The risk of intrauterine fetal death in the small-for-gestational-age fetus
Objective We sought to evaluate the risk of intrauterine fetal death (IUFD) in small-for-gestational-age (SGA) fetuses. Study Design We analyzed a retrospective cohort of all births in the United States in 2005, as recorded in a national database. We calculated the risk of IUFD within 3 sets of SGA...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2012-10, Vol.207 (4), p.318.e1-318.e6 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 207 |
| creator | Pilliod, Rachel A., MD Cheng, Yvonne W., MD, PhD Snowden, Jonathan M., PhD Doss, Amy E., MD Caughey, Aaron B., MD, PhD |
| description | Objective We sought to evaluate the risk of intrauterine fetal death (IUFD) in small-for-gestational-age (SGA) fetuses. Study Design We analyzed a retrospective cohort of all births in the United States in 2005, as recorded in a national database. We calculated the risk of IUFD within 3 sets of SGA threshold categories as well as within non-SGA pregnancies using the number of at-risk fetuses as the denominator. Results The risk of IUFD increased with gestational age and was inversely proportional to percentile of birthweight for gestational age. The risk for IUFD in those |
| doi_str_mv | 10.1016/j.ajog.2012.06.039 |
| format | Article |
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Study Design We analyzed a retrospective cohort of all births in the United States in 2005, as recorded in a national database. We calculated the risk of IUFD within 3 sets of SGA threshold categories as well as within non-SGA pregnancies using the number of at-risk fetuses as the denominator. Results The risk of IUFD increased with gestational age and was inversely proportional to percentile of birthweight for gestational age. The risk for IUFD in those <3rd percentile was as high as 58.0 IUFDs per 10,000 at-risk fetuses, 43.9 for <5th percentile, and 26.3 for <10th percentile compared to 5.1 for non-SGA gestations. Conclusion There is an increase in the risk of IUFD in SGA fetuses compared to non-SGA fetuses at all gestational ages with the greatest risk demonstrated in the lowest percentile cohort evaluated.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2012.06.039</identifier><identifier>PMID: 23021697</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; birthweight ; Cohort Studies ; Databases, Factual ; Diseases of mother, fetus and pregnancy ; Female ; fetal death ; Fetal Death - etiology ; Fetal Growth Retardation - physiopathology ; Fetal Weight - physiology ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Maternal Age ; Medical sciences ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy. Fetus. Placenta ; Retrospective Studies ; Risk ; small for gestational age ; Stillbirth</subject><ispartof>American journal of obstetrics and gynecology, 2012-10, Vol.207 (4), p.318.e1-318.e6</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. All rights reserved.</rights><rights>2012 Mosby, Inc. All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c606t-3f34bac491c49a94d058e82348fd56767730576121460f36f22f8f9634b5a6f03</citedby><cites>FETCH-LOGICAL-c606t-3f34bac491c49a94d058e82348fd56767730576121460f36f22f8f9634b5a6f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937812006539$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,309,310,314,776,780,785,786,881,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26449983$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23021697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pilliod, Rachel A., MD</creatorcontrib><creatorcontrib>Cheng, Yvonne W., MD, PhD</creatorcontrib><creatorcontrib>Snowden, Jonathan M., PhD</creatorcontrib><creatorcontrib>Doss, Amy E., MD</creatorcontrib><creatorcontrib>Caughey, Aaron B., MD, PhD</creatorcontrib><title>The risk of intrauterine fetal death in the small-for-gestational-age fetus</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective We sought to evaluate the risk of intrauterine fetal death (IUFD) in small-for-gestational-age (SGA) fetuses. Study Design We analyzed a retrospective cohort of all births in the United States in 2005, as recorded in a national database. We calculated the risk of IUFD within 3 sets of SGA threshold categories as well as within non-SGA pregnancies using the number of at-risk fetuses as the denominator. Results The risk of IUFD increased with gestational age and was inversely proportional to percentile of birthweight for gestational age. The risk for IUFD in those <3rd percentile was as high as 58.0 IUFDs per 10,000 at-risk fetuses, 43.9 for <5th percentile, and 26.3 for <10th percentile compared to 5.1 for non-SGA gestations. Conclusion There is an increase in the risk of IUFD in SGA fetuses compared to non-SGA fetuses at all gestational ages with the greatest risk demonstrated in the lowest percentile cohort evaluated.