The risk of intrauterine fetal death in the small-for-gestational-age fetus

被引：172

作者：

Pilliod, Rachel A. ^{[1
]}

Cheng, Yvonne W. ^{[2
]}

Snowden, Jonathan M. ^{[1
]}

Doss, Amy E. ^{[1
]}

Caughey, Aaron B. ^{[1
]}

机构：

[1] Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA

[2] Univ Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 207卷 / 04期

关键词：

birthweight; fetal death; small for gestational age; stillbirth; LAST MENSTRUAL PERIOD; BIRTH-WEIGHT; GROWTH; MORTALITY; POPULATION; OUTCOMES;

D O I：

10.1016/j.ajog.2012.06.039

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页码：318.e1 / 318.e6

页数：6

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