There are a number of factors associated with perinatal mortality. These include:
- Mother - Age
Health
- Current Pregnancy - Pregnancy Induced Hypertension / Pre-eclampsia
Antepartum Haemorrhage
Intrauterine Growth Restricion
Multiple Pregnancy
- Past Obstetric History - including previous perinatal mortality
- Fetus - Congenital Abnormality
Maternal Age
In a review of the literature, after excluding congenital anomalies and medical complications, 6,239,399 singleton term deliveries were identified. When compared with women 25 to 29 years of age, the risk of IUFD increased with advancing age: 30 to 34 years, odds ratio [OR] = 1.24 (95% confidence interval [CI], 1.13 to 1.36); 35 to 39 years, OR = 1.45 (95% CI, 1.21 to 1.74), and 40 to 44 years, OR = 3.04 (95% CI, 1.58 to 5.86). The risk of IUFD for women 40 to 44 years of age at 39 weeks is comparable with that of 42 weeks in those 25 to 29 years of age. We concluded that AMA is an independent predictor of IUFD, and a strategy of antenatal testing in those >/= 40 years of age beginning at 38 weeks may be considered.0801
(A guide to pregnancy after suffering the loss of an infant, miscarriage, or stillbirth. Issues discussed include: the facts about pregnancy loss and neonatal death; how to determine if you're ready for another pregnancy; common fertility myths; support after you've decided to tell people you're pregnant again; and prenatal testing risks and benefits. The book offers a helping hand to women coping with their loss and at the same time contemplating future pregnancies.)
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
