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• W4386836617 abstract "Stillbirth at term has great emotional impact, on both parents and professionals. In developed countries, efforts to identify risk factors are mandatory to plan area-specific prevention strategies. The aim of the study is the identification of independent risk factors contributing to stillbirth at 37 weeks or greater. This is an area-based, prospective cohort study on pregnancy at term, enrolled from 2014 to 2021 in Emilia-Romagna, a north Italian region. Data were retrieved from both Birth certificates and the Stillbirth Surveillance system database. To identify independent risk factors, a multivariate analysis using logistic regression was performed. A descriptive analysis of the causes of death of stillbirth is also reported. In the observation period, 246,437 babies born at term (including 260 stillbirths, with a rate of 1.06/1,000) were considered. The risk factors independently associated with stillbirth were small for gestational age (SGA) babies (OR=2.58, 95%CI 1.88-3.53), pregnancy obtained by fertility treatments (OR=2.01, 95%CI 1.15-3.51), and delayed access to pregnancy services (OR=1.56, 95%CI 1.10-2.22). In multipara, the presence of a previous stillbirth (OR=3.91, 95%CI 1.98-7.72) resulted also associated with an increased risk of recurrence. Early- rather than late-term is an additional risk factor. The most frequent causes of death were placental and cord disorders (61/260 and 56/260, respectively). However, 28.1% of cases remain unexplained. The risks for stillbirth at term are known early in pregnancy or could be identified through a tailored antenatal management, allowing effective preventive strategies to reduce preventable cases." @default.
• W4386836617 created "2023-09-19" @default.
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• W4386836617 date "2023-11-01" @default.
• W4386836617 modified "2023-10-18" @default.
• W4386836617 title "Risk factors for stillbirth at term: an Italian area-based, prospective, cohort study" @default.
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• W4386836617 doi "https://doi.org/10.1016/j.xagr.2023.100269" @default.
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