Outcome of pregnancy following second- or third-trimester intrauterine fetal death
| Autor: | Evelyne Cynober, Marie Gonzales, Chloé Dussaux, Chloé Maignien, Amélie Nguyen, Bruno Carbonne |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Paris Placenta Diseases Pregnancy Trimester Third Gravidity Third trimester Pregnancy Recurrence Ongoing pregnancy medicine Humans Prospective Studies Fetal Death Gynecology Fetal Growth Retardation Fetal death business.industry Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology General Medicine Preterm Births Stillbirth medicine.disease Pregnancy Complications Pregnancy Trimester Second Small for gestational age Female business Live birth Live Birth |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 127(3) |
| ISSN: | 1879-3479 |
| Popis: | Objective To investigate the outcomes of a pregnancy after a second- or third-trimester intrauterine fetal death (IUFD). Methods A prospective observational study was conducted at Trousseau Hospital (Paris, France) between 1996 and 2011. The first ongoing pregnancy in women who had had a previous IUFD was monitored. Management of their treatment was according to a standardized protocol. Recurrence of fetal death was the main outcome criterion. Results The subsequent pregnancies of 87 women who had experienced at least one previous IUFD were followed up. The cause of previous IUFD was placental in 50 (57%) women, unknown in 19 (22%), adnexal in 12 (14%), metabolic in 2 (2%), and malformative in 4 (5%). Three (3%) participants had another stillbirth. Overall, obstetric complications occurred in 34 (39%) pregnancies (including 22 [25%] preterm births, 5 [6%] small for gestational age, and 6 [7%] maternal vascular complications). Obstetric complications were significantly more common among women whose previous stillbirth had been due to placental causes than among those affected by other causes (P = 0.02). Conclusion Most pregnancies after IUFD resulted in a live birth; however, adverse obstetric outcomes were more common when the previous stillbirth was due to placental causes. |
| Databáze: | OpenAIRE |
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