Adherence to recommended prenatal visit schedules and risk for stillbirth, according to probable cause of death

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2024-10-29 DOI:10.1016/j.ejogrb.2024.10.037

Tess E.K. Cersonsky , Nina K. Ayala , Nailah S. Tucker , George R. Saade , Donald J. Dudley , Halit Pinar , Robert M. Silver , Uma M. Reddy , Adam K. Lewkowitz

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引用次数: 0

Abstract

Objective

Suboptimal prenatal care is linked to increased risk of stillbirth, but this association is not well-understood. The study objective was to evaluate the relationship between prenatal visit adherence and cause of death in stillbirths.

Study Design

This is a secondary analysis from the Stillbirth Collaborative Research Network of data with complete cause of death evaluation. Appropriateness of prenatal visit frequency was determined per American College of Obstetricians and Gynecologists/American Academy of Pediatrics (ACOG/AAP) recommendations and the novel Michigan Plan for Appropriately Tailored Healthcare in Pregnancy (MiPATH) guidelines. Multivariate regression controlled for differences between groups.

Results

Among 451 stillbirths included, 63.6% and 55.9% were non-adherent to ACOG/AAP and MiPATH recommendations, respectively. Non-adherent parturients according to the Michigan plan were more likely to have a stillbirth due to hypertensive disorders of pregnancy.

Conclusion

Non-adherence to prenatal visit guidelines is associated with higher risk of stillbirth due to hypertensive disorders of pregnancy.

查看原文本刊更多论文

根据可能的死因，遵守建议的产前检查时间表与死产风险。

目的：不理想的产前护理与死胎风险增加有关，但这种关联性尚未得到充分了解。本研究旨在评估产前检查的依从性与死胎死因之间的关系：研究设计：这是死胎合作研究网络对完整死因评估数据的二次分析。产前检查频率的适当性是根据美国妇产科医师学会/美国儿科学会（ACOG/AAP）的建议和新的密歇根妊娠期适当定制医疗保健计划（MiPATH）指南确定的。多变量回归控制了组间差异：结果：在纳入的 451 例死胎中，分别有 63.6% 和 55.9% 的产妇未遵循 ACOG/AAP 和 MiPATH 建议。根据密歇根计划，未遵守建议的产妇更有可能因妊娠高血压疾病而死产：结论：不遵守产前检查指南与妊娠高血压疾病导致死产的风险较高有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.