ArticleActa obstetricia et gynecologica Scandinavica2011
Epidemiology of stillbirth in low-middle income countries: a Global Network Study.
Article in Acta obstetricia et gynecologica Scandinavica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.
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Who cites it
54 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis.Scientific reports · 2021Pooled it
- Fetal deaths in Brazil: a systematic review.Revista de saude publica · 2015Pooled it
- First look: a cluster-randomized trial of ultrasound to improve pregnancy outcomes in low income country settings.BMC pregnancy and childbirth · 2014Trial
- Assessment of obstetric and neonatal health services in developing country health facilities.American journal of perinatology · 2013Trial
- The Maternal and Newborn Health Registry Study of the Global Network for Women's and Children's Health Research.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2012Trial
- Recalculation of the late fetal death rate in Mexico, 2013-2023 using ICD-11 criteria applied to national vital statistics.Maternal health, neonatology and perinatology · 2026Article
- Experiences, support networks, and resilience among women after stillbirth in Ghana: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Unclean cooking fuel use and stillbirth in Ghana: evidence from the 2022 DHS.Frontiers in global women's health · 2025Article
- Article
- Maternal and child health indicators in primary healthcare facilities: Findings in a health systems quasi-experimental study in western Kenya.Dialogues in health · 2023Article
- Article
- Exploring the relationship between intimate partner violence during pregnancy and stillbirths.Injury · 2023Article
- Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis.Frontiers in public health · 2023Article
- Risk of recurrent stillbirth and neonatal mortality: mother-specific random effects analysis using longitudinal panel data from Indonesia (2000 - 2014).BMC pregnancy and childbirth · 2022Article
- Coverage and factors associated with completion of continuum of care for maternal health in sub-Saharan Africa: a multicountry analysis.BMC pregnancy and childbirth · 2022Article
- Determinants of stillbirth among reviewed perinatal deaths in Ethiopia.Frontiers in pediatrics · 2022Article
- Giants in Obstetrics and Gynecology Series: a profile of Robert L. Goldenberg, MD.American journal of obstetrics and gynecology · 2021Article
- Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: a systematic assessment.Lancet (London, England) · 2021Article
- Prevalence of stillbirth and its associated factors in East Africa: generalized linear mixed modeling.BMC pregnancy and childbirth · 2021Article
- The effectiveness of maternity waiting homes in reducing perinatal mortality: a case-control study in Ethiopia.BMJ global health · 2021Article
Corrections and comments
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Authors and funding
24 authors.
Funding
Abstract
objectiveTo determine population-based stillbirth rates and to determine whether the timing and maturity of the stillbirths suggest a high proportion of potentially preventable deaths.
designProspective observational study.
settingCommunities in six low-income countries (Democratic Republic of Congo, Kenya, Zambia, Guatemala, India, and Pakistan) and one site in a mid-income country (Argentina). POPULATION: Pregnant women residing in the study communities.
methodsOver a five-year period, in selected catchment areas, using multiple methodologies, trained study staff obtained pregnancy outcomes on each delivery in their area.
main outcome measuresPregnancy outcome, stillbirth characteristics.
resultsOutcomes of 195,400 deliveries were included. Stillbirth rates ranged from 32 per 1,000 in Pakistan to 8 per 1,000 births in Argentina. Three-fourths (76%) of stillbirth offspring were not macerated, 63% were ≥ 37 weeks and 48% weighed 2,500 g or more. Across all sites, women with no education, of high and low parity, of older age, and without access to antenatal care were at significantly greater risk for stillbirth (p<0.001). Compared to those delivered by a physician, women delivered by nurses and traditional birth attendants had a lower risk of stillbirth.
conclusionsIn these low-middle income countries, most stillbirth offspring were not macerated, were reported as ≥ 37 weeks' gestation, and almost half weighed at least 2,500 g. With access to better medical care, especially in the intrapartum period, many of these stillbirths could likely be prevented.
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