ObjectiveTo study the characteristics of pregnancies that resulted in stillbirth and to determine... more ObjectiveTo study the characteristics of pregnancies that resulted in stillbirth and to determine which may possibly predict intrauterine fetal death (IUFD).Study DesignA total of 161 singleton pregnancies resulting in stillbirth at Nottingham City Hospital from 1991 to 1997 were compared with 499 live births randomly selected from the same period of time. The variables studied were the following: customized birth weight for gestational age, fetal sex, histopathologic cause of IUFD, maternal age, ethnic group, parity, maternal body mass index (BMI), smoking habit, and maternal blood group.ResultsIn 54.7% of the cases of stillbirth at our institution women presented with reduction or absence of fetal movements before the diagnosis of IUFD. Almost half of the stillbirths (48.4%) were small for gestational age (< 10th percentile) on the basis of gestational age-specific weight. The difference in customized birth weight between stillbirths and live births was statistically significant (P < .0001). Increased maternal body mass index (BMI) was positively associated with stillbirth rate (P < .001), as was increased maternal age (P = .0012). Women with blood group O (P = .014) had an even higher stillbirth rate. There was no association between stillbirth rate and maternal ethnic group, maternal smoking, maternal Rhesus status, or fetal sex.ConclusionsThis study found that almost half of stillborn babies were small for gestational age. Reduced fetal activity should be investigated thoroughly, with formal measurement of fetal growth as part of this assessment. Maternal blood group and maternal age were found to be important factors in IUFD. Smoking was not confirmed in this study to be a significant factor.
ABSTRACT The grief of stillbirth continues to affect a large number of parents in the 21st centur... more ABSTRACT The grief of stillbirth continues to affect a large number of parents in the 21st century. In the UK, 17 sets of parents face the reality of a baby born dead each day, a tragic end to the months of excitement and anticipation of pregnancy. Our previous (2012) article explored the aetiology of stillbirths in high and low income countries and focused on possible global interventions to reduce rates. This update will focus more on the current UK situation, attempting to summarize causes and investigations as well as exploring current innovations aimed at improving identification of fetuses at risk.
The grief of stillbirth continues to affect a large number of parents in the 21st century. In the... more The grief of stillbirth continues to affect a large number of parents in the 21st century. In the UK, 17 sets of parents face the reality of a baby born dead each day, a tragic end to the months of excitement and anticipation of pregnancy. Our previous (2012) article explored the aetiology of stillbirths in high and low income countries and focused on possible global interventions to reduce rates. This update will focus more on the current UK situation, attempting to summarize causes and investigations as well as exploring current innovations aimed at improving identification of fetuses at risk.
To study the characteristics of pregnancies that resulted in stillbirth and to determine which ma... more To study the characteristics of pregnancies that resulted in stillbirth and to determine which may possibly predict intrauterine fetal death (IUFD). A total of 161 singleton pregnancies resulting in stillbirth at Nottingham City Hospital from 1991 to 1997 were compared with 499 live births randomly selected from the same period of time. The variables studied were the following: customized birth weight for gestational age, fetal sex, histopathologic cause of IUFD, maternal age, ethnic group, parity, maternal body mass index (BMI), smoking habit, and maternal blood group. In 54.7% of the cases of stillbirth at our institution women presented with reduction or absence of fetal movements before the diagnosis of IUFD. Almost half of the stillbirths (48.4%) were small for gestational age (< 10th percentile) on the basis of gestational age-specific weight. The difference in customized birth weight between stillbirths and live births was statistically significant (P <.0001). Increased...
ObjectiveTo study the characteristics of pregnancies that resulted in stillbirth and to determine... more ObjectiveTo study the characteristics of pregnancies that resulted in stillbirth and to determine which may possibly predict intrauterine fetal death (IUFD).Study DesignA total of 161 singleton pregnancies resulting in stillbirth at Nottingham City Hospital from 1991 to 1997 were compared with 499 live births randomly selected from the same period of time. The variables studied were the following: customized birth weight for gestational age, fetal sex, histopathologic cause of IUFD, maternal age, ethnic group, parity, maternal body mass index (BMI), smoking habit, and maternal blood group.ResultsIn 54.7% of the cases of stillbirth at our institution women presented with reduction or absence of fetal movements before the diagnosis of IUFD. Almost half of the stillbirths (48.4%) were small for gestational age (< 10th percentile) on the basis of gestational age-specific weight. The difference in customized birth weight between stillbirths and live births was statistically significant (P < .0001). Increased maternal body mass index (BMI) was positively associated with stillbirth rate (P < .001), as was increased maternal age (P = .0012). Women with blood group O (P = .014) had an even higher stillbirth rate. There was no association between stillbirth rate and maternal ethnic group, maternal smoking, maternal Rhesus status, or fetal sex.ConclusionsThis study found that almost half of stillborn babies were small for gestational age. Reduced fetal activity should be investigated thoroughly, with formal measurement of fetal growth as part of this assessment. Maternal blood group and maternal age were found to be important factors in IUFD. Smoking was not confirmed in this study to be a significant factor.
ABSTRACT The grief of stillbirth continues to affect a large number of parents in the 21st centur... more ABSTRACT The grief of stillbirth continues to affect a large number of parents in the 21st century. In the UK, 17 sets of parents face the reality of a baby born dead each day, a tragic end to the months of excitement and anticipation of pregnancy. Our previous (2012) article explored the aetiology of stillbirths in high and low income countries and focused on possible global interventions to reduce rates. This update will focus more on the current UK situation, attempting to summarize causes and investigations as well as exploring current innovations aimed at improving identification of fetuses at risk.
The grief of stillbirth continues to affect a large number of parents in the 21st century. In the... more The grief of stillbirth continues to affect a large number of parents in the 21st century. In the UK, 17 sets of parents face the reality of a baby born dead each day, a tragic end to the months of excitement and anticipation of pregnancy. Our previous (2012) article explored the aetiology of stillbirths in high and low income countries and focused on possible global interventions to reduce rates. This update will focus more on the current UK situation, attempting to summarize causes and investigations as well as exploring current innovations aimed at improving identification of fetuses at risk.
To study the characteristics of pregnancies that resulted in stillbirth and to determine which ma... more To study the characteristics of pregnancies that resulted in stillbirth and to determine which may possibly predict intrauterine fetal death (IUFD). A total of 161 singleton pregnancies resulting in stillbirth at Nottingham City Hospital from 1991 to 1997 were compared with 499 live births randomly selected from the same period of time. The variables studied were the following: customized birth weight for gestational age, fetal sex, histopathologic cause of IUFD, maternal age, ethnic group, parity, maternal body mass index (BMI), smoking habit, and maternal blood group. In 54.7% of the cases of stillbirth at our institution women presented with reduction or absence of fetal movements before the diagnosis of IUFD. Almost half of the stillbirths (48.4%) were small for gestational age (< 10th percentile) on the basis of gestational age-specific weight. The difference in customized birth weight between stillbirths and live births was statistically significant (P <.0001). Increased...
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