Document Detail


Management of subsequent pregnancy after antepartum stillbirth. A review.
MedLine Citation:
PMID:  20504070     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In literature, there is a paucity of information about the management of the subsequent pregnancy after stillbirth (SB). we undertook a systematic review of the literature focusing on the evidence for antenatal interventions with the potential to prevent SB and we try to summarise the management of the pregnancy subsequent to a SB. The diverse interventions and their efficacy will be reported according to the possible causes and/or conditions associated to the previous SB. Few of the studies reported SB as an outcome and the evidence was frequently conflicting. Several interventions showed clear evidence of impact on SB, including the scrupulous control of blood sugar by using multiple doses of insulin, frequent antenatal foetal monitoring and timing of delivery in diabetic women; the prophylaxis with low dose of aspirin in high-risk women; or serial sonograms for foetal growth, Doppler studies and antepartum foetal testing in women with previous growth restricted foetus. Other interventions instead reduced know risk factors for SB but failed to show statistically significant impact on SB rate. Overall, early access to care, at least three ultrasounds examinations, screening for the main pregnancy-related disorders and timely delivery are the milestone of appropriate antenatal care in women with previous SB.
Authors:
Francesca Monari; Fabio Facchinetti
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1073-84     Citation Subset:  IM    
Affiliation:
Department of Mother-Infant, University of Modena and Reggio Emilia, and Unit of Obstetrics, Azienda Ospedaliero Universitaria, Modena Italy.
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MeSH Terms
Descriptor/Qualifier:
Antiphospholipid Syndrome / drug therapy
Female
Fetal Death / prevention & control*
Fetal Growth Retardation / therapy
Humans
Hypertension, Pregnancy-Induced / therapy
Parity
Pregnancy
Pregnancy in Diabetics / therapy
Prenatal Care / methods*
Stillbirth*
Thrombophilia / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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