Factors associated with late fetal mortality

Hidalgo-Lópezosa, Pedro; Cobo-Cuenca, Ana Isabel; Carmona‐Torres, Juan Manuel; Luque-Carrillo, Patricia; Rodríguez-Muñoz, Pedro Manuel; Rodríguez‐Borrego, María Aurora

doi:10.1007/s00404-018-4726-4

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…In the present study, although analysis does not focus on the causes of late fetal mortality, prematurity occupies 2/3 of the sample, with great prematurity (<32 weeks) accounting for 31.7%. Note that prematurity is known to be associated with the risk of late fetal death [9], and it is considered as a number 10 group according to the Robson 10-step classification, a clinically relevant and useful classification system to improve outcomes [20].…”

Section: Discussionmentioning

confidence: 99%

“…The lowest were recorded in Cyprus with 1.4 × 1000, and in Denmark and Iceland with 2 × 1000 [7]. Spain is in an average position with 2.7 × 1000, and actually recorded a 0.1 increase compared with the 2015 figures [9]. Further research should be carried out by health authorities into the changes in stillbirth rates in 2010 and 2015 [7].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019

Hidalgo-Lópezosa

Cubero-Luna

García-Fernández

et al. 2023

IJERPH

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(1) Background: The rate of cesarean sections in late fetal mortality remains high. We aimed to determine the prevalence of late fetal mortality in Spain and risk factors for cesarean birth in women with stillbirth ≥ 28 weeks gestation between 2016–2019. (2) Methods: A retrospective observational study with national data between 2016–2019. A total of 3504 births with fetal dead were included. Sociodemographic, obstetrical and neonatal variables were analyzed using univariate and multivariate logistic regression (MLR), with cesarean birth with a stillborn ≥ 28 weeks gestation as the dependent variable. (3) Results: The late fetal mortality rate was 2.8 × 1000; 22.7% of births were by cesarean section. Factors associated with cesarean were having a multiple birth (aOR 6.78); stillbirth weight (aOR 2.41); birth taking place in towns with over 50,000 inhabitants (aOR 1.34); and mother’s age ≥ 35 (aOR 1.23). (4) Conclusions: The late fetal mortality rate increased during the period. The performance of cesarean sections was associated with the mother’s age, obstetric factors and place of birth. Our findings encourage reflection on how to best put into practice national clinical and socio-educational prevention strategies, as well as the approved protocols on how childbirth should be correctly conducted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019

Hidalgo-Lópezosa

Cubero-Luna

García-Fernández

et al. 2023

IJERPH

Self Cite

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show abstract

“…A literatura demonstra resultados perinatais adversos, risco de morte fetal 50% maior em gravidez tardia quando comparado a gestantes em outras faixas etárias. (16) Gestações tardias estão mais propícias a patologias específicas, como diabetes e hipertensão gestacionais, com repercussões negativas ao feto, (17) e apresentam maior incidência de malformações congênitas e deformidades incompatíveis com a vida. (17) A maior parte dos partos cesáreos ocorreram nos fetos com causas de morte evitáveis.…”

Section: Discussionunclassified

“…(16) Gestações tardias estão mais propícias a patologias específicas, como diabetes e hipertensão gestacionais, com repercussões negativas ao feto, (17) e apresentam maior incidência de malformações congênitas e deformidades incompatíveis com a vida. (17) A maior parte dos partos cesáreos ocorreram nos fetos com causas de morte evitáveis. É observado em pesquisa que para gestantes com concepto morto decorrente de urgência obstétrica é indicado o parto cesáreo para a preservação da vida materna.…”

Section: Discussionunclassified