ACOG ePoster Library

Login now to access Regular content available to all registered users.
1.1 EPOSTER
1.2 PDF Poster File
Abstract
Introduction: Stillbirth complicates 1 in 160 deliveries in the United States. Vaginal delivery (VD) is the desirable route of delivery even in the setting of a prior cesarean delivery (CD). ACOG recommends CD only for unusual circumstances because of associated maternal morbidity without any fetal benefit, however some patients prefer CD to avoid the experience of a vaginal birth of a demised fetus. We sought to determine the rate of CD in pregnancies complicated by stillbirth and to identify characteristics associated with CD.

Methods: Population-based retrospective cohort study of all stillbirths in the United States during the year of 2014. Frequency of CD in stillbirths was stratified by gestational age (16-46 weeks). Maternal, obstetric, and fetal characteristics were compared between women who underwent CD compared to VD. Multivariate logistic regression estimated the relative influence of maternal, obstetric, and fetal factors on the outcome of CD.

Results: There were 17,701 non-laboring women diagnosed with stillbirth during 2014 in the United States in which mode of delivery was recorded. Of the 17,701 stillbirths, 2,951 (16.7%) underwent a CD. Between 20-23, 24-27, 28-31, 32-36, and 36 weeks of gestation, the CD rate was 4.0, 16.2, 23.7, 30.8, and 28.8% respectively. Among this cohort, 1,727 women (58.5%) had a primary CD. Factors associated with CD included obesity (aOR 1.3, 95% CI 1.1-1.5), pre-existing diabetes (aOR 1.6, 95% CI 1.1-2.2), gestational diabetes (aOR 1.6, 95% CI 1.2-2.1), gestational hypertension (aOR 1.7, 95% CI 1.3-2.1), cigarette smoking (aOR 1.5, 95% CI 1.2-1.8), infertility treatment (aOR 1.9, 95% CI 1.2-3.0), diagnosis of stillbirth in 3rd trimester, (aOR 5.0, 95% CI 4.1-6.0), and large for gestational age (10th%) birthweight (aOR 2.4, 95% CI 0.1.8-3.1). Younger women (
Introduction: Stillbirth complicates 1 in 160 deliveries in the United States. Vaginal delivery (VD) is the desirable route of delivery even in the setting of a prior cesarean delivery (CD). ACOG recommends CD only for unusual circumstances because of associated maternal morbidity without any fetal benefit, however some patients prefer CD to avoid the experience of a vaginal birth of a demised fetus. We sought to determine the rate of CD in pregnancies complicated by stillbirth and to identify characteristics associated with CD.

Methods: Population-based retrospective cohort study of all stillbirths in the United States during the year of 2014. Frequency of CD in stillbirths was stratified by gestational age (16-46 weeks). Maternal, obstetric, and fetal characteristics were compared between women who underwent CD compared to VD. Multivariate logistic regression estimated the relative influence of maternal, obstetric, and fetal factors on the outcome of CD.

Results: There were 17,701 non-laboring women diagnosed with stillbirth during 2014 in the United States in which mode of delivery was recorded. Of the 17,701 stillbirths, 2,951 (16.7%) underwent a CD. Between 20-23, 24-27, 28-31, 32-36, and 36 weeks of gestation, the CD rate was 4.0, 16.2, 23.7, 30.8, and 28.8% respectively. Among this cohort, 1,727 women (58.5%) had a primary CD. Factors associated with CD included obesity (aOR 1.3, 95% CI 1.1-1.5), pre-existing diabetes (aOR 1.6, 95% CI 1.1-2.2), gestational diabetes (aOR 1.6, 95% CI 1.2-2.1), gestational hypertension (aOR 1.7, 95% CI 1.3-2.1), cigarette smoking (aOR 1.5, 95% CI 1.2-1.8), infertility treatment (aOR 1.9, 95% CI 1.2-3.0), diagnosis of stillbirth in 3rd trimester, (aOR 5.0, 95% CI 4.1-6.0), and large for gestational age (10th%) birthweight (aOR 2.4, 95% CI 0.1.8-3.1). Younger women (
Mode of Delivery in Stillbirth Pregnancies
Robert Rossi
Robert Rossi
ACOG ePoster. Rossi R. 04/27/2018; 212029; 30B
user
Robert Rossi
Abstract
Introduction: Stillbirth complicates 1 in 160 deliveries in the United States. Vaginal delivery (VD) is the desirable route of delivery even in the setting of a prior cesarean delivery (CD). ACOG recommends CD only for unusual circumstances because of associated maternal morbidity without any fetal benefit, however some patients prefer CD to avoid the experience of a vaginal birth of a demised fetus. We sought to determine the rate of CD in pregnancies complicated by stillbirth and to identify characteristics associated with CD.

