ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2013
Determinants of increases in stillbirth rates from 2000 to 2010.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 59 citations in OpenAlex.
- Article
- Exposure to air and water pollution during pregnancy and risk of adverse perinatal outcomes in São Paulo State: protocol for a retrospective population-based cohort study.BMJ public health · 2026Article
- Prevalence and factors associated with stillbirth in mothers delivered by cesarean section at Orotta National Referral Maternity Hospital: case-control study.BMC pregnancy and childbirth · 2025Article
- Parents' experience of child loss during pregnancy or birth: protocol for an explorative, sequential and participative mixed-methods study.Research involvement and engagement · 2025Review
- Trends in neonatal mortality on the first day of life in Japan, Korea, and Taiwan.BMC public health · 2025Article
- Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity.European journal of public health · 2025Article
- Maternal and fetal risk factors for stillbirth in Otjozondjupa Region, Namibia: a case-control study.The Pan African medical journal · 2023Article
- Temporal trends in stillbirth over eight decades in England and Wales: A longitudinal analysis of over 56 million births and lives saved by improvements in maternity care.Journal of global health · 2022Article
- Clarity and consistency in stillbirth reporting in Europe: why is it so hard to get this right?European journal of public health · 2022Article
- Converging or diverging trajectories of mortality under one year of age in the Baltic States: a comparison with the European Union.Archives of public health = Archives belges de sante publique · 2021Article
- Stillbirth: Perceptions among hospital staff in the Middle East and the UK.European journal of obstetrics & gynecology and reproductive biology: X · 2019Article
- Rationale and recommendations for improving definitions, registration requirements and procedures related to fetal death and stillbirth.BJOG : an international journal of obstetrics and gynaecology · 2017Article
- Perinatal outcomes in multifetal pregnancy following fetal reduction.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- Methodological Challenges in International Comparisons of Perinatal Mortality.Current epidemiology reports · 2017Review
- A perinatal review of singleton stillbirths in an Australian metropolitan tertiary centre.PloS one · 2017Article
- Effect of Folic Acid Food Fortification in Canada on Congenital Heart Disease Subtypes.Circulation · 2016Article
- Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010: results from the Euro-Peristat project.Journal of epidemiology and community health · 2016Article
- Feasibility of Implementing a Standardized Clinical Performance Indicator to Evaluate the Quality of Obstetrical Care in British Columbia.Maternal and child health journal · 2015Article
- Differences in perinatal and infant mortality in high-income countries: artifacts of birth registration or evidence of true differences?BMC pediatrics · 2015Article
- Impact of pre-pregnancy diabetes mellitus on congenital anomalies, Canada, 2002-2012.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundAfter decades of decline, stillbirth rates have increased in several industrialized countries in recent years. We examined data from the province of British Columbia, Canada, in an attempt to explain this unexpected phenomenon.
methodsWe carried out a retrospective population-based cohort study of all births in British Columbia from 2000 to 2010. Outcomes of interest included overall stillbirth rates, birth weight-and gestational age-specific stillbirth rates, rates of spontaneous stillbirths (excluding pregnancy terminations that satisfied the definition of stillbirth [fetal death with a birth weight ≥ 500 g or gestational age at delivery ≥ 20 wk], hereafter referred to as "pregnancy terminations") and rates of congenital anomalies among live-born infants. We used logistic regression to adjust for changes in maternal age, parity, weight before pregnancy and multiple births.
resultsOverall, stillbirth rates increased by 31% (95% confidence interval [CI] 13% to 50%), from 8.08 per 1000 total births in 2000 to 10.55 per 1000 in 2010. The rate of stillbirths with a birth weight of less than 500 g increased significantly (p(trend) = 0.03), whereas the rate of stillbirths with a birth weight of 1000 g or more decreased significantly (p(trend) = 0.009). The rate of spontaneous stillbirths decreased nonsignificantly by 16%, from 5.7 per 1000 total births in 2000 to 4.8 per 1000 in 2010. There was a significant decline of 30% (95% CI 6% to 47%) in the rate of spontaneous stillbirth with a birth weight of 1000 g or more between 2000 and 2010; adjustment for maternal factors did not appreciably change this temporal effect. The prevalence of congenital anomalies among live-born infants decreased significantly, from 5.21 per 100 live births during the first 3 years (2000-02) to 4.77 per 100 during the final 3 years (2008-10).
interpretationIncreases in pregnancy terminations were responsible for the increases observed in stillbirth rates and were associated with declines in the prevalence of congenital anomalies among live-born infants.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.