{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T22:10:13Z","timestamp":1775167813761,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the recurrence risk of stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and population<\/jats:title><jats:p>All births 1992\u20132017, Alberta, Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Stillbirth was defined as the death <jats:italic>in utero<\/jats:italic> of a fetus with gestational age \u226520\u00a0weeks or weighing \u2265500\u00a0g. Stillbirths were further subdivided into those occurring before labour and those in labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 744\u00a0897 births from 308\u00a0478 women. Of these, 3698 women experienced a stillbirth and, of these, 97.7%, experienced only one. For women with a small\u2010for\u2010gestational\u2010 age stillbirth in the first birth, their risk of a subsequent antepartum stillbirth was increased substantially: 4.09%, relative risk (RR) 10.39, 95% CI 5.81\u201318.59. For women with a first birth appropriate\u2010for\u2010gestational\u2010age stillbirth with no risk factors such as pregnancy induced hypertension, the risk with pre\u2010existing diabetes mellitus or hypertension was also increased but to a much lesser degree (RR 2.46, 95% CI 1.23\u20134.91). For women who had experienced a first birth intrapartum stillbirth, the risk of another intrapartum stillbirth was very high (3.59%, RR 36.50, 95%\u00a0CI 20.17\u201366.05). Most of these births also occurred prior to 24\u00a0weeks\u2019 gestation: 83% (10\/12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The risk of recurrent antepartum stillbirth is low. The increase in risk in instances where the antepartum stillbirth was not growth\u2010restricted is not clinically meaningful. Given the very low risk in any given gestational week, fetal surveillance is unlikely to be effective and may lead to unnecessary interventions. Intrapartum stillbirth has a very high recurrence risk but may not be preventable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Stillbirth recurrence is rare.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16718","type":"journal-article","created":{"date-parts":[[2021,4,10]],"date-time":"2021-04-10T07:00:42Z","timestamp":1618038042000},"page":"1775-1781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Risk of recurrent stillbirth: a cohort study"],"prefix":"10.1111","volume":"128","author":[{"given":"SL","family":"Wood","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Calgary Calgary AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Foothills Medical Centre Alberta Health Services Calgary AB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3080"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031587"},{"key":"e_1_2_7_4_1","volume-title":"Guidelines for the completion of the mother and baby forms following a perinatal death","author":"Health Quality & Safety Commission New Zealand","year":"2018"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.2.e35"},{"key":"e_1_2_7_6_1","first-page":"547","article-title":"Prospective risk of stillbirth","volume":"79","author":"Feldman GB","year":"1992","journal-title":"Obstet Gynecol."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.109735"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f903f8"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12656"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31543-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l5517"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb15300.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"S63","DOI":"10.1016\/j.ajog.2012.10.285","article-title":"Recurrence risk of stillbirth in a subsequent pregnancy: a population\u2010based cohort study","volume":"208","author":"Nijkamp JRA","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.10.133"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00834.x"},{"key":"e_1_2_7_16_1","first-page":"393","article-title":"Stillbirth gestational age as a predictor of recurrence risk","volume":"31","author":"Heuser CC","year":"2014","journal-title":"Am J Perinatol"},{"key":"e_1_2_7_17_1","first-page":"1","volume-title":"Late Intrauterine Fetal Death and Stillbirth","author":"Gynaecologists RCoOa","year":"2010"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16718","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.16718","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.16718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T14:39:52Z","timestamp":1693233592000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.16718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,4]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/1471-0528.16718"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.16718","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,4]]},"assertion":[{"value":"2021-03-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}