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Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019

(1) Background: The rate of cesarean sections in late fetal mortality remains high. We aimed to determine the prevalence of late fetal mortality in Spain and risk factors for cesarean birth in women with stillbirth ≥ 28 weeks gestation between 2016–2019. (2) Methods: A retrospective observational st...

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Autores principales: Hidalgo-Lopezosa, Pedro, Cubero-Luna, Ana María, García-Fernández, Rubén, Jiménez-Ruz, Andrea, Maestre-Luna, María Isabel, Liébana-Presa, Cristina, Rodríguez-Borrego, María Aurora, López-Soto, Pablo Jesús
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914757/
https://www.ncbi.nlm.nih.gov/pubmed/36767143
http://dx.doi.org/10.3390/ijerph20031777
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author Hidalgo-Lopezosa, Pedro
Cubero-Luna, Ana María
García-Fernández, Rubén
Jiménez-Ruz, Andrea
Maestre-Luna, María Isabel
Liébana-Presa, Cristina
Rodríguez-Borrego, María Aurora
López-Soto, Pablo Jesús
author_facet Hidalgo-Lopezosa, Pedro
Cubero-Luna, Ana María
García-Fernández, Rubén
Jiménez-Ruz, Andrea
Maestre-Luna, María Isabel
Liébana-Presa, Cristina
Rodríguez-Borrego, María Aurora
López-Soto, Pablo Jesús
author_sort Hidalgo-Lopezosa, Pedro
collection PubMed
description (1) Background: The rate of cesarean sections in late fetal mortality remains high. We aimed to determine the prevalence of late fetal mortality in Spain and risk factors for cesarean birth in women with stillbirth ≥ 28 weeks gestation between 2016–2019. (2) Methods: A retrospective observational study with national data between 2016–2019. A total of 3504 births with fetal dead were included. Sociodemographic, obstetrical and neonatal variables were analyzed using univariate and multivariate logistic regression (MLR), with cesarean birth with a stillborn ≥ 28 weeks gestation as the dependent variable. (3) Results: The late fetal mortality rate was 2.8 × 1000; 22.7% of births were by cesarean section. Factors associated with cesarean were having a multiple birth (aOR 6.78); stillbirth weight (aOR 2.41); birth taking place in towns with over 50,000 inhabitants (aOR 1.34); and mother’s age ≥ 35 (aOR 1.23). (4) Conclusions: The late fetal mortality rate increased during the period. The performance of cesarean sections was associated with the mother’s age, obstetric factors and place of birth. Our findings encourage reflection on how to best put into practice national clinical and socio-educational prevention strategies, as well as the approved protocols on how childbirth should be correctly conducted.
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spelling pubmed-99147572023-02-11 Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019 Hidalgo-Lopezosa, Pedro Cubero-Luna, Ana María García-Fernández, Rubén Jiménez-Ruz, Andrea Maestre-Luna, María Isabel Liébana-Presa, Cristina Rodríguez-Borrego, María Aurora López-Soto, Pablo Jesús Int J Environ Res Public Health Article (1) Background: The rate of cesarean sections in late fetal mortality remains high. We aimed to determine the prevalence of late fetal mortality in Spain and risk factors for cesarean birth in women with stillbirth ≥ 28 weeks gestation between 2016–2019. (2) Methods: A retrospective observational study with national data between 2016–2019. A total of 3504 births with fetal dead were included. Sociodemographic, obstetrical and neonatal variables were analyzed using univariate and multivariate logistic regression (MLR), with cesarean birth with a stillborn ≥ 28 weeks gestation as the dependent variable. (3) Results: The late fetal mortality rate was 2.8 × 1000; 22.7% of births were by cesarean section. Factors associated with cesarean were having a multiple birth (aOR 6.78); stillbirth weight (aOR 2.41); birth taking place in towns with over 50,000 inhabitants (aOR 1.34); and mother’s age ≥ 35 (aOR 1.23). (4) Conclusions: The late fetal mortality rate increased during the period. The performance of cesarean sections was associated with the mother’s age, obstetric factors and place of birth. Our findings encourage reflection on how to best put into practice national clinical and socio-educational prevention strategies, as well as the approved protocols on how childbirth should be correctly conducted. MDPI 2023-01-18 /pmc/articles/PMC9914757/ /pubmed/36767143 http://dx.doi.org/10.3390/ijerph20031777 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hidalgo-Lopezosa, Pedro
Cubero-Luna, Ana María
García-Fernández, Rubén
Jiménez-Ruz, Andrea
Maestre-Luna, María Isabel
Liébana-Presa, Cristina
Rodríguez-Borrego, María Aurora
López-Soto, Pablo Jesús
Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title_full Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title_fullStr Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title_full_unstemmed Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title_short Prevalence and Mode of Birth in Late Fetal Mortality in Spain, 2016–2019
title_sort prevalence and mode of birth in late fetal mortality in spain, 2016–2019
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914757/
https://www.ncbi.nlm.nih.gov/pubmed/36767143
http://dx.doi.org/10.3390/ijerph20031777
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