Risk factors for intrapartum stillbirth and the survival probabilities of fetuses among pregnant women with complications: Secondary analysis of data from a multicenter prospective cohort study in India
Rattachement africain : gb, in. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: To identify the risk factors for intrapartum stillbirth and examine whether these are different from that of antepartum stillbirth, and investigate the survival probabilities of fetuses by gestational age in high-risk pregnancies. METHODS: We conducted a secondary data analysis of a hospital-based cohort study from India, including 9774 singleton pregnancies from 13 hospitals across six states. We conducted modified Poisson regression analysis to assess associations between potential risk factors and intrapartum stillbirth. Kaplan-Meier survival curves were used to explore survival probabilities of fetuses among pregnant women who had anemia and hypertensive disorders in pregnancy (HDP) compared with those who did not have these problems. RESULTS: There were 167 intrapartum stillbirths and 9607 live births; representing an incidence of 17.1 per 1000 total births (95% confidence interval [CI]: 14.6-19.9). Risk factors identified were illiteracy (adjusted risk ratio [aRR]: 2.37, 95% CI: 1.33-4.38), age > 34 years (aRR: 3.17, 1.41-7.36), <4 antenatal check-ups (aRR: 1.90, 1.27-2.87), <100 days of iron and folic acid supplementation (aRR: 9.10, 4.15-21.05), other HDP (aRR: 2.48, 1.36-4.25), severe anemia (aRR: 3.33, 1.82-6.63), preterm birth (aRR: 3.25, 2.26-4.69) and <10th percentile birth weight-for-gestational age (aRR: 1.57, 1.14-2.17). These were similar to the risk factors for antepartum stillbirths. Survival probabilities for fetuses among women with pre-eclampsia/eclampsia and severe anemia decreased from 34 weeks' and 30 weeks' gestation, respectively. CONCLUSION: In this high-risk hospital cohort of pregnant women undergoing labor induction or augmentation, risk factors for intrapartum stillbirth overlapped substantially with those for antepartum stillbirth, although the antepartum analysis was underpowered. Targeted monitoring of women with severe anemia and HDP from 30 weeks may reduce intrapartum stillbirth risk in similar settings.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Risk factors for intrapartum stillbirth and the survival probabilities of fetuses among pregnant women with complications: Secondary analysis of data from a multicenter prospective cohort study in India
- Date Crossref
- 23/08/2026
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of Oxford National Perinatal Epidemiology Unit pays non établi dans la noticeUniversité ou école supérieure
-
Gauhati Medical College and Hospital pays non établi dans la noticeUniversité ou école supérieure
-
Assam Medical College pays non établi dans la noticeUniversité ou école supérieure
-
Tezpur Medical College & Hospital pays non établi dans la noticeÉtablissement de santé
-
Mahatma Gandhi Institute of Medical Sciences pays non établi dans la noticeÉtablissement de santé
-
Institute of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Banaras Hindu University pays non établi dans la noticeUniversité ou école supérieure
-
Silchar Medical College and Hospital pays non établi dans la noticeÉtablissement de santé
-
Nazareth Hospital pays non établi dans la noticeÉtablissement de santé
-
Dr. Rajendra Prasad Government Medical College pays non établi dans la noticeUniversité ou école supérieure
-
Department of Health & Family Welfare pays non établi dans la noticeOrganisme public
-
Government of Himachal Pradesh Department of Health & pays non établi dans la noticeOrganisme public
National Perinatal Epidemiology Unit — University of Oxford, Gauhati Medical College and Hospital et Assam Medical College, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.