Prevention of stillbirth
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Abstract
jats:secjats:titleKey content</jats:title>jats:p <jats:list list-type="bullet">
jats:list-itemjats:pMost of the variability in stillbirth risk is not due to maternal risk factors, therefore modifying maternal risk factors or screening women using maternal risk factors to assess risk has limited potential impact.</jats:p></jats:list-item>
jats:list-itemjats:pThe primary intervention that prevents stillbirth is delivery.</jats:p></jats:list-item>
jats:list-itemjats:pThe overall risk of perinatal death is lowest at 39 weeks of gestation, and induction of labour at term does not increase a woman's risk of emergency caesarean section.</jats:p></jats:list-item>
jats:list-itemjats:pThe most promising approach to screening low risk women for stillbirth risk may be to improve identification of small‐for‐gestational‐age infants; however, there is an absence of high quality evidence around the optimal approach for achieving this goal.</jats:p></jats:list-item> </jats:list> </jats:p></jats:sec>jats:secjats:titleLearning objectives</jats:title>jats:p <jats:list list-type="bullet">
jats:list-itemjats:pTo understand the relationship between maternal risk factors, obstetric complications and fetal size in relation to stillbirth risk.</jats:p></jats:list-item>
jats:list-itemjats:pTo understand the approach to fetal assessment and elective delivery as methods to prevent stillbirth.</jats:p></jats:list-item> </jats:list> </jats:p></jats:sec>jats:secjats:titleEthical issues</jats:title>jats:p <jats:list list-type="bullet">
jats:list-itemjats:pScreening for stillbirth risk has the potential to do good by preventing deaths. However, if programmes of screening and intervention are developed, many more women may be harmed due to high false positive rates.</jats:p></jats:list-item> </jats:list> </jats:p></jats:sec>
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1744-4667