Friday, 29 May 2015

Factor Increasing The Risk Of Stillbirth

Factor Increasing The Risk Of Stillbirth.
Women who forty winks on their backs in the later months of pregnancy may have a less higher risk of stillbirth if they already have other risk factors, a renewed study suggests. Experts stressed that the findings do not prove that sleep position itself affects stillbirth risk. "We should be guarded in interpreting the results," said Dr George Saade, governor of maternal-fetal medicine at the University of Texas Medical Branch at Galveston. "We can't conclude that sleeping on the back causes stillbirth, or that sleeping on your pretentiousness will prevent it," said Saade, who was not tangled in the study.

It is, however, plausible that back-sleeping could contribute. Lying on the back can exacerbate sleep apnea, where breathing again and again stops and starts throughout the night, and if a fetus is already vulnerable, that reduced oxygen teem could conceivably boost the odds of stillbirth. Dr Adrienne Gordon, the lead researcher on the study, agreed that if drop position contributes to stillbirth, it would probably be only if other risk factors are present, such as impaired swelling of the fetus.

And "Stillbirth is much more complicated than one risk factor," said Gordon, a neonatologist at Royal Prince Alfred Hospital in Sydney, Australia. But if rest position does matter that would be powerful because it can be changed. Stillbirth refers to a pregnancy loss after the 20th week. According to the March of Dimes, about one in 160 pregnancies ends in stillbirth - with childbirth defects, poor fetal increase and problems with the placenta among the causes.

Women who smoke or have high blood pressure are at greater chance than others, but sometimes there is no explanation for a stillbirth. To see whether sleep position is connected to stillbirth risk, Gordon's gang studied 103 women who had suffered a late stillbirth - after the 31st week of pregnancy - and 192 fertile women who were in the third trimester. They found that of women who had a stillbirth, almost 10 percent said they had slept on their backs during pregnancy, including the definitive month.

That compared with only 2 percent of women with salubrious pregnancies. When the researchers accounted for other factors - such as smoking and women's body charge - back-sleeping was still linked to an increased endanger of stillbirth. Dr Halit Pinar, director of perinatal and pediatric pathology at Women and Infants Hospital in Providence, RI, studies possibility risk factors for stillbirth. He said his experiment with has found that impaired fetal growth is a "major risk factor" for stillbirth - a coupling that Gordon's team saw in the current study as well.

When it comes to sleep position, Pinar said the modish findings raise an interesting question, but that's as far as they go. According to Pinar, it's "feasible" that blood surge to the fetus could be diminished when a woman sleeps on her back. "But without any neutral evidence, such as measuring the actual flow to the placenta and the baby, it's hard to assent that without some trepidation. "At this stage I don't think we can reach any conclusions about the effect of log a few zees position and come up with a recommendation".

Gordon and Saade agreed that it's too early for any sweeping recommendations. "I don't reckon women should be alarmed" by the findings. "And a woman who has had a stillbirth should definitely not feel sorrowful if she slept on her back during pregnancy". But should women sleep on their side, just to be safe? Not necessarily. That take position could potentially encourage a blood clot in the legs. "Women should sleep in whatever situation is comfortable for them. However, if a woman has any concerns about her sleep position, experts translate she should discuss it with her doctor vito mol. The study was published Jan 8, 2015 online in Obstetrics and Gynecology.

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