Women who deliver a small-for-gestational-age baby in their first pregnancy are at increased risk of a stillbirth in their second pregnancy, especially if the first child was also premature, concludes a new study in Obstetrics & Gynecology. Further, the combination of SGA and prematurity in a firstborn imposes a greater risk for subsequent stillbirth than a previous stillbirth. In the population-based study of second pregnancies in New South Wales, Australia, researchers found that women were nearly 1.73 times more likely to deliver a stillborn if their first baby was SGA; and 5.65 times more likely if the first infant was also premature. Women who had a stillbirth in their first pregnancy had double the risk of recurrence. The authors conclude that, although absolute risks for stillbirth remain small, these factors warrant increased monitoring and counseling. Learn more.
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