{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:34:30Z","timestamp":1740141270943,"version":"3.37.3"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"6","funder":[{"DOI":"10.13039\/100007797","name":"Helsingin Yliopisto","doi-asserted-by":"crossref","award":["TYH2017240","Y1017N0183","Y1017N0203"],"award-info":[{"award-number":["TYH2017240","Y1017N0183","Y1017N0203"]}],"id":[{"id":"10.13039\/100007797","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Helsinki University Hospital Institute","award":["3816 IAI 500110"],"award-info":[{"award-number":["3816 IAI 500110"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2020-0573_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We compared delivery characteristics and outcome of women with stillbirth to those with live birth.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0573_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a retrospective case-control study from Helsinki University Hospital, Finland. The study population comprised 214 antepartum singleton stillbirths during 2003\u20132015. Two age-adjusted controls giving live birth in the same year at the same institution were chosen for each case from the Finnish Medical Birth Register. Delivery characteristics and adverse pregnancy outcomes were compared between the cases and controls, adjusted for gestational age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0573_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Labor induction was more common (86.0 vs. 22.0%, p&lt;0.001, gestational age adjusted odds ratio [aOR] 35.25, 95% confidence interval [CI] 12.37\u2013100.45) and cesarean sections less frequent (9.3 vs. 28.7%, p&lt;0.001, aOR 0.21, 95% CI 0.10\u20130.47) among women with stillbirth. Duration of labor was significantly shorter among the cases (first stage 240.0\u00a0min [115.0\u2013365.0\u00a0min] vs. 412.5\u00a0min [251.0\u2013574.0\u00a0min], p&lt;0.001; second stage 8.0\u00a0min [0.0\u201316.0\u00a0min] vs. 15.0\u00a0min [4.0\u201326.0\u00a0min], p&lt;0.001). Placental abruption was more common in pregnancies with stillbirth (15.0 vs. 0.9%, p&lt;0.001, aOR 8.52, 95% CI 2.51\u201328.94) and blood transfusion was needed more often (10.7 vs. 4.4%, p=0.002, aOR 6.5, 95% CI 2.10\u201320.13). The rates of serious maternal complications were low.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0573_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Most women with stillbirth delivered vaginally without obstetric complications. The duration of labor was shorter in pregnancies with stillbirth but the risk for postpartum interventions and bleeding complications was higher compared to those with live birth.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2020-0573","type":"journal-article","created":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T01:36:23Z","timestamp":1614216983000},"page":"814-821","source":"Crossref","is-referenced-by-count":2,"title":["Delivery characteristics in pregnancies with stillbirth: a retrospective case-control study from a tertiary teaching hospital"],"prefix":"10.1515","volume":"50","author":[{"given":"Maria","family":"Pekkola","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minna","family":"Tikkanen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[{"name":"THL, Finnish Institute for Health and Welfare , Helsinki , Finland"},{"name":"Department of Neurobiology, Care Sciences, and Society , Karolinska Institute , Stockholm , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikko","family":"Loukovaara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorma","family":"Paavonen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedran","family":"Stefanovic","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"2023033123434456966_j_jpm-2020-0573_ref_001","doi-asserted-by":"crossref","unstructured":"Lawn, JE, Blencowe, H, Pattinson, R, Cousens, S, Kumar, R, Ibiebele, I, et al.. 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