Determining risk factors for intrapartum fetal death

Eyal Sheiner, Mordechai Hallak, Ilana Shoham-Vardi, David Goldstein, Moshe Mazor, Miriam Katz

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

OBJECTIVE: To determine the antenatal and intrapartum risk factors for intrapartum fetal death (IPFD). STUDY DESIGN: We analyzed 72,875 singleton deliveries >500 g between the years 1990 and 1997. In order to find independent factors contributing to IPFD, a multiple logistic regression model was constructed. RESULTS: During the study period there were 64 cases of IPFD. Birth weight was inversely associated with IPFD in the multivariate analysis. Other significant factors in the multivariate analysis were mothers older than 35 years, polyhydramnios, congenital malformations, pathologic presentation, abruptio placentae and cord prolapse. No association was found with maternal diabetes or hypertension. CONCLUSION: IPFD was significantly associated with low birth weight, older maternal age, polyhydramnios, congenital malformations and pathologic presentation. Direct causes were abruptio placentae and cord prolapse. Pregnancies in older women and those complicated by polyhydramnios and pathologic presentation should be carefully evaluated during pregnancy and delivery in associated order to decrease the incidence of IPFD.

Original languageEnglish
Pages (from-to)419-424
Number of pages6
JournalThe Journal of reproductive medicine
Volume45
Issue number5
StatePublished - 22 Jun 2000

Keywords

  • Birth weight
  • Fetal death
  • Fetal presentation
  • Polyhydramnios

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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