ArticleArchives of gynecology and obstetrics2016
Temporal trends in fetal mortality at and beyond term and induction of labor in Germany 2005-2012: data from German routine perinatal monitoring.
Article in Archives of gynecology and obstetrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity.European journal of public health · 2025Article
- Health of singleton neonates in Switzerland through time and crises: a cross-sectional study at the population level, 2007-2022.BMC pregnancy and childbirth · 2024Article
- Stillbirths in Germany: On the rise, but no additional increases during the first COVID-19 lockdown.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Heterogenous use of misoprostol for induction of labour: results of an online survey among midwives in German-speaking countries.Archives of gynecology and obstetrics · 2021Article
- Health Related Quality of Life Post Labour Induction with Misoprostol Versus Dinoprostone At Muhimbili National Hospital in Dar Es Salaam, Tanzania: A cross Sectional Study.The East African health research journal · 2020Article
- Variation in clinical decision-making for induction of labour: a qualitative study.BMC pregnancy and childbirth · 2017Article
- Maternal and Perinatal Outcome After Induction of LaborIn vivo (Athens, Greece)Article
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile a variety of factors may play a role in fetal and neonatal deaths, postmaturity as a cause of stillbirth remains a topic of debate. It still is unclear, whether induction of labor at a particular gestational age may prevent fetal deaths.
methodsA multidisciplinary working group was granted access to the most recent set of relevant German routine perinatal data, comprising all 5,291,011 hospital births from 2005 to 2012. We analyzed correlations in rates of induction of labor (IOL), perinatal mortality (in particular stillbirths) at different gestational ages, and fetal morbidity. Correlations were tested with Pearson's product-moment analysis (α = 5 %). All computations were performed with SPSS version 22.
resultsInduction rates rose significantly from 16.5 to 21.9 % (r = 0.98; p < 0.001). There were no significant changes in stillbirth rates (0.28-0.35 per 100 births; r = 0.045; p = 0.806). Stillbirth rates 2009-2012 remained stable in all gestational age groups irrespective of induction. Fetal morbidity (one or more ICD-10 codes) rose significantly during 2005-2012. This was true for both children with (from 33 to 37 %, r = 0.784, p < 0.001) and without (from 25 to 31 %, (r = 0.920, p < 0.001) IOL.
conclusionsAn increase in IOL at term is not associated with a decline in perinatal mortality. Perinatal morbidity increased with and without induction of labor.
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