Methods: Population-based retrospective cohort study of all stillbirths in the United States during the year of 2014. Frequency of CD in stillbirths was stratified by gestational age (16-46 weeks). Maternal, obstetric, and fetal characteristics were compared between women who underwent CD compared to VD. Multivariate logistic regression estimated the relative influence of maternal, obstetric, and fetal factors on the outcome of CD.

Results: There were 17,701 non-laboring women diagnosed with stillbirth during 2014 in the United States in which mode of delivery was recorded. Of the 17,701 stillbirths, 2,951 (16.7%) underwent a CD. Between 20-23, 24-27, 28-31, 32-36, and 36 weeks of gestation, the CD rate was 4.0, 16.2, 23.7, 30.8, and 28.8% respectively. Among this cohort, 1,727 women (58.5%) had a primary CD. Factors associated with CD included obesity (aOR 1.3, 95% CI 1.1-1.5), pre-existing diabetes (aOR 1.6, 95% CI 1.1-2.2), gestational diabetes (aOR 1.6, 95% CI 1.2-2.1), gestational hypertension (aOR 1.7, 95% CI 1.3-2.1), cigarette smoking (aOR 1.5, 95% CI 1.2-1.8), infertility treatment (aOR 1.9, 95% CI 1.2-3.0), diagnosis of stillbirth in 3rd trimester, (aOR 5.0, 95% CI 4.1-6.0), and large for gestational age (10th%) birthweight (aOR 2.4, 95% CI 0.1.8-3.1). Younger women (
Introduction: Stillbirth complicates 1 in 160 deliveries in the United States. Vaginal delivery (VD) is the desirable route of delivery even in the setting of a prior cesarean delivery (CD). ACOG recommends CD only for unusual circumstances because of associated maternal morbidity without any fetal benefit, however some patients prefer CD to avoid the experience of a vaginal birth of a demised fetus. We sought to determine the rate of CD in pregnancies complicated by stillbirth and to identify characteristics associated with CD.

Methods: Population-based retrospective cohort study of all stillbirths in the United States during the year of 2014. Frequency of CD in stillbirths was stratified by gestational age (16-46 weeks). Maternal, obstetric, and fetal characteristics were compared between women who underwent CD compared to VD. Multivariate logistic regression estimated the relative influence of maternal, obstetric, and fetal factors on the outcome of CD.

Results: There were 17,701 non-laboring women diagnosed with stillbirth during 2014 in the United States in which mode of delivery was recorded. Of the 17,701 stillbirths, 2,951 (16.7%) underwent a CD. Between 20-23, 24-27, 28-31, 32-36, and 36 weeks of gestation, the CD rate was 4.0, 16.2, 23.7, 30.8, and 28.8% respectively. Among this cohort, 1,727 women (58.5%) had a primary CD. Factors associated with CD included obesity (aOR 1.3, 95% CI 1.1-1.5), pre-existing diabetes (aOR 1.6, 95% CI 1.1-2.2), gestational diabetes (aOR 1.6, 95% CI 1.2-2.1), gestational hypertension (aOR 1.7, 95% CI 1.3-2.1), cigarette smoking (aOR 1.5, 95% CI 1.2-1.8), infertility treatment (aOR 1.9, 95% CI 1.2-3.0), diagnosis of stillbirth in 3rd trimester, (aOR 5.0, 95% CI 4.1-6.0), and large for gestational age (10th%) birthweight (aOR 2.4, 95% CI 0.1.8-3.1). Younger women (

About Us

With roots dating back to 1951, the American College of Obstetricians and Gynecologists is the premier professional membership organization for obstetrician–gynecologists. The College’s activities include producing practice guidelines for providers and educational materials for patients, providing practice management and career support, facilitating programs and initiatives aimed at improving women’s health, and advocating on behalf of members and patients. With more than 60,000 members spanning the entire career lifecycle, ACOG is composed of 12 Districts. These Districts are made up of 98 Sections. ACOG's Districts and Sections represent various regions, countries, territories, and states in North and South America. ACOG members, or Fellows, are board certified obstetrician–gynecologists whose professional activities are devoted to the practice of obstetrics and/or gynecology, who possess unrestricted licenses to practice medicine, and who have attained high ethical and professional standing.
2025 ©
American College of Obstetricians and Gynecologists
USER TERMS AND CONDITIONS / PRIVACY POLICY
(Amended according to GDPR)

By clicking “Accept Terms & all Cookies” or by continuing to browse, you agree to the storing of third-party cookies on your device to enhance your user experience and agree to the user terms and conditions of this learning management system (LMS).

Cookie Settings
Accept Terms & all Cookies