Risk factors for stillbirth in a socio-economically disadvantaged urban Australian population
Date
2017
Authors
de Graaff, E.
Wijs, L.
Leemaqz, S.
Dekker, G.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Journal of Maternal-Fetal and Neonatal Medicine, 2017; 30(1):17-22
Statement of Responsibility
E.C. de Graaff, L.A. Wijs, S. Leemaqz, and G.A. Dekker
Conference Name
Abstract
Introduction: Several risk factors for stillbirth have been extensively investigated. Some risk factors are more common in socio-economically disadvantaged regions. The aim of this study was to identify risk factors for stillbirth in the Northern suburbs of Adelaide, one of the most socio-economically disadvantaged urban areas in Australia. Material and Methods: A retrospective case control study (2 controls per case) of all women with a singleton pregnancy resulting in a stillbirth during the decade 2002-2012. Results: 130 stillbirths were registered over these 10 years. Using univariate analysis, the following risk factors were identified: obesity ≥40 BMI (OR 4.75), non-Caucasian ethnicity (OR 2.737), pre-existing diabetes (P <.000), PCOS (OR 5.250), IVF (OR 4.000), booking SBP ≥140 (OR 5.000) and booking DBP ≥80 (OR 3.111). Many of these factors have complex interrelationships. Multivariate analysis identified the following independent risk factors: BMI ≥40 (OR 3.940), ethnic minorities (mainly indigenous Australians) (OR 2.255) and social issues (OR 3.079). PCOS had an independent effect to some extent, but this was clearly confounded by BMI. Conclusion: These Australian data confirm the presence of several potentially modifiable risk factors for stillbirth, within this socio-economically disadvantaged region. Modifying these risk factors, in particular obesity, is a big challenge not only for maternity and primary care providers, but for overall society.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
© 2016 Informa UK Limited, trading as Taylor & Francis Group.