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Cited by 311Pregnancy and preeclampsia studiesMaternal and fetal healthcareMaternal and Perinatal Health Interventions

The DOI matches its Crossref record; 18 of the 20 references it cites were found in a registry or an index.

Placental Abruption and Perinatal Mortality in the United States

Ananth, Cande V., Wilcox, Allen J.·2001·American Journal of Epidemiology
DOI 10.1093/aje/153.4.332
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Abstract

Placental abruption is an uncommon obstetric complication associated with high perinatal mortality rates. The authors explored the associations of abruption with fetal growth restriction, preterm delivery, and perinatal survival. The study was based on 7,508,655 singleton births delivered in 1995 and 1996 in the United States. Abruption was recorded in 6.5 per 1,000 births. Perinatal mortality was 119 per 1,000 births with abruption compared with 8.2 per 1,000 among all other births. The high mortality with abruption was due, in part, to its strong association with preterm delivery; 55% of the excess perinatal deaths with abruption were due to early delivery. Furthermore, babies in the lowest centile of weight (<1% adjusted for gestational age) were almost nine times as likely to be born with abruption than those in the heaviest (> or =90%) birth weight centiles. This relative risk progressively declined with higher birth weight centiles. After controlling for fetal growth restriction and early delivery, the high risk of perinatal death associated with abruption persisted. Even babies born at 40 weeks of gestation and birth weight of 3,500-3,999 g (where mortality was lowest) had a 25-fold higher mortality with abruption. The link between fetal growth restriction and abruption suggests that the origins of abruption lie at least in midpregnancy and perhaps even earlier.

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Crossref · 10.1093/aje/153.4.332

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Metadata

Authors
Ananth, C. V., & Wilcox, A. J.
Affiliations
University of Medicine and Dentistry of New Jersey (US)
ORCID
Venue
American Journal of Epidemiology
Publisher
Oxford University Press (OUP)
Published
2001-02-15
Volume
153
Issue
4
Pages
332-337
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
DOI
10.1093/aje/153.4.332
OpenAlex
W2169259236
Cited by
311
References
20
Citations by year
2026: 8 · 2025: 6 · 2024: 11 · 2023: 4 · 2022: 9 · 2021: 7 · 2020: 23 · 2019: 18 · 2018: 22 · 2017: 12 · 2016: 10 · 2015: 16 · 2014: 16 · 2013: 11 · 2012: 11
FWCI
7.75
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Robert Wood Johnson Foundation
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
placental abruption, perinatal mortality, fetal growth restriction, preterm birth, birth weight, singleton births, perinatal survival, pregnancy complications, gestational age
MeSH terms
Abruptio Placentae, Birth Weight, Female, Fetal Growth Retardation, Gestational Age, Humans, Infant Mortality, Infant, Newborn, Pregnancy, Risk Factors, United States, Survival Analysis

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