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Irish Child Health Database - Peer Reviewed Papers

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You are here: Irish Child Health Database » Study Papers » Descriptive Studies - With a comparative dimension: time, geography, treatment, procedures » Epidemiology - descriptive, incidence, prevalence and/or trends
  • Trends in intrapartum fetal death, 1979-2003

    Published in:

    American Journal of Obstetrics and Gynecology, Vol: 198, Page: 47.e1-47.e7

    Publication Date:

    2008

    Aims & Objectives:

    The aim of this study was to examine trends in intrapartum fetal death and rates of perinatal autopsy over a 25-year period in Dublin, Ireland

    Abstract:

    Objectives This study was undertaken to analyze trends in intrapartum fetal death and rates of perinatal autopsy over a 25-year period in Dublin, Ireland.Study Design A retrospective multicenter analysis of 508,342 nonanomalous infants 500 g or more, delivering in 3 tertiary-referral university institutions between 1979-2003.Results There has been a significant downward trend in the rate of intrapartum fetal death over the past 25 years (P < .0001). Nulliparous labors were statistically more likely to be complicated by an intrapartum fetal demise than parous labors (odds ratio, 1.49; 95% confidence interval [CI], 1.16-1.92; P = .0018). Intrapartum deaths secondary to hypoxia fell significantly over the study period (P < .0001). Infants of multiple gestations were twice as likely to die in labor as singletons (odds ratio, 2.2; 95% CI, 1.22-3.74; P = .0058). Rates of perinatal autopsy fell significantly over the 25 years studied (P < .0001).Conclusion There has been a significant fall in rates of intrapartum fetal death. This has primarily resulted from a reduction in deaths attributable to intrapartum hypoxia. Infants of multiple gestations still retain a significantly higher chance of intrapartum death. The fall in uptake rates of perinatal autopsy in recent years is concerning.

    Authors:

    Colin A. Walsh; Moya B. McMenamin; Michael E. Foley; Sean F. Daly; Michael S. Robson; Michael P. Geary

    Study Type:

    Study Papers » Epidemiology - descriptive, incidence, prevalence and/or trends » Descriptive Studies - With a comparative dimension: time, geography, treatment, procedures

    Notes:

    0002-9378 doi: DOI: 10.1016/j.ajog.2007.06.018

    Categories:

    intrapartum fetal death; perinatal autopsy

    International Classification:

    Deaths - intrapartum fetal death

    Keywords:


    Geography:

    Republic of Ireland (The Rotunda hospital The National Maternity Hospital Coombe Hospital)