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Archives of Gynecology and Obstetrics

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01-02-2012 | Maternal Fetal Medicine

Risk factors for intrapartum fetal death and trends over the years

Authors: Yaniv Brailovschi, Eyal Sheiner, Arnon Wiznitzer, Poria Shahaf, Amalia Levy

Published in: Archives of Gynecology and Obstetrics | Issue 2/2012

Abstract

Objective

To determine the time trends and risk factors for intrapartum fetal death (IPFD).

Study design

A case–control study comparing pregnancies with and without IPFD between the years 1988 and 2008 was conducted. A multiple logistic regression model was used to determine the risk factors for IPFD.

Results

During the study period, 204,102 singleton births were analyzed; of these, 110 IPFD cases occurred. The following independent risk factors were identified: Bedouin ethnicity (OR = 1.85, 95% CI 1.22–2.8), malpresentations (OR = 2.76, 95% CI 1.71–4.47), gestational age (OR = 0.72, 95% CI 0.69–0.76), polyhydramnios (OR = 3.49, 95% CI 1.94–6.26), meconium-stained amniotic fluid (OR = 3.18, 95% CI 2.01–5.05), umbilical cord prolapse (OR = 6.64, 95% CI 2.79–15.78), placental abruption (OR = 3.24, 95% CI 1.73–6.04), uterine rupture (OR = 38.59, 95% CI 10.58–140.71) and congenital malformations (OR = 2.41, 95% CI 1.47–3.97). A gradual decline over the years in the rate of IPFD was noted in the Bedouin population. No significant association was noted in the prevalence of IPFD during the weekends as compared to the week days (OR = 0.85; 95% CI 0.54–1.32; P = 0.475).

Conclusion

Independent risk factors for IPFD are preterm birth, malpresentation, polyhydramnios, meconium-stained amniotic fluid, umbilical cord prolapse, placental abruption, uterine rupture, congenital malformations and Bedouin ethnicity. Weekends do not pose additional risk for the occurrence of IPFD.

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Title: Risk factors for intrapartum fetal death and trends over the years
Authors: Yaniv Brailovschi
Eyal Sheiner
Arnon Wiznitzer
Poria Shahaf
Amalia Levy
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-011-1969-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Risk factors for intrapartum fetal death and trends over the years

Abstract

Objective

Study design

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Study design

Results

Conclusion

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