Am. Stolwijk et al., SEASONAL-VARIATION IN THE TIME TO PREGNANCY - A SECONDARY ANALYSIS OF3 DANISH DATABASES, European journal of epidemiology, 12(5), 1996, pp. 437-441
Three Danish databases were reanalysed to investigate seasonal variati
on in the time to pregnancy. Information was available on cohorts of w
omen selected on the basis of union membership or residence in a given
area: textile workers in Denmark (with 1,053 first and 1,771 second p
regnancies), pharmacy assistants in Denmark (with 734 first and 725 se
cond pregnancies) and pregnant-women in the 36th week of pregnancy in
two Danish cities (with 3,657 first and 3,526 second pregnancies). The
influence of the season was of primary interest, because it is presum
ed to cause impaired ovarian function and hence a prolonged time to pr
egnancy. Furthermore, we studied whether the waiting time was prolonge
d in other situations with possibility of decreased ovarian function:
in young and older women. In general, seasonality in the time to pregn
ancy based on the time of conception was found with a higher chance of
a prolonged waiting time before conceiving in February-April and a lo
wer chance of a prolonged waiting time before conceiving in August-Oct
ober. This association was not distorted by the age of the women or di
abetes mellitus. A prolonged time to pregnancy was found in women of 3
0 years or older. Women of 20 years or younger did not have a prolonge
d waiting time, but most of them were well beyond the age of menarche
and thus beyond the period of impaired ovarian function. On a populati
on level, there was evidence for seasonality in the time to pregnancy,
which is compatible with seasonal variation in pregnancy planning as
well as with biological influences.