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Stillbirth, intra uterine deaths, fetal deaths, perinatal

A Gaudineau
OBJECTIVES: To assess the prevalence of fetal growth restriction (FGR) and small for gestational age (SGA) in France and other populations, the risk factors associated with SGA and its impact on fetal well-being and obstetrical outcome. METHODS: A critical review of studies identified from searches of PubMed and the Cochrane libraries using the following keywords "intra-uterine growth retardation", "intra-uterine growth restriction", "small for gestational age", "epidemiology", "risk factors", "pregnancy outcome", "maternal morbidity", "perinatal death"...
December 2013: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
I I Mbachu, I Mbachu, G O Udigwe, C I Okafor, O S Umeonunihu, C Ezeama, G U Eleje
BACKGROUND: Hypertension is a common medical complication of pregnancy. It is one of the leading causes of maternal and fetal mortality and morbidity worldwide. Early detection, close surveillance and timely delivery are necessary to reduce complications associated with the condition. OBJECTIVES: To determine the pattern, risk factors, maternal and fetal outcomes in women with hypertensive disorders of pregnancy. METHODOLOGY: This was a descriptive retrospective study of the pattern and obstetrics outcome of hypertensive disorders in Nnewi...
April 2013: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Eran Hadar, Nir Melamed, Maya Sharon-Weiner, Shiri Hazan, David Rabinerson, Marek Glezerman, Yariv Yogev
OBJECTIVE: Stillbirth accounts for approximately 50% of all perinatal deaths. We aimed to characterize the relationship between fetal gender and stillbirths. METHODS: A retrospective cohort study of all stillbirths cases in a tertiary medical center, between 1995 and 2007. Patient's medical charts were reviewed for demographic information, medical data, and assumed etiology for stillbirth. Stillbirth was defined as fetal death after 20 completed weeks of gestation or birth weight above 500 g, excluding cases of fetal death due to elective termination of pregnancy...
February 2012: Journal of Maternal-fetal & Neonatal Medicine
R Guilherme, C Plot, A-L Delezoide
A healthy woman, gravida 1, para 1, spontaneously delivered a stillborn at 40 weeks of gestation, presenting with a tight umbilical cord knot. Fetopathological examination confirmed the main but not exclusive role of the knot in this intra-uterine fetal death (IUFD). Knot of the umbilical cord is a rare occurrence, which is usually an incidental finding at delivery. However, it is associated with an increase in perinatal mortality. Only a complete fetopathological examination can state causality between knot and IUFD, exclude another fetal or placental cause of death and consequently reassure the parents for the prognosis of another pregnancy...
April 2010: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
C Das, R A K Rutgers
There is some debate as to whether the Dutch Burial Act applies to neonatal deaths after a gestation of less than 24 weeks. It is recommended that the Act be considered applicable in these situations, leading to a compulsory (external) post mortem examination, the issue of an official death certificate, and registration of the birth and death at the official registry office, followed by burial or cremation according to the law. The Act should be amended to this effect. It is also recommended that the Burial Act no longer apply in cases of known intra-uterine death before 24 weeks of gestation where birth takes place after 24 weeks...
April 1, 2006: Nederlands Tijdschrift Voor Geneeskunde
Stefan Gerber, Patrick Hohlfeld, Francine Viquerat, Jean-François Tolsa, Yvan Vial
OBJECTIVE: Absent or reverse end-diastolic flow (Doppler II/III) in umbilical artery is correlated with poor perinatal outcome, particularly in intrauterine growth restricted (IUGR) fetuses. The optimal timing of delivery is still controversial. We studied the short- and long-term morbidity and mortality among these children associated with our defined management. STUDY DESIGN: Sixty-nine IUGR fetuses with umbilical Doppler II/III were divided into three groups; Group 1, severe early IUGR, no therapeutic intervention (n = 7); Group 2, fetuses with pathological biophysical profile, immediate delivery (n = 35); Group 3, fetuses for which expectant management had been decided (n = 27)...
May 1, 2006: European Journal of Obstetrics, Gynecology, and Reproductive Biology
G I Leslie, E D Gallery, J D Arnold, M R Ross, A Z Gyory
OBJECTIVE: To determine the value of low-dose aspirin in high-risk pregnancies, and assess its impact on fetal growth, as well as on perinatal mortality and morbidity. METHODOLOGY: One hundred and eight women with singleton pregnancies were enrolled in a randomized, double-blind, placebo-controlled trial of 100 mg/day aspirin from 17 to 19 week gestation. Enrolment criteria included pre-existing chronic essential hypertension or renal disease, or a history of previous early, severe pre-eclampsia...
December 1995: Journal of Paediatrics and Child Health
V Cararach, F Carmona, F J Monleón, J Andreu
OBJECTIVE: To study the outcome of pregnancy in renal transplant patients in Spain. DESIGN: A retrospective review based on two consecutive national inquiries. SETTING: Departments of Obstetrics and Gynaecology and Renal Transplant Units in Spain. SUBJECTS: Pregnant women who had renal transplants between 1965 and 1989. MAIN OUTCOME MEASURES: From the preliminary inquiry the frequencies of miscarriage, therapeutic abortion, preterm birth, fetal malformation, twins, stillbirths, neonatal deaths and loss of maternal renal function were recorded...
