Prior adverse pregnancy outcome and the risk of stillbirth

Obstetrics and Gynecology
Svein RasmussenKari Klungsøyr Melve

Abstract

To estimate whether a history of fetal growth restriction, abruptio placentae, preeclampsia, or live preterm birth is associated with excess risk of stillbirth in a subsequent pregnancy. We also estimated the maternal and paternal contributions to such effects. This was a population-based cohort study from 1967 to 2005. Pairs of first and second, second and third, third and fourth, and fourth and fifth births were identified among all births from the Medical Birth Registry of Norway; 747,221 pairs with the same parents, 51,708 with the same mother and different father, and 65,602 with the same father and different mother. The associations of gestational age categories (22-27, 28-32, 33-36, and at or above 37 weeks), small for gestational age (SGA), preeclampsia, and abruptio placenta in the first pregnancy with stillbirth and late abortion in the second were assessed by odds ratios (ORs) obtained by logistic regression. The baseline rate of stillbirth during the study period was 1.0% of all births from 16 weeks of gestation. After births with gestational age 22-27, 28-32, and 33-36 weeks of gestation, stillbirth was six, three and two times more likely to occur than after a term birth (OR 5.7, 95% confidence interval [CI] 4.2-7...Continue Reading

References

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Citations

Feb 10, 2010·Clinical Obstetrics and Gynecology·Jonathan P Shepherd, Halina M Zyczynski
Jul 28, 2010·Clinical Obstetrics and Gynecology·Erika F Werner, Charles J Lockwood
Aug 31, 2013·BMC Pregnancy and Childbirth·Michael J MahandeRolv T Lie
Jan 15, 2014·Taiwanese Journal of Obstetrics & Gynecology·Li-Chun LiuHer-Young Su
Jan 15, 2014·Journal of Clinical Epidemiology·David A CromwellIpek Gurol-Urganci
Jun 19, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Siavash MaghsoudlouShahram Bahmanyar
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Sep 4, 2016·Taiwanese Journal of Obstetrics & Gynecology·Liangcheng WangAkiyoshi Takagi
Sep 1, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·E MalacovaG Pereira
May 1, 2020·BMJ : British Medical Journal·Liv G KvalvikQuaker E Harmon

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