title: Maternal complications associated with stillbirth delivery: A cross-sectional analysis.
abstract: This study sought to identify delivery complications associated with stillbirth labour and delivery. We conducted a retrospective chart review evaluating stillbirth demographics, pregnancy and maternal risk factors, and complications of labour and delivery. We performed bivariable analysis and multivariable logistic regression to evaluate factors associated with medical complications and variations by race. Our cohort included 543 mothers with stillbirth, of which two-thirds were African-American. We noted high rates of shoulder dystocia, clinical chorioamnionitis, postpartum haemorrhage and retained placenta in women with stillbirths. Thirty-three women (6%) experienced at least one serious maternal complication. Complication rates did not vary by maternal race. Providers who perform obstetrical care should be alert to the high rate of maternal medical complications associated with labour and delivery of a stillbirth foetus.
authors.affiliation: a Department of Family Medicine and Department of Obstetrics and Gynecology , University of Michigan , US.
authors.forename: K J
authors.initials: KJ
authors.lastname: Gold
authors.affiliation: b Department of Obstetrics and Gynecology , University of New Mexico , US.
authors.forename: E L
authors.initials: EL
authors.lastname: Mozurkewich
authors.affiliation: c Department of Obstetrics and Gynecology , Wayne State University , US.
authors.forename: K S
authors.initials: KS
authors.lastname: Puder
authors.affiliation: d Department of Obstetrics and Gynecology , University of Michigan , US.
authors.forename: M C
authors.initials: MC
authors.lastname: Treadwell
mesh_terms: D000328:Adult; D001946:Breech Presentation / Q000453:epidemiology; D002821:Chorioamnionitis / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004420:Dystocia / Q000453:epidemiology; D005260:Female; D006801:Humans; D008824:Michigan / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000208:ethnology; D018457:Placenta, Retained / Q000453:epidemiology; D006473:Postpartum Hemorrhage / Q000453:epidemiology; D011247:Pregnancy; D012189:Retrospective Studies; D050497:Stillbirth; D055815:Young Adult
keywords: Stillbirth; complications; foetal death; labour and delivery; morbidity; obstetrics