Subsequent obstetrics outcomes after intrauterine death during the first pregnancy

Yıldırım, Gökhan; Aşıcıoğlu, Osman; Güngördük, Kemal; Turan, İşıl Özkoçak; Açar, Deniz; Aslan, Halıl; Günay, Taner

doi:10.3109/14767058.2013.849687

Cited by 9 publications

(13 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Os resultados demonstram que, dificilmente um fator de risco para morte fetal poderá ser detectado claramente, uma vez que, não atuam de forma isolada e independente, pois geralmente existe a atuação conjunta de fatores fetais, maternos e sociais. Os fatores de risco classificados como fetais, envolvem o baixo peso fetal (13,26) e as malformações congênitas, sendo esta última, apontada como maior causa de óbito quando a causa se refere ao feto. As malformações congênitas fazem parte de uma associação de anomalias complexas em que seus efeitos cumulativos podem ser letais ainda intraútero, pois, fetos que sobrevivem com determinadas deformidades podem apresentar uma má evolução perinatal (23,(27)(28)(29) .…”

Section: Discussionunclassified

“…O risco para o óbito fetal aumenta entre 2,5 a 5 vezes entre gestantes hipertensas quando comparadas a não hipertensas (22)(23) . Detectar e tratar precocemente essa morbidade, assim como suas variantes, reduz as chances de resultados obstétricos desfavoráveis (20,26,33) . Sendo assim, verifica-se a importância do acompanhamento pré-natal efetivo, a fim de contribuir para a redução dos riscos, considerando que quanto melhor é a assistência pré-natal, menores serão os índices de complicações obstétricas (3,(33)(34) .…”

Section: Discussionunclassified

“…Os antecedentes obstétricos também são preocupantes para os resultados gestacionais, pois mulheres com pelo menos um filho morto ou três filhos vivos apresenta risco aumentado para mortalidade fetal (6,13,24) . A literatura ainda destaca nascimentos prematuros anteriores, baixo peso ao nascer e má apresentação fetal como agravantes a mortalidade (16,26) . Alguns estudos não demonstraram significância estatística em relação às variáveis socioeconômicas, como renda, escolaridade, cor da pele e a associação com óbito fetal (13,20) .…”

Section: Discussionunclassified

See 2 more Smart Citations

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Silva¹,

Mazotti²,

Zilly³

et al. 2016

ACS

View full text Add to dashboard Cite

Conflito de interesses:Não Contribuição dos autores: BRM concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação. AZ obtenção ou análise/ interpretação dos dados, redação e revisão crítica. HF obtenção ou análise/interpretação dos dados, redação e revisão crítica. SC obtenção ou análise/interpretação dos dados, redação e revisão crítica. RMMS concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação e revisão crítica. Contato para correspondência: Rosane Meire Munhak Silva E-mail: zanem2010@hotmail. AbstractIntroduction: Despite the progress made in health care, it appears that fetal death remains a concern for public health services for a long time. It was neglected, and few investments were made to reduce it. Objective: Search scientific evidence demonstrating fetal, maternal, and social risk factors are related to fetal death. Material and Method: Integrative literature review of 16 papers from Scielo, Bireme and Pubmed, between 2005 and 2014, only in English and Portuguese and selected from the question: What fetal, maternal, and social risk factors are associated with fetal death? Titles and abstracts were read to select those to be read in their entirety, and for this, two researchers read the publications in order to see if the inclusions were consistent. Data collection occurred from September to December 2014. The hierarchical classification system known as level of evidence was used. Results: Publications cite risk factors for fetal death are not isolated events. The fetal risk factors described in 43.75% of the studies highlighted the low weight and congenital malformation. Maternal factors were cited in 81.25% of the articles, especially those related to maternal morbidities, such as hypertensive and hemorrhagic syndromes, syphilis, and gestational diabetes. In 43.75% of the publications, we could perceive the influence of low education, as well as black or brown skin; low socioeconomic conditions and inadequate prenatal care. Conclusion: Building studies on fetal health becomes relevant, since these have been little explored despite their incontestable importance for public health, and consider it as an indicator of quality of care prenatal.

