| Unexplained fetal death: are women with a history of fetal loss at higher risk? | |
| | |
MedLine Citation:
|
PMID: 19432602 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIMS: To identify factors, including the loss of a previous pregnancy before 20 weeks gestation, which are associated with increased risk of singleton antepartum unexplained fetal death (UFD) in Western Australia (WA) using information recorded in routine data collections. METHODS: All fetal deaths in WA from 1990 to 1999 that underwent thorough post-mortem investigations were classified using the Perinatal Society of Australia and New Zealand Perinatal Death Classification System. All UFDs were selected as cases and unmatched controls were randomly drawn from all live births in WA occurring during the study period. Demographic and clinical information on cases and controls was obtained from the WA Midwives' Notification System. Multivariable logistic regression was carried out to determine the independent effect of risk factors and calculate odds ratios. RESULTS: Almost one quarter (22%) of stillbirths were unexplained. Primigravid and primiparous women with a history of pregnancy loss before 20 weeks were at higher risk of UFD than multiparous women who had not experienced any loss. Women with a history of fetal death (after 20 weeks) had the highest risk of UFD. CONCLUSION: The current practice of closely monitoring pregnant women with a history of fetal loss or death should continue as this study suggests they may have a higher risk of poor obstetric outcome. Larger studies are needed to confirm the association between previous pregnancy loss and UFD. |
| | |
Authors:
|
Mary-Anne Measey; Edouard Tursan d'Espaignet; Adrian Charles; Catherine Douglass |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Australian & New Zealand journal of obstetrics & gynaecology Volume: 49 ISSN: 1479-828X ISO Abbreviation: Aust N Z J Obstet Gynaecol Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-05-12 Completed Date: 2009-08-03 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0001027 Medline TA: Aust N Z J Obstet Gynaecol Country: Australia |
Other Details:
|
Languages: eng Pagination: 151-7 Citation Subset: IM |
Affiliation:
|
Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Perth, Western Australia, Australia. maryannem@ichr.uwa.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abortion, Spontaneous* Adult Case-Control Studies Female Fetal Death* Gravidity Humans Odds Ratio Pregnancy Risk Factors Stillbirth* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Assessment of the effect of psychosocial support during childbirth in Ibadan, south-west Nigeria: a ...
Next Document: Role of a second stage partogram in predicting the outcome of normal labour.