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Summary

In 100 normal singleton pregnancies and in 44 patients with pregnancy hypertension (pre-eclampsia) linear regression analyses demonstrated highly significant positive correlations between birth weights and late third trimester maternal serum unconjugated oestriol (O3) levels. Correlation coefficients increased, though not significantly, after standardising birth weights according to maternal size, parity and sex of infant. Pregnancy hypertension was classified according to the duration of clinical signs. In 23 patients with short duration pregnancy hypertension (onset 14 days or less before delivery) neither maternal age nor birth weight differed from normal controls. Mid-pregnancy weights were greater and unconjugated O3 levels lower and only one infant was growth retarded. Twenty one patients with long duration pregnancy hypertension (onset more than 14 days before delivery) were found on average to be heavier at mid-pregnancy and older than those in whom the condition was short-lived. Unconjugated O3 levels in patients with long duration hypertension were significantly below those in the short duration group. One third of infants born following long duration hypertension were growth retarded.