show abstract

Section: Discussionunclassified

See 1 more Smart Citation

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Silva¹,

Mazotti²,

Zilly³

et al. 2016

ACS

View full text Add to dashboard Cite

show abstract

“…Three of the studies were from North America, 13,26,27 eight were from Europe, [28][29][30][31][32][33][34][35] two were from Australia, 36,37 one was from Asia, 38 one was from Latin America, 39 one was from the Middle East, 40 and one was from Africa, Asia, and Latin America combined. 41 Eleven studies investigated stillbirth from a range of gestational ages, including ≥20 weeks (n = 8), 13,26,27,29,34,[36][37][38] ≥22 weeks (n = 3), 30,33,41 or later (≥23, ≥24, or ≥28 weeks). 28,31,35,40 One study did not describe the gestational week from which the stillbirth was recorded.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…28,31,35,40 One study did not describe the gestational week from which the stillbirth was recorded. 32 Although PTB <37 weeks of gestation was used by most studies (n = 13), 13,[26][27][28][29]31,32,[35][36][37][38][39]41 seven investigated PTBs <34 weeks of gestation (n = 2), 13,29 <33 weeks of gestation (n = 2), 27,30 and <32 weeks of gestation (n = 3). 35,36,38 Five studies classified subgroups of gestational age: moderate PTB (32-36, 33-36 and 34-36 weeks of gestation); 26,30,[33][34][35] very PTB (28-32 and 29-33 weeks of gestation); 26,33,34 and extremely PTB (20-27, 20-28, and 22-27 weeks of gestation).…”

Section: Study Characteristicsmentioning

confidence: 99%

Risk of stillbirth, preterm delivery, and fetal growth restriction following exposure in a previous birth: systematic review and meta‐analysis

Malacova

Regan

Nassar

et al. 2017

BJOG

View full text Add to dashboard Cite

Why and how was the study carried out? Each year, around 2.6 million babies are stillborn, 15 million are born preterm (<37 weeks of gestation), and 32 million are born small for gestational age (less than tenth percentile for weight, smaller than usually expected for the relevant pregnancy stage). Being born preterm or small for gestational age can increase the chance of long-term health problems. The effect of having a stillbirth, preterm birth, or small-for-gestational-age infant in a previous pregnancy on future pregnancy health has not been summarised. We identified 3399 studies of outcomes of previous pregnancies, and 17 were summarised by our study. What were the main findings? The outcome of the previous pregnancy influenced the risk of poor outcomes in the next pregnancy. Babies born to mothers who had a previous preterm birth or small-for-gestational-age birth were more likely to be stillborn. The smaller and the more preterm the previous baby, the higher the risk of stillbirth in the following pregnancy. The risk of stillbirth in the following pregnancy was doubled if the previous baby was born both preterm and small for gestational age. Babies born to mothers who had a previous stillbirth were more likely to be preterm or small for gestational age. What are the limitations of the work? We included a small number of studies, as there are not enough studies in this area (adverse birth outcomes followed by adverse cross outcomes in the next pregnancy). We found very few studies that compared the risk of small for gestational age after preterm birth or stillbirth. Definitions of stillbirth, preterm birth categories, and small for gestational age differed across studies. We did not know the cause of stillbirth for most studies. What are the implications for patients? Women who have a history of poor pregnancy outcomes are at greater risk of poor outcomes in following pregnancies. Health providers should be aware of this risk when treating patients with a history of poor pregnancy outcomes.

show abstract

Association of previous stillbirth with subsequent perinatal outcomes: a systematic review and meta-analysis of cohort studies

Deng,

Pan,

Lai

et al. 2024

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Subsequent obstetrics outcomes after intrauterine death during the first pregnancy

Abstract: We found increased rates of obstetric and perinatal complications in subsequent pregnancies in women with histories of stillbirth. Thus, the results of this study suggest that pregnant women with histories of stillbirth should be followed closely, beginning in the early gestational period.

Cited by 9 publications

References 17 publications

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Risk of stillbirth, preterm delivery, and fetal growth restriction following exposure in a previous birth: systematic review and meta‐analysis

Association of previous stillbirth with subsequent perinatal outcomes: a systematic review and meta-analysis of cohort studies

Contact Info

Product

Resources

About