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>birthweight</subject><subject>Cohort Studies</subject><subject>Databases, Factual</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>fetal death</subject><subject>Fetal Death - etiology</subject><subject>Fetal Growth Retardation - physiopathology</subject><subject>Fetal Weight - physiology</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>small for gestational age</subject><subject>Stillbirth</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kstu1DAUhi0EokPhBVigbJDYJBzbiWNLqBKquIlKLChry3WOZ5x64mInlfr2OMxQLgsWlmWd7z-334Q8p9BQoOL12JgxbhsGlDUgGuDqAdlQUH0tpJAPyQYAWK14L0_Ik5zH9ckUe0xOGAdGheo35PPlDqvk83UVXeWnOZllxuQnrBzOJlQDmnlXAtVcuLw3IdQupnqLeTazj5MJtdn-hJf8lDxyJmR8drxPybf37y7PP9YXXz58On97UVsBYq654-2Vsa2i5RjVDtBJlIy30g2d6EXfc-h6QRltBTguHGNOOiWKqjPCAT8lZ4e8N8vVHgeLa9tB3yS_N-lOR-P135HJ7_Q23mres5Z3qiR4dUyQ4veljKL3PlsMwUwYl6wpSCr7jnayoOyA2hRzTujuy1DQqwt61KsLenVBg9DFhSJ68WeD95Jfay_AyyNgsjXBJTNZn39zom2Vkrxwbw4clnXeekw6W4-TxcEntLMeov9_H2f_yG3wky8Vr_EO8xiXVAws8-pcNPrr-kHW70IZgOhKgh_HsroO</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Pilliod, Rachel A., MD</creator><creator>Cheng, Yvonne W., MD, PhD</creator><creator>Snowden, Jonathan M., PhD</creator><creator>Doss, Amy E., MD</creator><creator>Caughey, Aaron B., MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20121001</creationdate><title>The risk of intrauterine fetal death in the small-for-gestational-age fetus</title><author>Pilliod, Rachel A., MD ; Cheng, Yvonne W., MD, PhD ; Snowden, Jonathan M., PhD ; Doss, Amy E., MD ; Caughey, Aaron B., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c606t-3f34bac491c49a94d058e82348fd56767730576121460f36f22f8f9634b5a6f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>birthweight</topic><topic>Cohort Studies</topic><topic>Databases, Factual</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>fetal death</topic><topic>Fetal Death - etiology</topic><topic>Fetal Growth Retardation - physiopathology</topic><topic>Fetal Weight - physiology</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>small for gestational age</topic><topic>Stillbirth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pilliod, Rachel A., MD</creatorcontrib><creatorcontrib>Cheng, Yvonne W., MD, PhD</creatorcontrib><creatorcontrib>Snowden, Jonathan M., PhD</creatorcontrib><creatorcontrib>Doss, Amy E., MD</creatorcontrib><creatorcontrib>Caughey, Aaron B., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pilliod, Rachel A., MD</au><au>Cheng, Yvonne W., MD, PhD</au><au>Snowden, Jonathan M., PhD</au><au>Doss, Amy E., MD</au><au>Caughey, Aaron B., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The risk of intrauterine fetal death in the small-for-gestational-age fetus</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>207</volume><issue>4</issue><spage>318.e1</spage><epage>318.e6</epage><pages>318.e1-318.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective We sought to evaluate the risk of intrauterine fetal death (IUFD) in small-for-gestational-age (SGA) fetuses. Study Design We analyzed a retrospective cohort of all births in the United States in 2005, as recorded in a national database. We calculated the risk of IUFD within 3 sets of SGA threshold categories as well as within non-SGA pregnancies using the number of at-risk fetuses as the denominator. Results The risk of IUFD increased with gestational age and was inversely proportional to percentile of birthweight for gestational age. The risk for IUFD in those <3rd percentile was as high as 58.0 IUFDs per 10,000 at-risk fetuses, 43.9 for <5th percentile, and 26.3 for <10th percentile compared to 5.1 for non-SGA gestations. Conclusion There is an increase in the risk of IUFD in SGA fetuses compared to non-SGA fetuses at all gestational ages with the greatest risk demonstrated in the lowest percentile cohort evaluated.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>23021697</pmid><doi>10.1016/j.ajog.2012.06.039</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2012-10, Vol.207 (4), p.318.e1-318.e6 |
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| subjects | Adult Biological and medical sciences birthweight Cohort Studies Databases, Factual Diseases of mother, fetus and pregnancy Female fetal death Fetal Death - etiology Fetal Growth Retardation - physiopathology Fetal Weight - physiology Gestational Age Gynecology. Andrology. Obstetrics Humans Maternal Age Medical sciences Obstetrics and Gynecology Pregnancy Pregnancy. Fetus. Placenta Retrospective Studies Risk small for gestational age Stillbirth |
| title | The risk of intrauterine fetal death in the small-for-gestational-age fetus |
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