February 1993: British Journal of Obstetrics and Gynaecology
J Y Grall, P Arvis, G Boog, L Bouchet, S Cardi, B Cloup, F Collasson, M Herlicoviez, J Lefèvre, B Nolot, D Rouffeteau
The authors report on the result of a retrospective survey which they carried out in 8 Hospital Centres in the West of France between 1975 and 1978 and these were concerned with 576 twin pregnancies. This study confirms that the fetal prognosis in twins is precarious. The perinatal mortality is high and is made up at the same time of a stillbirth rate of 5 per cent and a neo-natal mortality rate of 6 per cent, which is mainly due to prematurity (49.6 per cent) and to intra-uterine growth retardation in 19.3 per cent...
1980: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
S B Lucas, J K Mati, V P Aggarwal, H Sanghvi
The clinico-pathological causes of death in 497 stillbirths and 1st 24 hour neonatal deaths in Nairobi are described. The major factors in stillbirth (303 cases) were cord compression and prolapse, birth trauma, and prolonged labour. Hyaline membrane disease and intraventricular haemorrhage caused death in 52% of the neonatal cases. The importance of intra-uterine infection is discussed.
November 1983: Bulletin de la Société de Pathologie Exotique et de Ses Filiales
M R Rafii, W Will
No abstract text is available yet for this article.
April 1973: Zeitschrift Für Geburtshilfe und Perinatologie
G de Jong, R C Pattinson, H J Odendaal
In a series of 12,587 deliveries in patients of low socio-economic class, there were 356 stillbirths; prospective analysis of these showed that 42.1% occurred in the 4.7% of cases in which the mother had received no antenatal care. When booked and unbooked patients were compared it was found that the rate of stillbirths due to infection and anoxia was significantly higher among unbooked patients, who also accounted for more intra-uterine deaths due to abruptio placentae and congenital abnormalities. We speculate that diet and nutrition might play a major part in the causation of these intra-uterine deaths...
July 16, 1988: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
R C Pattinson, G De Jong, G B Theron
The primary obstetric cause of total perinatally related wastage (TPRW) (i.e. all antepartum or postpartum deaths of infants greater than or equal to 500 g and who died before hospital discharge) was studied in a clearly defined population in the western Cape over a 1-year period. There were 302 deaths from 7,923 singletons and 31 deaths from 65 pairs of twins delivered from patients cared for by Tygerberg Hospital maternity services. Thirty per cent of the deaths were late abortions, 42% stillbirths, 18% early neonatal deaths, 7% late neonatal deaths and 4% perinatally related infant deaths...
January 21, 1989: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
G R Howarth, R C Pattinson, G de Jong
The primary obstetric cause of total perinatal-related wastage (TPRW) in twin pregnancy was studied in a clearly defined population over a 3-year period. There were 77 deaths from 204 pairs of twins; the perinatal mortality rate (PMR) was 51/1,000 and TPRW was 189/1,000. Of the 77 deaths 52% were late abortions, 14% stillbirths, 10% early neonatal deaths, 18% late neonatal deaths and 5% perinatal-related infant deaths. The major obstetric factors leading to TPRW were spontaneous preterm labour (32%), antepartum haemorrhage (30%), infection (16%), unexplained intra-uterine death (10%) and hypertension (8%)...
July 6, 1991: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
R Gregory, A R Scott, M Mohajer, R B Tattersall
We have compared 81 pregnancies in women with type 1 (insulin dependent) diabetes in 1984-1990 with 58 in 1977-1983. In 1984-1990, women booked earlier (8 weeks [median] vs 12 weeks), mean haemoglobin A1 was lower in each trimester, and fewer days were spent in hospital before delivery (5.3 days [mean] vs 15). The latter was due to more experience in managing diabetic control as outpatients and fewer admissions for fetal monitoring. Most admissions are now for pre-eclampsia and intercurrent illnesses. The proportion of deliveries by caesarean section has not changed significantly (53% in 1984-1990 vs 66% in 1977-1983), but most are now done as emergencies...
April 1992: Journal of the Royal College of Physicians of London
T Richter, C Vogtmann, P Schüler, K E Ruckhäberle, K Beyreiss
Referring to the number of all live-born children, hypotrophic newborn (IUGR) were classified at the Centre for Perinatal Care in Leipzig into two periods of time. Based on the 5th Kyank-percentile 6.5% hypotrophic newborn were classified into period A (1982-1984) and 5.0% hypotrophic newborn were classified in period B (1987-1989). The proportion of hypotrophic newborn with a birth weight < 2500 g amounted to one quarter of all infants (except multiple birth) with low birth weight in period A and to one fifth (20...
December 1992: Kinderärztliche Praxis
J Huchet, R Cregut, F Pinon, A Sender, Y Brossard
Transplacental haemorrhage is usually studied as an aspect of Rh immunisation prevention. In this paper the authors emphasize importance of this syndrome in noe-natology, as massive transplacental blood loss may result in severe foetal and neo-natal anemia or even lead to intra uterine death. Different technics for evidencing the presence of fetal cells in the mother's circulation are first discussed, the acid elution method appearing to be the easiest and fastest one. Results of nearly 40.000 Kleihauer's tests screening routinely performed in Paris at the time of delivery, are reported...
December 1975: Revue Française de Transfusion et Immuno-hématologie
H A van Coeverden de Groot
Perinatal deaths and perinatal mortality rates in Cape Town for the period 1967--1977 have been analysed, and large differences were found between the various ethnic groups. In non-Whites stillbirths accounted for more than two-thirds of perinatal deaths in 1977, and in at least 75% of these fetal death preceded labour. Perinatal mortality rates must be considered together with the number of perinatal deaths if the true magnitude of the problem with regard to the various obstetric complications and procedures is to be appreciated...
December 15, 1979: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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