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Studies from Wales and Scotland in 1998 showed a positive correlation
between intrapartum asphyxia and night time births. Gunther et al
investigated this relation through a retrospective cohort study of
380 980 births in Hesse, Germany, in 1990-8 (p 274). Their results
confirm the previous studies, with babies born at night having a higher
relative risk of early neonatal death (1.86) and asphyxia related death
(3.89) than those born in the day. The authors speculate that the
higher mortality might be caused by tired staff working at night after
a full day's work.