Maternal Outcomes of Ongoing Pregnancies Complicated by Fetal Life-Limiting Conditions.

American Journal of Perinatology
Talia ConeyAnna Palatnik

Abstract

This study aimed to examine maternal outcomes of ongoing pregnancies complicated by fetal life-limiting conditions. This was a retrospective matched cohort study of women with a diagnosis of fetal life-limiting condition between 2010 and 2018 in a single academic center. Cases were matched to controls (women who had normal fetal anatomic survey) according to year of delivery, body mass index, and parity in a 1:4 ratio. Bivariable and multivariable analyses were performed to compare the prevalence of the primary composite outcome, which included any one of the following: preeclampsia, gestational diabetes, cesarean delivery, third and fourth degree laceration, postpartum hemorrhage, blood transfusion, endometritis or wound infection, maternal intensive care unit admission, hysterectomy and maternal death, between cases and controls. During the study period, we found 101 cases that met inclusion criteria, matched to 404 controls. The rate of the composite maternal outcome did not differ between the two groups (39.6 vs. 38.9%, p = 0.948). For individual outcomes, women with diagnosis of fetal life-limiting condition had higher rates of blood transfusion (2.0 vs. 0%, p = 0.005) and longer length of the first stage of labor (median ...Continue Reading

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Related Concepts

Academic Medical Centers
Blood Transfusion
Cesarean Section
Diagnosis
Endometritis
Fetus
Hysterectomy
Labor (Childbirth)
Parity
Postpartum Hemorrhage

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