Tomasz Gora, Kamila A Wojtowicz, Maja Drozdzak, Pawel Guzik, Jakub Kornacki, Katarzyna Kosinska-Kaczynska, Anna Kajdy, Dorota Sys, Stepan Feduniw, Przemyslaw Kosinski, Anna Szczepkowska, Dorota Darmochwal-Kolarz, Pawel Tos, Tomasz Kluz, Anna Zymroz, Magda Rybak-Krzyszkowska, Hubert Huras, Boguslawa Piela, Marzena Malec, Ewa Banas-Fiebrich, Ewa Janowska-Tyc, Katarzyna Stefanska, Malgorzata Swiatkowska-Freund, Agnieszka Mrozinska, Magdalena Bednarek-Jedrzejek, Aleksandra Kukla, Dominika Boboryko, Urszula Warejko, Sebastian Kwiatkowski
{"title":"宫内死亡--波兰围产医学中尚未解决的问题。","authors":"Tomasz Gora, Kamila A Wojtowicz, Maja Drozdzak, Pawel Guzik, Jakub Kornacki, Katarzyna Kosinska-Kaczynska, Anna Kajdy, Dorota Sys, Stepan Feduniw, Przemyslaw Kosinski, Anna Szczepkowska, Dorota Darmochwal-Kolarz, Pawel Tos, Tomasz Kluz, Anna Zymroz, Magda Rybak-Krzyszkowska, Hubert Huras, Boguslawa Piela, Marzena Malec, Ewa Banas-Fiebrich, Ewa Janowska-Tyc, Katarzyna Stefanska, Malgorzata Swiatkowska-Freund, Agnieszka Mrozinska, Magdalena Bednarek-Jedrzejek, Aleksandra Kukla, Dominika Boboryko, Urszula Warejko, Sebastian Kwiatkowski","doi":"10.5603/gpl.92940","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The Polish criteria for \"intrauterine death\" include fetal demise after 22 weeks of gestation, weighing > 500 g and body length at least 25 cm, when the gestational age is unknown. The rate of fetal death in Poland in 2015 is 3:10,000. In 2020, 1,231 stillbirths were registered.</p><p><strong>Material and methods: </strong>An analysis using 142,662 births in the period between 2015-2020 in 11 living in Poland. The first subgroup was admitted as patients > 22 to the beginning of the 30th week of pregnancy (n = 229), and the second from the 30th week of pregnancy inclusively (n = 179). In the case of women from both subgroups, there was a risk of preterm delivery close to hospitalization.</p><p><strong>Results: </strong>It was found that stillbirth in 41% of women in the first pregnancy. For the patient, stillbirth was also the first in his life. The average stillbirth weight was 1487 g, the average body length was 40 cm. Among fetuses up to 30 weeks, male fetuses are born more often, in subgroup II, the sex of the child was usually female. Most fetal deaths occur in mothers < 15 and > 45 years of age.</p><p><strong>Conclusions: </strong>According to the Polish results of the origin of full-term fetuses > 30 weeks of gestation for death in the concomitant antenatal, such as placental-umbilical and fetal hypoxia, acute intrapartum effects rarely, and moreover < 30 Hbd fetal growth restriction (FGR), occurring placental-umbilical, acute intrapartum often.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"693-704"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Intrauterine deaths - an unsolved problem in Polish perinatology.\",\"authors\":\"Tomasz Gora, Kamila A Wojtowicz, Maja Drozdzak, Pawel Guzik, Jakub Kornacki, Katarzyna Kosinska-Kaczynska, Anna Kajdy, Dorota Sys, Stepan Feduniw, Przemyslaw Kosinski, Anna Szczepkowska, Dorota Darmochwal-Kolarz, Pawel Tos, Tomasz Kluz, Anna Zymroz, Magda Rybak-Krzyszkowska, Hubert Huras, Boguslawa Piela, Marzena Malec, Ewa Banas-Fiebrich, Ewa Janowska-Tyc, Katarzyna Stefanska, Malgorzata Swiatkowska-Freund, Agnieszka Mrozinska, Magdalena Bednarek-Jedrzejek, Aleksandra Kukla, Dominika Boboryko, Urszula Warejko, Sebastian Kwiatkowski\",\"doi\":\"10.5603/gpl.92940\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The Polish criteria for \\\"intrauterine death\\\" include fetal demise after 22 weeks of gestation, weighing > 500 g and body length at least 25 cm, when the gestational age is unknown. The rate of fetal death in Poland in 2015 is 3:10,000. In 2020, 1,231 stillbirths were registered.</p><p><strong>Material and methods: </strong>An analysis using 142,662 births in the period between 2015-2020 in 11 living in Poland. The first subgroup was admitted as patients > 22 to the beginning of the 30th week of pregnancy (n = 229), and the second from the 30th week of pregnancy inclusively (n = 179). In the case of women from both subgroups, there was a risk of preterm delivery close to hospitalization.</p><p><strong>Results: </strong>It was found that stillbirth in 41% of women in the first pregnancy. For the patient, stillbirth was also the first in his life. The average stillbirth weight was 1487 g, the average body length was 40 cm. Among fetuses up to 30 weeks, male fetuses are born more often, in subgroup II, the sex of the child was usually female. Most fetal deaths occur in mothers < 15 and > 45 years of age.</p><p><strong>Conclusions: </strong>According to the Polish results of the origin of full-term fetuses > 30 weeks of gestation for death in the concomitant antenatal, such as placental-umbilical and fetal hypoxia, acute intrapartum effects rarely, and moreover < 30 Hbd fetal growth restriction (FGR), occurring placental-umbilical, acute intrapartum often.</p>\",\"PeriodicalId\":94021,\"journal\":{\"name\":\"Ginekologia polska\",\"volume\":\" \",\"pages\":\"693-704\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ginekologia polska\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5603/gpl.92940\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/12/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ginekologia polska","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5603/gpl.92940","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/15 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Intrauterine deaths - an unsolved problem in Polish perinatology.
Objectives: The Polish criteria for "intrauterine death" include fetal demise after 22 weeks of gestation, weighing > 500 g and body length at least 25 cm, when the gestational age is unknown. The rate of fetal death in Poland in 2015 is 3:10,000. In 2020, 1,231 stillbirths were registered.
Material and methods: An analysis using 142,662 births in the period between 2015-2020 in 11 living in Poland. The first subgroup was admitted as patients > 22 to the beginning of the 30th week of pregnancy (n = 229), and the second from the 30th week of pregnancy inclusively (n = 179). In the case of women from both subgroups, there was a risk of preterm delivery close to hospitalization.
Results: It was found that stillbirth in 41% of women in the first pregnancy. For the patient, stillbirth was also the first in his life. The average stillbirth weight was 1487 g, the average body length was 40 cm. Among fetuses up to 30 weeks, male fetuses are born more often, in subgroup II, the sex of the child was usually female. Most fetal deaths occur in mothers < 15 and > 45 years of age.
Conclusions: According to the Polish results of the origin of full-term fetuses > 30 weeks of gestation for death in the concomitant antenatal, such as placental-umbilical and fetal hypoxia, acute intrapartum effects rarely, and moreover < 30 Hbd fetal growth restriction (FGR), occurring placental-umbilical, acute intrapartum often.
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