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Mode of Delivery in Stillbirth, 1995-2004
Valeria Di Stefano1, Joaquín Santolaya-Forgas2, Revital Faro1
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Reproductive Sciences (Thousand Oaks, Calif.)
|July 10, 2015
Summary
Cesarean delivery rates rose for both live births and stillbirths in the US between 1995 and 2004. This trend in obstetrical practice warrants further investigation into clinical reasons and impacts.
Area of Science:
- Obstetrics and Gynecology
- Epidemiology
- Public Health
Background:
- National data on delivery modes for stillbirth pregnancies are lacking.
- Understanding cesarean delivery trends in stillbirth is crucial for maternal and infant health outcomes.
Purpose of the Study:
- To analyze cesarean delivery rates in singleton pregnancies ending in stillbirth over a 10-year period in the United States.
- To compare cesarean delivery rates in stillbirths versus live births.
Main Methods:
- Retrospective analysis of US linked live birth-infant death files (1995-2004).
- Data from the National Center for Health Statistics were used.
- Cesarean delivery rates were examined in singleton pregnancies with and without stillbirth.
Main Results:
- Over 39 million singleton births were analyzed, with 243,979 stillbirths (0.61%).
- Cesarean delivery rates increased for both liveborn (23.54%) and stillborn (10.5%) infants from 1995 to 2004.
- Cesarean rates for stillbirths increased with gestational age, unlike live births.
Conclusions:
- Cesarean delivery rates significantly increased for both liveborn and stillborn infants between 1995 and 2004.
- The rising trend in cesarean deliveries for stillbirths requires clinical investigation.
- Further research is needed to understand the clinical drivers and societal impact of these obstetrical practices.
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