Bibliographic Details
| Title: |
Recurrence of adverse perinatal outcomes in developing countries |
| Authors: |
Fengxiu Ouyang, Jun Zhang, Ana Pilar Betrán, Zujing Yang, João Paulo Souza, Mario Merialdi |
| Source: |
Bulletin of the World Health Organization, Vol 91, Iss 5, Pp 357-367 (2013) |
| Publisher Information: |
The World Health Organization, 2013. |
| Publication Year: |
2013 |
| Collection: |
LCC:Public aspects of medicine |
| Subject Terms: |
Public aspects of medicine, RA1-1270 |
| More Details: |
OBJECTIVE: To evaluate the risk of recurrence of adverse perinatal outcomes in second pregnancies in developing countries. METHODS: Data from the 2004-2008 Global Survey on Maternal and Perinatal Health were used to determine the outcomes of singleton second pregnancies for 61 780 women in 23 developing countries. The mother-infant pairs had been followed up until discharge or for 7 days postpartum. FINDINGS: At the end of their second pregnancies, women whose first pregnancy had ended in stillbirth (n = 1261) or been followed by neonatal death (n = 1052) were more likely than women who had not experienced either outcome to have given birth to a child with a birth weight of < 1500 g (odds ratio, OR: 2.52 and 2.78, respectively) or 1500-2499 g (OR: 1.22 and 1.60, respectively), or to an infant requiring admission to an intensive care unit (OR: 1.64 and 1.68, respectively). At the end of their second pregnancies, those whose first pregnancy had ended in a stillbirth were at increased risk of another stillbirth (OR: 2.35) and those whose first infant had died as a neonate were at increased risk of having the second infant die within the first 7 days of life (OR: 2.82). These trends were found to be largely unaffected by the continent in which the women lived. CONCLUSION: In the developing world, a woman whose first pregnancy ends in stillbirth or is followed by the death of the neonate is at increased risk of experiencing the same outcomes in her second pregnancy. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
0042-9686 |
| Relation: |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000500011&lng=en&tlng=en; https://doaj.org/toc/0042-9686 |
| DOI: |
10.2471/BLT.12.111021 |
| Access URL: |
https://doaj.org/article/0792a938cff2401782f3e1de4b237ccc |
| Accession Number: |
edsdoj.0792a938cff2401782f3e1de4b237ccc |
| Database: |
Directory of Open Access Journals |
