in first labors.

Analgesia, Epidural↗

[A study of attitudes and behavior regarding fertility among newlyweds in Taipei City].

There are around 40,000 births in Taipei City each year. Of them about 40% are of the 1st parity. Of all deliveries, about 80% are born to mothers under 30 years old. There are about 20,000 marriages each year. Of all brides and grooms surveyed in the present study, 39.4% and 39.1% consider the ideal time to conceive being either as early as possible or within 1 year after the wedding. In actuality, 28.08% of the respondents were already pregnant before the wedding. Excluding the inteviewees who were married for over 1 year, 34.1% are currently pregnant, 6.98% have already given birth, and 0.15% have become pregnant again after a birth. This result is similar to the findings of the KAP conducted by the Center in 1980, which showed that 41.3% of the interviewees gave birth to their 1st child within 1 year after the wedding. The same survey of 1980 also finds that the interval between the 1st and the 2nd child is 1.94 years, though women in general consider the ideal interval to be 2.6 years. How to encourage those who are to be married and the newlyweds to prolong the intervals between the wedding and the 1st child and between the 1st and the 2nd child is an important task of the health educators. The present study interviews 1013 couples who registered their marriages in October 1983. Needs, targets, and contents of education programs are identified. Better ways to communicate with the newlyweds are also indicated. The purpose of the study, based on the findings, is to propose a model most suitable for the education in family planning of those who are to be married and who are just married, in order to provide them with better services and to further reduce the fertility of young people.

Age Factors↗