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The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly.

Publication ,  Journal Article
Herkert, D; Wheeler, SM; Weaver, K; Grace, M; Dotters-Katz, S
Published in: J Matern Fetal Neonatal Med
December 2022

Major fetal anomalies (MFA) are a known risk factor for preterm birth (PTB), though the etiology of this is not well-studied, making counseling of these patients difficult. Thus, we sought to describe the rate of recurrent PTB in a second-observed pregnancy among persons with a history of PTB of an infant with a MFA in a first observed pregnancy, and to assess the difference in delivery timing between the first- and second-observed pregnancy. This was a retrospective cohort study of patients with a first-observed pregnancy complicated by MFA and a second-observed pregnancy in single healthcare system between 2013 and 2017. The primary outcome was recurrent PTB (PTB in second-observed pregnancy) and secondary outcomes were recurrent spontaneous PTB (SPTB), delivery gestational age (GA) in second-observed pregnancy, and difference in delivery GA between the first- and second-observed pregnancy. Recurrent PTB in the setting of prior PTB complicated by an MFA is common (∼1/4 patients), though median delivery timing for individuals who delivered preterm in the first-observed pregnancy was 6 weeks later in the second-observed pregnancy. These data suggest that PTB in the setting of MFA is a comparable risk factor to PTB in the absence of MFA.

Duke Scholars

Published In

J Matern Fetal Neonatal Med

DOI

EISSN

1476-4954

Publication Date

December 2022

Volume

35

Issue

25

Start / End Page

8147 / 8149

Location

England

Related Subject Headings

  • Risk Factors
  • Retrospective Studies
  • Premature Birth
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Infant, Newborn
  • Humans
  • Gestational Age
  • Female
  • 4204 Midwifery
 

Citation

APA
Chicago
ICMJE
MLA
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Herkert, D., Wheeler, S. M., Weaver, K., Grace, M., & Dotters-Katz, S. (2022). The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly. J Matern Fetal Neonatal Med, 35(25), 8147–8149. https://doi.org/10.1080/14767058.2021.1963433
Herkert, Darby, Sarahn M. Wheeler, Kristin Weaver, Matthew Grace, and Sarah Dotters-Katz. “The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly.J Matern Fetal Neonatal Med 35, no. 25 (December 2022): 8147–49. https://doi.org/10.1080/14767058.2021.1963433.
Herkert D, Wheeler SM, Weaver K, Grace M, Dotters-Katz S. The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly. J Matern Fetal Neonatal Med. 2022 Dec;35(25):8147–9.
Herkert, Darby, et al. “The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly.J Matern Fetal Neonatal Med, vol. 35, no. 25, Dec. 2022, pp. 8147–49. Pubmed, doi:10.1080/14767058.2021.1963433.
Herkert D, Wheeler SM, Weaver K, Grace M, Dotters-Katz S. The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly. J Matern Fetal Neonatal Med. 2022 Dec;35(25):8147–8149.

Published In

J Matern Fetal Neonatal Med

DOI

EISSN

1476-4954

Publication Date

December 2022

Volume

35

Issue

25

Start / End Page

8147 / 8149

Location

England

Related Subject Headings

  • Risk Factors
  • Retrospective Studies
  • Premature Birth
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Infant, Newborn
  • Humans
  • Gestational Age
  • Female
  • 4204 Midwifery