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Health Care Utilization, Induced Labour and Cesarean Section in the Pregnancy After Stillbirth

A Prospective Study

Gravensteen, I.K.; Jacobsen, E.M.; Sandset, P.M.; Helgadottir, L.B.; Rådestad, I.; Sandvik, L.; Ekeberg, Ø.

Obstetric Anesthesia Digest: December 2018 - Volume 38 - Issue 4 - p 191
doi: 10.1097/01.aoa.0000547289.93647.e2
Epidemiologic Reports Surveys

(BJOG. 2018;125:202–210)

In Norway, there are no national antenatal care guidelines concerning women with previous stillbirths. According to a recent international survey, pregnant patients who had previously delivered a stillbirth had additional ultrasounds and visits. Previous studies demonstrated increased rates of induced labor, preterm birth, forceps delivery, and cesarean delivery in pregnancies after unexplained stillbirth. The cause of these findings is unknown. This study aimed to investigate induced labor, cesarean delivery, and health care utilization in patients with a previous stillbirth and assess if anxiety and dread of childbirth may be possible causes of the increased cesarean rate and increased frequency of antenatal visits.

Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, University of Oslo; Department of Haematology, Oslo University Hospital and University of Oslo, Oslo, Norway

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