Document Detail


Prospective risk of stillbirth in multiple-gestation pregnancies: a population-based analysis.
MedLine Citation:
PMID:  12383526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the prospective risk of stillbirth in multiple gestations. METHODS: We conducted a retrospective analysis of birth notifications and infant mortality records relating to all multiple gestations to residents in a predefined health district. The incidence of live births and stillbirths was used to calculate the prospective risk of stillbirth at each week of gestation. RESULTS: The risk of stillbirth in multiple gestations increased from 1:3333 at 28 weeks' gestation to 1:69 at 39 or more weeks' gestation. The stillbirth risk in multiple gestations at 39 weeks surpassed that of postterm singleton pregnancies (1:526). CONCLUSION: Multiple gestations at 37-38 weeks have a risk of stillbirth equivalent to that of postterm singleton pregnancy. Because multiple gestations rarely proceed beyond 39 weeks, and because stillbirth risk increases several-fold beyond this stage, elective delivery might be justified at this gestational age.
Authors:
Shanthi Sairam; Kate Costeloe; Baskaran Thilaganathan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  100     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-17     Completed Date:  2002-11-07     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  638-41     Citation Subset:  AIM; IM    
Affiliation:
Feto-Maternal Medicine Unit, Academic Department of Obstetrics and Gynaecology, St George's Hospital Medical School, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Death / epidemiology*
Gestational Age
Humans
Incidence
London / epidemiology
Pregnancy
Pregnancy, Multiple*
Prospective Studies
Retrospective Studies
Risk Assessment
Comments/Corrections
Comment In:
Obstet Gynecol. 2003 May;101(5 Pt 1):1023   [PMID:  12738172 ]

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


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