Recurrence of small-for-gestational-age pregnancy: analysis of first and subsequent singleton pregnancies in The Netherlands

Voskamp, Bart Jan; Kazemier, Brenda M.; Ravelli, Anita C.J.; Schaaf, Jelle M.; Mol, Ben Willem J.; Pajkrt, Eva

doi:10.1016/j.ajog.2013.01.045

Cited by 63 publications

(60 citation statements)

References 30 publications

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“…Prior to 2007, there was no uniform pregnancy dating 210 policy in the Netherlands although ultrasound increasingly 211 replaced the last menstrual period for dating since its introduction 212 in the 1980s [24]. During the study period, dating was based on 213 crown-rump-length and head circumference measurements, 214 depending on the gestational age at time of dating.…”

mentioning

confidence: 99%

Recurrence rate and outcome of postterm pregnancy, a national cohort study

Kortekaas

Kazemier

Ravelli

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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mentioning

confidence: 99%

Recurrence rate and outcome of postterm pregnancy, a national cohort study

Kortekaas

Kazemier

Ravelli

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

Self Cite

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“…Most previous studies describe pregnancy outcomes in primi-and multiparous women without dividing the women into groups 50,66,67,78 . This makes the results difficult to interpret, as it is known that there is a higher risk of adverse outcomes in subsequent pregnancies after adverse outcomes during a first pregnancy 82,83 .…”

Section: Specific Background To the Present Studiesmentioning

confidence: 69%

“…To avoid the confounding that this causes, we have chosen to investigate the women's first pregnancy. Previous studies have shown that if adverse outcomes such as preterm birth, SGA or cesarean section occur in the first pregnancy of a woman the risk is increased in further pregnancies 82,83 .…”

Section: Discussion Of the Methodologymentioning

confidence: 99%

Cardiac disease in pregnancy and consequences for reproductive outcomes, comorbidity and survival

Kernell¹

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“…Information from autopsy may assist in management of subsequent pregnancies as there is evidence of increased risk of SGA recurrence [315].…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

“…SGA is a proxy measure for fetal growth restriction which is an important risk factor for stillbirth [247]. It is determined from biometric measurements at autopsy or antenatal ultrasound evidence of growth restriction after excluding infection and congenital abnormality which are associated with SGA [124].Information from autopsy may assist in management of subsequent pregnancies as there is evidence of increased risk of SGA recurrence [315].This study found primiparity was associated with increased odds of consenting to autopsy where stillbirth occurred at 28 weeks gestation or older. This may reflect parents' concerns or need for reassurance about achieving a successful pregnancy outcome.…”

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confidence: 99%

Preventing stillbirths: Better data to inform interventions in Australia

Ibiebele¹

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BackgroundIn Australia, one in every 139 women reaching 20 weeks gestation will have a stillborn baby. There is significant disparity in stillbirth rates within subgroups of the Australian population. Among Aboriginal and Torres Strait Islander (Indigenous) women, the stillbirth rate is one in every 93 women reaching 20 weeks gestation. Unfortunately, there has been no reduction in the national stillbirth rates over the past two decades and nearly a third are 'unexplained'. The ability to identify women at increased risk of stillbirth is an important and challenging priority. At present in Australia, there is a paucity of high quality data on causes and contributing factors to stillbirth. Furthermore, inconsistent approaches to investigation and classification affect the quality of data on causes of death and hamper the development of effective interventions to prevent stillbirth. AimsThe primary aim of this Thesis is to describe the epidemiology of stillbirth within the Australian context. This aim was addressed by: Examining trends in stillbirth by clinical classification of cause of death, Indigenous status and gestational age, to identify focal areas for preventive efforts  Assessing gestational age specific risk of stillbirth associated with four important contributors (diabetes, hypertension, antepartum haemorrhage and small-forgestational age) to higher stillbirth rates among Indigenous women in order to identify periods of increased risk  Developing and validating a statistical model to predict the risk of antepartum stillbirth at term (≥37 weeks) using maternal and pregnancy factors as a potential decision-making aid for clinicians and women  Assessing consistency in application of the Perinatal Society of Australia and New Zealand Perinatal Death Classification system between hospital committees and an independent expert panel, to identify areas for quality improvement  Determining maternal and pregnancy factors associated with parental consent to autopsy following stillbirth and explore parents' views and experiences of the autopsy consent process to inform clinical practice iii Methods and Results Data for 1995-2011 (n=881,211 singleton births) from the Queensland Perinatal DataCollection was analysed to address the first three aims. Stillbirth trends analysis found consistently higher rates of stillbirth among Indigenous women, however, the gap in stillbirth rates had narrowed. Gestational age specific stillbirth risk analysis found disparity in the magnitude of stillbirth risk for pre-existing diabetes and small-for-gestational age between Indigenous and non-Indigenous women. Despite strong association between maternal clinical factors and antepartum stillbirth risk, the prediction model had a poor ability to predict stillbirth risk at term.Consistency in application of the perinatal death classification system was assessed by calculating agreement. A substantial level of agreement was found between hospital committee and expert panel review of a cohort of 217 stillbirth cases, howeve...

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Recurrence of small-for-gestational-age pregnancy: analysis of first and subsequent singleton pregnancies in The Netherlands

Cited by 63 publications

References 30 publications

Recurrence rate and outcome of postterm pregnancy, a national cohort study

Recurrence rate and outcome of postterm pregnancy, a national cohort study

Cardiac disease in pregnancy and consequences for reproductive outcomes, comorbidity and survival

Preventing stillbirths: Better data to inform interventions in Australia

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