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The risk of unexplained antepartum stillbirth in second pregnancies following caesarean section in the first pregnancy
Author(s) -
Cohain JS
Publication year - 2008
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2008.01851.x
Subject(s) - caesarean section , obstetrics , section (typography) , medicine , pregnancy , citation , family medicine , gynecology , library science , computer science , advertising , business , genetics , biology
Sir, Wood et al.1 are the first researchers examining stillbirth after previous caesarean to include multiple pregnancies in their study group. If conception, miscarriage and stillbirth rates of multiple births were equally frequent in pregnancies after vaginal birth as after caesarean birth, then the inclusion is justified. Multiple pregnancies were eliminated from previous research because multiple pregnancy is a known independent risk factor for stillbirth. It is unknown how previous caesarean affects the conception and miscarriage rate of multiple pregnancies, although this is an interesting research question for future studies. If less multiple births are conceived after caesarean births and more multiple births are miscarried before week 24 after caesarean births, this might additionally help account for their inability to demonstrate a statistically significant increase, but rather only a 30% increase in stillbirths after caesarean. Although an overall maternal or perinatal mortality rate is missing, an intrapartum stillbirth rate of 1.6/1000 in the