Document Detail

Perinatal death: worse obstetric and neonatal outcome in a subsequent pregnancy.
MedLine Citation:
PMID:  7562745     Owner:  NLM     Status:  MEDLINE    
A retrospective case-control study was undertaken of women with a history of a previous stillbirth or neonatal death, who subsequently delivered in BMH Rinteln. Their obstetric and neonatal outcome was compared to that of a control group of women of similar age and parity and its relationship to specific socio-economic factors assessed. Index patients had a worse obstetric and neonatal outcome. They were statistically significantly more likely to be admitted to hospital during their pregnancy (46% vs 26%), to have medical complications (58% vs 34%), to be delivered prematurely (16% vs 8%), and by Caesarean section (22% vs 9%). Their babies were more likely to have complications (28.8% vs 20.4%), to be of low birth weight (14% vs 7%), require intubation (11% vs 5%) and be admitted to the Special Care Baby Unit (SCBU) (13% vs 7%). Apart from small stature, no differences in socio-economic factors between the two groups could be identified. Index patients were four times more likely than controls to have their pregnancy terminated prematurely as a result of complications (6.7% vs 1.6%), but there was also a high level of obstetric intervention in the absence of clear medical indications. Although perinatal mortality was not statistically increased, the results were suspicious and it is concluded that these women should continue to be considered a high-risk group.
M E Crowther
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal Army Medical Corps     Volume:  141     ISSN:  0035-8665     ISO Abbreviation:  J R Army Med Corps     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-10-25     Completed Date:  1995-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505627     Medline TA:  J R Army Med Corps     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  92-7     Citation Subset:  IM    
British Military Hospital, Rinteln.
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MeSH Terms
Case-Control Studies
Delivery, Obstetric
Fetal Death*
Great Britain
Hospitals, Military
Pregnancy Outcome*
Retrospective Studies
Social Class
Socioeconomic Factors

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

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