Stillbirth Risk in Past due Pregnancies

 

Complications in Late Pregnancy Part 02

Video taken from the channel: Learning in 10


 

Sleep On Your Side Still Birth Prevention Campaign

Video taken from the channel: The Cafe


 

How to reduce the risk of stillbirth: sleeping on your side

Video taken from the channel: Scottish Government


 

Can a Stillbirth Be Prevented?

Video taken from the channel: Dr. Linda Burke


 

The Risk of Fetal Death

Video taken from the channel: Learning in 10


 

Risk Of Still-Birth Increases With Every Week Past 37 Weeks, Study Finds

Video taken from the channel: CBS Philly


 

RISK: Consequences of a Near-Term Birth

Video taken from the channel: Dartmouth-Hitchcock


For several reasons, an overdue pregnancy can be risky both for the mother and the baby. In addition to higher odds of certain complications, there’s said to be an increased risk of stillbirth in pregnancies that have progressed beyond 42 weeks. But exactly how much increased risk is there? Stillbirth Risk Beyond 42 Weeks.

Complications include a higher risk of stillbirth and difficulties in delivering large babies. However, a minority of women, dubbed “the 10-month mamas”, believe a baby will come in its own time. Yes, you can have a successful pregnancy after a stillbirth.

While you’re at a higher risk for complications than someone who hasn’t had a stillbirth, the chances of a second stillbirth are only. But we need to have a conversation about the increased risk of stillbirth for some groups of women whose pregnancies are overdue – women over 35, women who are very overweight and women who smoke,” he says, explaining that maternal age, overweight and smoking can all adversely affect the quality of the placenta. How late can you safely have a baby? As per doctors, risks increase with age and therefore risk of pregnancy problems in older women is high. Technically, a woman can conceive any time before.

The stillbirth rate among twin pregnancies is approximately 2.5 times higher than that of singletons (14.07 versus 5.65 per 1,000 live births and stillbirths) 1. The risk of stillbirth increases in all twins with advancing gestational age, and it is significantly greater in monochorionic as compared with dichorionic twins 12. Another risk factor is not smoking during the three months before pregnancy occurs, they found. Stillbirth, defined as fetal death at 20 weeks into the pregnancy or later, affects one in 160 U.S. Unfortunately, between 10 and 15 percent of known pregnancies end in miscarriage. You may have heard of couples waiting to announce a pregnancy until the risk of having a miscarriage is lower. The.

Between weeks 13 and 20, the risk of experiencing a miscarriage is less than 1 percent. By week 20, a miscarriage is known as a stillbirth and may still cause a woman to go into labor. Stillbirth.

A triple risk model for unexplained late stillbirth. BMC Pregnancy Childbirth 14: 142. Weiss, E., Krombholz, K., et al. (2014). Fetal mortality at and beyond term in singleton pregnancies in Baden-Wuerttemberg/Germany 2004-2009.

Arch Gynecol Obstet 289(1): 79-84. Wennerholm, U. B., Hagberg, H., et al. (2009). Induction of labor versus expectant.

List of related literature:

In women with one previous caesarean delivery, the risk of unexplained antepartum stillbirth at or after 39 weeks gestation is about double the risk of stillbirth or neonatal death from intrapartum uterine rupture.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Women over 40 years old have a similar stillbirth risk at 39 weeks as women who are between 25 and 29 years old at 41 weeks, and once they pass 40 weeks’ gestation their risk of stillbirth exceeds that of all women less than 40 years old at term (12).

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

The risk of stillbirth is increased between 37 and 41 weeks’ gestation.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Robert K. Creasy, Jay D. Iams, Charles J. Lockwood, Thomas Moore, Michael F Greene, Lesley Frazier
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Robert K. Creasy, et. al.
Elsevier Health Sciences, 2008

Stillbirth risk in a second pregnancy.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Charles J. Lockwood, Thomas Moore, Michael F Greene, Joshua Copel, Robert M Silver
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Charles J. Lockwood, et. al.
Elsevier Health Sciences, 2018

However, maternal deaths due to other complications such as pregnancy-induced hypertension, placenta previa, retained placenta, and thromboembolism, are considered by some as difficult to prevent [17,18].

“Critical Care Obstetrics” by Michael A. Belfort, George R. Saade, Michael R. Foley, Jeffrey P. Phelan, Gary A. Dildy
from Critical Care Obstetrics
by Michael A. Belfort, George R. Saade, et. al.
Wiley, 2010

When considering the outcomes related to post-term pregnancy, we see the association with antepartum stillbirth regardless of how the effect is measured, but when the appropriate denominator of ongoing pregnancies is used, we see the risk of antepartum stillbirth begin to increase earlier at 39 and 40 weeks’ gestation.

“Dewhurst's Textbook of Obstetrics and Gynaecology” by Sir John Dewhurst, Keith Edmonds
from Dewhurst’s Textbook of Obstetrics and Gynaecology
by Sir John Dewhurst, Keith Edmonds
Wiley, 2012

Risk of stillbirth after 37 weeks in

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

There is, however, a risk of injuries unique to the pregnant patient, such as uterine rupture and placental abruption—both of which may lead to the death of the foetus (see later).

“Essential Surgery E-Book: Problems, Diagnosis and Management: With STUDENT CONSULT Online Access” by Clive R. G. Quick, Suzanne Biers, Tan Arulampalam, Philip J. Deakin
from Essential Surgery E-Book: Problems, Diagnosis and Management: With STUDENT CONSULT Online Access
by Clive R. G. Quick, Suzanne Biers, et. al.
Elsevier Health Sciences, 2019

The risk of increta is 10% to 25% in women with one previous cesarean section when the placenta is implanted over the scar and exceeds 50% in women with placenta previa and multiple cesarean deliveries (Table 55-2).

“Textbook of Diagnostic Sonography E-Book: 2-Volume Set” by Sandra L. Hagen-Ansert
from Textbook of Diagnostic Sonography E-Book: 2-Volume Set
by Sandra L. Hagen-Ansert
Elsevier Health Sciences, 2013

Population-based estimate of sibling risk for preterm birth, preterm premature rupture of membranes, placental abruption and pre-eclampsia.

“Bleeding During Pregnancy: A Comprehensive Guide” by Eyal K. Sheiner
from Bleeding During Pregnancy: A Comprehensive Guide
by Eyal K. Sheiner
Springer New York, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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2 comments

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  • Im 36 weeks im getting induced right now to have my first son. I really wish i can wait but my atomic fluid is too low�� I’m so nervous i pray for a safe delivery, i been having complications. Please keep my baby kaiden in prayers!❤����

  • I had my daughter at 36. 4 weeks. I went into preterm at 31 weeks. I was given steroids so she was 7 lbs 7 oz. I wanted my second to come earlier. I made it to 39. 4 weeks. He was 6 lbs 14 oz. if I would had tried to rush him I’m sure he wouldn’t have been as healthy and strong. Glad I waited..