Key clinical point: Shoulder dystocia was identified as the highest contributing risk factor for intrapartum fetal deaths in addition to other independent risk factors, such as uterine rupture and preterm delivery.
Major finding: Overall, 0.1% of deliveries resulted in intrapartum fetal deaths. Independent risk factors for intrapartum fetal deaths included uterine rupture (adjusted odds ratio [aOR] 19.0; 95% CI 7.0-51.4), preterm delivery (aOR 11.9; 95% CI 8.6-16.5), with shoulder dystocia being the highest contributing risk factor (aOR 23.8; 95% CI 9.9-57.3).
Study details: This population-based retrospective cohort study analyzed the data of 344,781 singleton deliveries.
Disclosures: This study did not receive any funding. The authors declared no conflicts of interest.
Source: Davidesko S et al. Critical analysis of risk factors for intrapartum fetal death. Arch Gynecol Obstet. 2022 (Oct 12). Doi: 10.1007/s00404-022-06811-x