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[Risk factors for stillbirth].

Gustavo Romero Gutiérrez1, Carlos Armando Martínez Ceja, Ana Lilia Ponce Ponce de León

  • 1Unidad de investigación en epidemiología clínica, Hospital de Gineco-Pediatría núm 48, Instituto Mexicano del Seguro Social, León, Guanajuato, México.

Ginecologia Y Obstetricia De Mexico
|August 18, 2004
PubMed
Summary

Antenatal fetal death risk factors include maternal age, smoking, placental abruption, cord entanglement, nulliparity, and lack of antenatal care. Early diagnosis and intervention are key to prevention.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Reproductive Health

Background:

  • Antenatal fetal death is a significant adverse pregnancy outcome.
  • Identifying risk factors is crucial for prevention strategies.

Purpose of the Study:

  • To identify socio-demographic and clinical risk factors for antenatal fetal death.
  • To develop a predictive model for antepartum fetal death.

Main Methods:

  • A case-control study involving 500 women (250 stillbirths, 250 live births).
  • Analysis of 17 socio-demographic and clinical factors.
  • Multiple logistic regression used to identify significant predictors.

Main Results:

  • Six factors significantly predicted stillbirth: maternal age, smoking, placental abruption, cord entanglement, nulliparity, and antenatal care.

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  • Placental abruption (OR 51.9) and smoking (OR 9.1) were major risk factors.
  • Adequate antenatal care was protective (OR 0.1).

    • Conclusions:

    • A predictive model for antepartum fetal death was developed.
    • Key risk factors can be identified early in pregnancy.
    • Antenatal care is vital for preventing antenatal fetal death.