A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004
The purpose of this study was to evaluate the nationwide stillbirth rate and explore the potential risk factors associated with stillbirths. Patients and methods: Data from vital registrations during the time period from January 1, 2001 through to December 31, 2004 in Taiwan were used. Stillbirth wa...
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| Format: | Article |
| Language: | English |
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Elsevier
2012-04-01
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| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957212000083 |
| _version_ | 1818949956731404288 |
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| author | I-Jan Hu Pau-Chung Chen Suh-Fang Jeng Chia-Jung Hsieh Hua-Fang Liao Yi-Ning Su Shio-Jean Lin Wu-Shiun Hsieh |
| author_facet | I-Jan Hu Pau-Chung Chen Suh-Fang Jeng Chia-Jung Hsieh Hua-Fang Liao Yi-Ning Su Shio-Jean Lin Wu-Shiun Hsieh |
| author_sort | I-Jan Hu |
| collection | DOAJ |
| description | The purpose of this study was to evaluate the nationwide stillbirth rate and explore the potential risk factors associated with stillbirths.
Patients and methods: Data from vital registrations during the time period from January 1, 2001 through to December 31, 2004 in Taiwan were used. Stillbirth was defined as fetal death with more than 20 completed weeks’ gestational age (GA) or with birth weight more than 500 g if the GA was not known.
Results: There were a total of 8481 stillbirths identified nationwide between January 1, 2001 and December 31, 2004. The stillbirth rate was nine per 1000 total births in the study period, and the proportionate decline was nearly 48.8% in the most recent decade. There was a significant increase in average maternal age during this period. Advanced maternal age and teenage pregnancy were independent significant risk factors for stillbirths even after accounting for the effects of medical conditions that were more likely to occur among these particular age groups. Those fetuses that had been exposed to cord prolapse, maternal cervical incompetence and oligohydramnios/polyhydramnios were especially vulnerable. By contrast, women who had foreign nationality, fetal ultrasound surveys, fetal heart beat monitoring and hastened parturition were less likely to have stillbirth.
Conclusion: The stillbirth rate in Taiwan has remained high despite advancements in medical care. Prenatal evaluation of high risk women may decrease the adverse fetal outcomes. |
| first_indexed | 2024-12-20T09:10:56Z |
| format | Article |
| id | doaj.art-638840f7326e445b97741c1ca482a0e6 |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-12-20T09:10:56Z |
| publishDate | 2012-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-638840f7326e445b97741c1ca482a0e62022-12-21T19:45:34ZengElsevierPediatrics and Neonatology1875-95722012-04-0153210511110.1016/j.pedneo.2012.01.007A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004I-Jan Hu0Pau-Chung Chen1Suh-Fang Jeng2Chia-Jung Hsieh3Hua-Fang Liao4Yi-Ning Su5Shio-Jean Lin6Wu-Shiun Hsieh7Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanInstitute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, TaiwanSchool and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, TaiwanInstitute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, TaiwanSchool and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, TaiwanGraduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, TaiwanDepartments of Pediatrics, National Cheng-Kung University Hospital and National Cheng-Kung University College of Medicine, Tainan, TaiwanDepartment of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanThe purpose of this study was to evaluate the nationwide stillbirth rate and explore the potential risk factors associated with stillbirths. Patients and methods: Data from vital registrations during the time period from January 1, 2001 through to December 31, 2004 in Taiwan were used. Stillbirth was defined as fetal death with more than 20 completed weeks’ gestational age (GA) or with birth weight more than 500 g if the GA was not known. Results: There were a total of 8481 stillbirths identified nationwide between January 1, 2001 and December 31, 2004. The stillbirth rate was nine per 1000 total births in the study period, and the proportionate decline was nearly 48.8% in the most recent decade. There was a significant increase in average maternal age during this period. Advanced maternal age and teenage pregnancy were independent significant risk factors for stillbirths even after accounting for the effects of medical conditions that were more likely to occur among these particular age groups. Those fetuses that had been exposed to cord prolapse, maternal cervical incompetence and oligohydramnios/polyhydramnios were especially vulnerable. By contrast, women who had foreign nationality, fetal ultrasound surveys, fetal heart beat monitoring and hastened parturition were less likely to have stillbirth. Conclusion: The stillbirth rate in Taiwan has remained high despite advancements in medical care. Prenatal evaluation of high risk women may decrease the adverse fetal outcomes.http://www.sciencedirect.com/science/article/pii/S1875957212000083ethnicsnationwideoligohydramniospolyhydramniosrisk factorsstillbirth |
| spellingShingle | I-Jan Hu Pau-Chung Chen Suh-Fang Jeng Chia-Jung Hsieh Hua-Fang Liao Yi-Ning Su Shio-Jean Lin Wu-Shiun Hsieh A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 Pediatrics and Neonatology ethnics nationwide oligohydramnios polyhydramnios risk factors stillbirth |
| title | A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 |
| title_full | A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 |
| title_fullStr | A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 |
| title_full_unstemmed | A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 |
| title_short | A Nationwide Survey of Risk Factors for Stillbirth in Taiwan, 2001–2004 |
| title_sort | nationwide survey of risk factors for stillbirth in taiwan 2001 2004 |
| topic | ethnics nationwide oligohydramnios polyhydramnios risk factors stillbirth |
| url | http://www.sciencedirect.com/science/article/pii/S1875957212000083 |
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