Archives of Gynecology and Obstetrics

, Volume 285, Issue 2, pp 323–329 | Cite as

Risk factors for intrapartum fetal death and trends over the years

  • Yaniv Brailovschi
  • Eyal Sheiner
  • Arnon Wiznitzer
  • Poria Shahaf
  • Amalia Levy
Maternal Fetal Medicine

Abstract

Objective

To determine the time trends and risk factors for intrapartum fetal death (IPFD).

Study design

A case–control study comparing pregnancies with and without IPFD between the years 1988 and 2008 was conducted. A multiple logistic regression model was used to determine the risk factors for IPFD.

Results

During the study period, 204,102 singleton births were analyzed; of these, 110 IPFD cases occurred. The following independent risk factors were identified: Bedouin ethnicity (OR = 1.85, 95% CI 1.22–2.8), malpresentations (OR = 2.76, 95% CI 1.71–4.47), gestational age (OR = 0.72, 95% CI 0.69–0.76), polyhydramnios (OR = 3.49, 95% CI 1.94–6.26), meconium-stained amniotic fluid (OR = 3.18, 95% CI 2.01–5.05), umbilical cord prolapse (OR = 6.64, 95% CI 2.79–15.78), placental abruption (OR = 3.24, 95% CI 1.73–6.04), uterine rupture (OR = 38.59, 95% CI 10.58–140.71) and congenital malformations (OR = 2.41, 95% CI 1.47–3.97). A gradual decline over the years in the rate of IPFD was noted in the Bedouin population. No significant association was noted in the prevalence of IPFD during the weekends as compared to the week days (OR = 0.85; 95% CI 0.54–1.32; P = 0.475).

Conclusion

Independent risk factors for IPFD are preterm birth, malpresentation, polyhydramnios, meconium-stained amniotic fluid, umbilical cord prolapse, placental abruption, uterine rupture, congenital malformations and Bedouin ethnicity. Weekends do not pose additional risk for the occurrence of IPFD.

Keywords

Intrapartum fetal death Risk factors Trends 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Yaniv Brailovschi
    • 1
  • Eyal Sheiner
    • 2
  • Arnon Wiznitzer
    • 2
  • Poria Shahaf
    • 3
  • Amalia Levy
    • 4
  1. 1.Faculty of Health Sciences, Joyce and Irving Goldman Medical SchoolSoroka University Medical Center, Ben-Gurion University of the NegevBe’er-ShevaIsrael
  2. 2.Department of Obstetrics and GynecologySoroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the NegevBe’er-ShevaIsrael
  3. 3.Risk ManagementClalit Health ServicesTel-AvivIsrael
  4. 4.Master Program in Public Health (MPH), Department of Epidemiology and Health Services EvaluationBen-Gurion University of the NegevBe’er-ShevaIsrael

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