Stillbirth increases risk of cesarean section in future

Women who become pregnant after a stillbirth in Ireland have much higher rates of induction and Caesarean sections, according to a new study.

induction of labor rate in almost half of women and delivery by caesarean section at 40%, were “considerably higher than national rates” for women with more than one child.

The study, which was conducted on behalf of the University of Cork’s Maternity Pregnancy Loss Research Group, found that two in three women had a subsequent pregnancy following stillbirth.

The average time between losing their baby and booking their next pregnancy for these women was 13 months, with almost half of women showing up for their first maternity appointment within a year. stillbirth.

Lead author of the study, Dr Ruth Roseingrave, said that women who had previously had a stillborn child were more likely to have an induction of labor than women who had previously had a live baby.

“The most common reason for induction of labor was a history of stillbirth,” said the registrar specializing in obstetrics and gynecology. .

“There was also a higher rate of caesarean section compared to women with a history of a born alive baby, and the second most common reason for an elective caesarean was a history of stillbirth.

“Our study found that women who become pregnant after a stillbirth need additional support from maternity services compared to women who have never had a stillbirth.”

Retrospective research conducted on 222 cases of stillbirths at Cork University Maternity between 2011 and 2017 found that 64% of the women in the study had a pregnancy after stillbirth.

The study, published in the American Journal of Obstetrics and Gynecology ecology, found that nearly a fifth of these women had a miscarriage, but 57% had a live birth afterward, giving an overall live birth rate of 90% for women who became pregnant as a result of the loss of a child subsequently had a live birth.

Among women, it was found that there was a significantly higher rate of preterm birth at just over one-fifth of pregnancies.

One in four babies had to be admitted to a neonatal intensive care unit, more than double the expected number, according to the study.

The newspaper revealed that the stillbirth defined as a child born weighing 500 g or having a gestational age of 24 weeks or more who shows no signs of life occurs in 3.5 out of 1,000 pregnancies in Ireland.

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