Abstract
OBJECTIVES: The purpose of this study was to measure the effectiveness of resource mothers in reducing adverse consequences of maternal phenylketonuria. METHODS: Nineteen pregnancies in the resource mothers group were compared with 64 pregnancies in phenylketonuric women without resource mothers. Weeks to metabolic control and offspring outcome were measured. RESULTS: Mean number of weeks to metabolic control was 8.5 (SE = 2.2) in the resource mothers group, as compared with 16.1 (SE = 1.7) in the comparison group. Infants of women in the resource mothers group had larger birth head circumferences and higher developmental quotients. CONCLUSIONS: The resource mothers program described here improves metabolic control in pregnant women with phenylketonuria.
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Selected References
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- Drogari E., Smith I., Beasley M., Lloyd J. K. Timing of strict diet in relation to fetal damage in maternal phenylketonuria. An international collaborative study by the MRC/DHSS Phenylketonuria Register. Lancet. 1987 Oct 24;2(8565):927–930. doi: 10.1016/s0140-6736(87)91418-8. [DOI] [PubMed] [Google Scholar]
- Friedman E. G., Koch R., Azen C., Levy H., Hanley W., Matalon R., Rouse B., Trefz F., de la Cruz F. The International Collaborative Study on maternal phenylketonuria: organization, study design and description of the sample. Eur J Pediatr. 1996 Jul;155 (Suppl 1):S158–S161. doi: 10.1007/pl00014236. [DOI] [PubMed] [Google Scholar]
- Hanley W. B., Clarke J. T., Schoonheyt W. Maternal phenylketonuria (PKU)--a review. Clin Biochem. 1987 Jun;20(3):149–156. doi: 10.1016/s0009-9120(87)80112-1. [DOI] [PubMed] [Google Scholar]
- Lenke R. R., Levy H. L. Maternal phenylketonuria and hyperphenylalaninemia. An international survey of the outcome of untreated and treated pregnancies. N Engl J Med. 1980 Nov 20;303(21):1202–1208. doi: 10.1056/NEJM198011203032104. [DOI] [PubMed] [Google Scholar]
- Levy H. L., Ghavami M. Maternal phenylketonuria: a metabolic teratogen. Teratology. 1996 Mar;53(3):176–184. doi: 10.1002/(SICI)1096-9926(199603)53:3<176::AID-TERA5>3.0.CO;2-2. [DOI] [PubMed] [Google Scholar]
- Niklasson A., Ericson A., Fryer J. G., Karlberg J., Lawrence C., Karlberg P. An update of the Swedish reference standards for weight, length and head circumference at birth for given gestational age (1977-1981). Acta Paediatr Scand. 1991 Aug-Sep;80(8-9):756–762. doi: 10.1111/j.1651-2227.1991.tb11945.x. [DOI] [PubMed] [Google Scholar]
- Schuett V. E., Brown E. S. Diet policies of PKU clinics in the United States. Am J Public Health. 1984 May;74(5):501–503. doi: 10.2105/ajph.74.5.501. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waisbren S. E., Hamilton B. D., St James P. J., Shiloh S., Levy H. L. Psychosocial factors in maternal phenylketonuria: women's adherence to medical recommendations. Am J Public Health. 1995 Dec;85(12):1636–1641. doi: 10.2105/ajph.85.12.1636. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waisbren S. E., Zaff J. Personality disorder in young women with treated phenylketonuria. J Inherit Metab Dis. 1994;17(5):584–592. doi: 10.1007/BF00711596. [DOI] [PubMed] [Google Scholar]
