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C-section linked to stillbirth in next pregnancy. (Adjusted Relative Risk of 1.67-2.57).
WASHINGTON -- Women who have a cesarean delivery are at increased risk for an unexplained stillbirth in their next pregnancy results of a large, retrospective study suggest.
Abnormal placentation due to uterine scarring may be the cause of these stillbirths. Increased fetal monitoring for pregnancies after cesarean section is probably warranted, Dr. Gordon Smith reported in a poster session at the annual meeting of the Society for Gynecologic Investigation.
His retrospective analysis examined fetal survival in 120,633 singleton second births in Scotland from 1992 to 1998. He found a significant association between unexplained stillbirth and a prior C-section, compared with prior vaginal delivery both in cases of maternal disease and no maternal disease.
When there was disease, the increased risk of unexplained stillbirth was 4.67, largely because of the deaths associated with maternal diabetes. When Dr. Smith adjusted for maternal disease, the association between stillbirth and prior C-section remained, though at a reduced risk of 1.67. The increased risk rose to 2.57 when the first birth was at or after 40 weeks' gestation, said Dr. Smith of Cambridge (England) University.
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