ArticlePloS one2012
Effect of socioeconomic deprivation and health service utilisation on antepartum and intrapartum stillbirth: population cohort study from rural Ghana.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Elevated risk of stillbirth in males: systematic review and meta-analysis of more than 30 million births.BMC medicine · 2014Pooled it
- Spatiotemporal Trend and Hotspot Analysis of Stillbirth Prevalence in Ghana.Health science reports · 2026Article
- Translating lessons to reinforce national stillbirth response; multi-stakeholder perspectives regarding priorities and opportunities to deliver quality evidence-based interventions within a limited-resource context in Uganda.BMC health services research · 2024Article
- Modeling clinical and non-clinical determinants of intrapartum stillbirths in singletons in six public hospitals in the Greater Accra Region of Ghana: a case-control study.Scientific reports · 2023Article
- Article
- Predictors of Pregnancy Termination among Young Women in Ghana: Empirical Evidence from the 2014 Demographic and Health Survey Data.Healthcare (Basel, Switzerland) · 2021Article
- Stillbirth maternity care measurement and associated factors in population-based surveys: EN-INDEPTH study.Population health metrics · 2021Article
- Stillbirth in Iran and associated factors (2014-2016): A population-based study.Medical journal of the Islamic Republic of Iran · 2020Article
- Does facility birth reduce maternal and perinatal mortality in Brong Ahafo, Ghana? A secondary analysis using data on 119 244 pregnancies from two cluster-randomised controlled trials.The Lancet. Global health · 2019Article
- The long-term effects of adolescent pregnancies in a community in Northern Ghana on subsequent pregnancies and births of the young mothers.Reproductive health · 2017Article
- Determinants of stillbirth among women deliveries at Amhara region, Ethiopia.BMC pregnancy and childbirth · 2017Article
- Article
- Incidence of intrapartum stillbirth and associated risk factors in tertiary care setting of Nepal: a case-control study.Reproductive health · 2016Article
- Determinants of stillbirths in Ghana: does quality of antenatal care matter?BMC pregnancy and childbirth · 2016Article
- Risk factors for antepartum stillbirth: a case-control study in Nepal.BMC pregnancy and childbirth · 2015Article
- Determinants of access to antenatal care and birth outcomes in Kumasi, Ghana.Journal of epidemiology and global health · 2013Article
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5 authors.
Funding
Abstract
backgroundNo studies have examined the effect of socioeconomic deprivation on antepartum and intrapartum stillbirths in the poorest women in low income countries. METHODOLOGY/ PRINCIPAL
findingsThis study used data from a prospective population based surveillance system involving all women of childbearing age and their babies in rural Ghana. The primary objective was to evaluate associations between household wealth and risk of antepartum and intrapartum stillbirth. The secondary objective was to assess whether any differences in risk were mediated by utilisation of health services during pregnancy. Data were analysed using multivariable logistic regression. Random effect models adjusted for clustering of women who delivered more than one infant. There were 80267 babies delivered from 1 July 2003 to 30 September 2008: 77666 live births and 2601 stillbirths. Of the stillbirths 1367 (52.6%) were antepartum, 989 (38.0%) were intrapartum and 245 (9.4%) had no data on the timing of death. 94.8% of the babies born in the study (76129/80267) had complete data on all covariates and outcomes. 36 878 (48.4%) of babies were born to women in the two poorest quintiles and 3697 (4.9%) had no pregnancy care. There was no association between wealth and antepartum stillbirths. There was a marked 'dose response' of increasing risk of intrapartum stillbirth with increasing levels of socioeconomic deprivation (adjOR 1.09 [1.03-1.16] p value 0.002). Women in the poorest two quintiles had greater risk of intrapartum stillbirth (adjOR 1.19 [1.02-1.38] p value 0.023) compared to the richest women. Adjusting for heath service utilisation and other variables did not alter results. CONCLUSIONS/ SIGNIFICANCE: Poor women had a high risk of intrapartum stillbirth and this risk was not influenced by health service utilisation. Health system strengthening is required to meet the needs of poor women in our study population.
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