Maternal Circulating sFlt-1:PlGF Ratio and Stillbirth
JAMA Network Open 10.1001/jamanetworkopen.2026.7652April 17, 2026 at 11:00 AM EDT
Is an elevated ratio of soluble fms-like tyrosine kinase-1 (sFlt-1) to reduced placental growth factor (PlGF) using clinically relevant cutoffs associated with an increased risk of stillbirth?In this case-control study of 39 stillbirths and 86 live births, a high sFlt-1:PlGF ratio was significantly associated with a 13-fold greater odds of stillbirth at the clinical cutoffs.These findings suggest that placental angiogenic imbalance may contribute to the pathogenesis of stillbirth in low-resource settings.
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