General Obstetrics and Gynecology: ObstetricsFactors associated with nonanomalous stillbirths: The Utah Stillbirth Database 1992-2002
Section snippets
Material and methods
Through the Utah Department of Health–Center for Health Data, we compiled a database of all SB infants and an equivalent number of randomly selected controls from a secondary database over the interval 1992 through 2002 using vital statistics obtained from Certificates of Live Birth and Fetal Death Certificates. Information regarding maternal medical risk factors, duration of prenatal care, ethnic background, polysubstance use, education, maternal body habitus, antepartum procedures, method of
Unadjusted ORs
Throughout the period of 1992 through 2002, there were a total of 2795 SBs; a combined database was generated with an equivalent number (1:1) of randomly identified controls using Certificates of Live Births to avoid limiting the detection of sparse associations with the outcome of interest via an overabundance of controls to cases. After elimination of infants with major anomalies from both cases and controls, 1586 SB infants and 2720 controls were available for analysis. A comparison of cases
Comment
We have developed a large population-based and comprehensive database of SBs with controls. Although this database clearly bears all the limitations inherent to those derived from Vital Statistic records (Certificates of Live Birth and Certificate of Fetal Death), because of its size we are able to use logistic regression modeling and Cox proportional hazards to control for potential confounding variables. However, we acknowledge that by using vital statistic records, our dataset may be limited
References (17)
- et al.
Determinants of unexplained antepartum fetal deaths
Obstet Gynecol
(2000) - et al.
Risk factors for sudden intrauterine unexplained death: epidemiologic characteristics of singleton cases in Oslo, Norway, 1986-1995
Am J Obstet Gynecol
(2001) - et al.
The national fetal death file
Semin Perinatol
(2002) - et al.
Risk of unexplained stillbirth at different gestational ages
Lancet
(1987) - et al.
Stillbirth and neonatal outcomes in South Australia 1991-2000
Am J Obstet Gynecol
(2003) - et al.
The infectious origins of stillbirth
Am J Obstet Gynecol
(2003) - et al.
First-trimester maternal serum PAPP-A and free beta subunit human chorionic gonadotropin concentrations and nuchal translucency are associated with obstetric complications: a population-based screening study (The FASTER Trial)
Am J Obstet Gynecol
(2004) The epidemiology of adverse pregnancy outcomes: an overview
J Nutr
(2003)
Cited by (22)
Pregnancy, infection, and epigenetic regulation: A complex scenario
2023, Biochimica et Biophysica Acta - Molecular Basis of DiseaseChronic maternal diseases and pregnancy losses. French guidelines
2014, Journal de Gynecologie Obstetrique et Biologie de la ReproductionTrends in intrapartum fetal death, 1979-2003
2008, American Journal of Obstetrics and GynecologyCitation Excerpt :This rate compares favourably with 1 recently published Canadian study,8 which examined deaths of normally formed fetuses in labor over a similar period (1982-2002), and quoted an intrapartum death rate of 0.67 per 1000 births. Another older study1 analyzed intrapartum fetal deaths over a 12-year period, from 1970-1981, quoting an overall rate of fetal death in labor of 1.7 per 1000 births (1.2 per 1000 adjusted for lethal malformations). Our data show a statistically significant downward trend in the rate of intrapartum fetal death.
Maternal Mortality in the United States: Trends and Opportunities for Prevention
2023, Annual Review of MedicinePregnancy and phaeochromocytoma/paraganglioma: clinical clues affecting diagnosis and outcome – a systematic review
2021, BJOG: An International Journal of Obstetrics and GynaecologyIndications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion, Number 828
2021, Obstetrics and Gynecology
Dr Branch holds the H. A. & Edna Benning Presidential Endowed Chair in Obstetrics and Gynecology.