Document Detail

Population study of the risk of fetal death and its relationship to birthweight, gestational age, and race.
MedLine Citation:
PMID:  7945620     Owner:  NLM     Status:  MEDLINE    
With more than 20,000 fetal deaths occurring annually in the United States, accurate epidemiological data concerning fetal death offer the potential to develop interventions aimed at saving a considerable number of fetuses. Currently, fetal death rates are determined by dividing the number of deaths by total births. These raw death rates do not focus on cause or preventability, nor do they delineate the risk for a individual pregnancy or any specific gestational age. Using data from 747,033 births in Illinois from 1984 to 1988, we estimated the fetal death risk (FDR) according to fetal weight and gestational age expressed as a function of the number of remaining fetuses. This procedure permits the comparison of FDR across all weights (including fetuses with growth retardation and macrosomia) and gestational ages. In addition, we examined the effect of race on this analysis. Between 28 and 36 weeks' gestational age, white fetuses with mean weights have a constant risk of fetal death at 0.1/1000 remaining fetuses. The risk is two to three times greater for black fetuses. If the fetus has growth retardation or is appropriately grown beyond 37 weeks' gestational age, the FDR increases further, with black fetuses remaining at higher risk. These data attempt to quantify the risk of fetal death. They support the widely held belief that the risk of fetal death increases in the presence of intrauterine growth retardation, but they also demonstrate that the risk of fetal death for all fetuses, including those appropriately grown, increases exponentially after 37 weeks' gestational age.(ABSTRACT TRUNCATED AT 250 WORDS)
R Ferguson; S A Myers
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  11     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-12-02     Completed Date:  1994-12-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  IM    
Division of Health Statistics, Illinois Department of Public Health, Chicago.
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MeSH Terms
African Americans*
Birth Weight*
Cohort Studies
Embryonic and Fetal Development
European Continental Ancestry Group
Fetal Death / ethnology*
Fetal Diseases / ethnology*
Gestational Age*
Illinois / epidemiology
Risk Factors

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