Predicting adverse obstetric outcome after early pregnancy events and complications: a review

van Oppenraaij, R.H.F.; Jauniaux, E.; Christiansen, O.B.; Horcajadas, J.A.; Farquharson, R.G.; Exalto, N.; on behalf of the ESHRE Special Interest Group for Early Pregnancy (SIGEP)

doi:10.1093/humupd/dmp009

Cited by 159Pregnancy and preeclampsia studiesPreterm Birth and ChorioamnionitisMaternal and Perinatal Health Interventions

Predicting adverse obstetric outcome after early pregnancy events and complications: a review

van Oppenraaij, R.H.F., Jauniaux, E., Christiansen, O.B., Horcajadas, J.A., Farquharson, R.G., Exalto, N., on behalf of the ESHRE Special Interest Group for Early Pregnancy (SIGEP)·2009·Human Reproduction Update

DOI 10.1093/humupd/dmp009

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Abstract

BACKGROUND The aim was to evaluate the impact of early pregnancy events and complications as predictors of adverse obstetric outcome. METHODS We conducted a literature review on the impact of first trimester complications in previous and index pregnancies using Medline and Cochrane databases covering the period 1980-2008. RESULTS Clinically relevant associations of adverse outcome in the subsequent pregnancy with an odds ratio (OR) > 2.0 after complications in a previous pregnancy are the risk of perinatal death after a single previous miscarriage, the risk of very preterm delivery (VPTD) after two or more miscarriages, the risk of placenta praevia, premature preterm rupture of membranes, VPTD and low birthweight (LBW) after recurrent miscarriage and the risk of VPTD after two or more termination of pregnancy. Clinically relevant associations of adverse obstetric outcome in the ongoing pregnancy with an OR > 2.0 after complications in the index pregnancy are the risk of LBW and very low birthweight (VLBW) after a threatened miscarriage, the risk of pregnancy-induced hypertension, pre-eclampsia, placental abruption, preterm delivery (PTD), small for gestational age and low 5-min Apgar score after detection of an intrauterine haematoma, the risk of VPTD and intrauterine growth restriction after a crown-rump length discrepancy, the risk of VPTD, LBW and VLBW after a vanishing twin phenomenon and the risk of PTD, LBW and low 5-min Apgar score in a pregnancy complicated by severe hyperemesis gravidarum. CONCLUSIONS Data from our literature review indicate, by finding significant associations, that specific early pregnancy events and complications are predictors for subsequent adverse obstetric and perinatal outcome. Though, some of these associations are based on limited or small uncontrolled studies. Larger population-based controlled studies are needed to confirm these findings. Nevertheless, identification of these risks will improve obstetric care.

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Miscarriage is more commonly associated with a lactobacillus deplete microbiota.
“Miscarriage is more commonly associated with a lactobacillus deplete microbiota, but whether this is cause or effect, or what the potential mechanisms are remains unclear.”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [86]
Whether the association between lactobacillus deplete microbiota and miscarriage is cause or effect, or what the potential mechanisms are, remains unclear.
“Miscarriage is more commonly associated with a lactobacillus deplete microbiota, but whether this is cause or effect, or what the potential mechanisms are remains unclear.”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [86]
There is evolving evidence linking the composition of the vaginal microbiome to miscarriage.
“In the era of bacterial community assessment using DNA sequencing, there is evolving evidence linking the composition of the vaginal microbiome to miscarriage. 86”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [86]

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Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J., Brosens, J. J., Brewin, J., Ramhorst, R., Lucas, E. S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00682-6 · Cited by 1,560 · see citing works
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Pro‐ and antiinflammatory cytokines in threatened miscarriages
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Adverse pregnancy and perinatal outcome in patients with recurrent pregnancy loss: multiple imputation analyses with propensity score adjustment applied to a large-scale birth cohort of the Japan Environment and Children's Study
Sugiura‐Ogasawara, M., Ebara, T., Yamada, Y., Shoji, N., Matsuki, T., Kano, H., Kurihara, T., Omori, T., Tomizawa, M., Miyata, M., et al. (2019) · American Journal of Reproductive Immunology · doi:10.1111/aji.13072 · Cited by 51 · see citing works
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A search for hope and understanding: an analysis of threatened miscarriage internet forums
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Early-pregnancy events and subsequent antenatal, delivery and neonatal outcomes: prospective cohort study
Al‐Memar, M., Vaulet, T., Fourie, H., Nikolic, G., Bobdiwala, S., Saso, S., Farren, J., Pipi, M., Van Calster, B., de Moor, B., et al. (2019) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.20262 · Cited by 26 · see citing works

Authors: van Oppenraaij, R. H. F., Jauniaux, E., Christiansen, O. B., Horcajadas, J. A., Farquharson, R. G., Exalto, N., & on behalf of the ESHRE Special Interest Group for Early Pregnancy (SIGEP)
Affiliations: The Royal Free Hospital (GB)
Copenhagen University Hospital (DK)
Universitat de València (ES)
Liverpool Women's Hospital (GB)
Erasmus MC (NL)
ORCID: Jauniaux, E.
Christiansen, O.B.
Horcajadas, J.A.
Exalto, N.
Venue: Human Reproduction Update
Publisher: Oxford University Press (OUP)
Published: 2009-03-07
Volume: 15
Issue: 4
Pages: 409-421
ISSN: 1355-4786 (ISSN-L)
1460-2369
DOI: 10.1093/humupd/dmp009
OpenAlex: W2104394341
Cited by: 159
References: 160
Citations by year: 2026: 5 · 2025: 6 · 2024: 15 · 2023: 5 · 2022: 14 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 12 · 2017: 6 · 2016: 15 · 2015: 6 · 2014: 11 · 2013: 11 · 2012: 10
FWCI: 1.63
Type: journal article
Language: en
Open access: closed
Locations: Human Reproduction Update (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
UCL Discovery (University College London) (submittedVersion)
Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: adverse obstetric outcomes, miscarriage, recurrent pregnancy loss, threatened abortion, perinatal death, very preterm birth, low birth weight, placenta previa, preterm premature rupture of membranes, hyperemesis gravidarum, preeclampsia, placental abruption, fetal growth restriction, pregnancy outcome prediction
MeSH terms: Abortion, Induced, Birth Weight, Female, Humans, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Pregnancy Trimester, First, Prognosis, Crown-Rump Length, Risk Assessment

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Predicting adverse obstetric outcome after early pregnancy events and complications: a review

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