ArticleBMC pregnancy and childbirth2011
Levels, timing, and etiology of stillbirths in Sylhet district of Bangladesh.
Article in BMC pregnancy and childbirth, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Screening and treatment of maternal genitourinary tract infections in early pregnancy to prevent preterm birth in rural Sylhet, Bangladesh: a cluster randomized trial.BMC pregnancy and childbirth · 2015Trial
- Implementation research to support Bangladesh Ministry of Health and Family Welfare to implement its national guidelines for management of infections in young infants in two rural districts.Journal of health, population, and nutrition · 2019Article
- Stillbirth in low- and middle-income countries: addressing the 'silent epidemic'.International health · 2019Article
- Risk factors and causes of stillbirths among pregnant women in Pakistan.African health sciences · 2019Article
- Pregnancy intervals after stillbirth, neonatal death and spontaneous abortion and the risk of an adverse outcome in the next pregnancy in rural Bangladesh.BMC pregnancy and childbirth · 2019Article
- Underreporting of stillbirths in Pakistan: perspectives of the parents, community and healthcare providers.BMC pregnancy and childbirth · 2018Article
- Stillbirth surveillance and review in rural districts in Bangladesh.BMC pregnancy and childbirth · 2018Article
- Incidence of intrapartum stillbirth and associated risk factors in tertiary care setting of Nepal: a case-control study.Reproductive health · 2016Article
- Population-based estimates of still birth, induced abortion and miscarriage in the Indian state of Bihar.BMC pregnancy and childbirth · 2014Article
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7 authors.
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Abstract
backgroundLack of data is a critical barrier to addressing the problem of stillbirth in countries with the highest stillbirth burden. Our study objective was to estimate the levels, types, and causes of stillbirth in rural Sylhet district of Bangladesh.
methodsA complete pregnancy history was taken from all women (n=39 998) who had pregnancy outcomes during 2003-2005 in the study area. Verbal autopsy data were obtained for all identified stillbirths during the period. We used pre-defined case definitions and computer programs to assign causes of stillbirth for selected causes containing specific signs and symptoms. Both non-hierarchical and hierarchical approaches were used to assign causes of stillbirths.
resultsA total of 1748 stillbirths were recorded during 2003-2005 from 48,192 births (stillbirth rate: 36.3 per 1000 total births). About 60% and 40% of stillbirths were categorized as antepartum and intrapartum, respectively. Maternal conditions, including infections, hypertensive disorders, and anemia, contributed to about 29% of total antepartum stillbirths. About 50% of intrapartum stillbirths were attributed to obstetric complications. Maternal infections and hypertensive disorders contributed to another 11% of stillbirths. A cause could not be assigned in nearly half (49%) of stillbirths.
conclusionThe stillbirth rate is high in rural Bangladesh. Based on algorithmic approaches using verbal autopsy data, a substantial portion of stillbirths is attributable to maternal conditions and obstetric complications. Programs need to deliver community-level interventions to prevent and manage maternal complications, and to develop strategies to improve access to emergency obstetric care. Improvements in care to avert stillbirth can be accomplished in the context of existing maternal and child health programs. Methodological improvements in the measurement of stillbirths, especially causes of stillbirths, are also needed to better define the burden of stillbirths in low-resource settings.
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