Evidence map›Paper›PMID 24731396›Full record

ArticleBMC pregnancy and childbirth2014

A triple risk model for unexplained late stillbirth.

Jane Warland, Edwin A Mitchell

4 registry-linked trialsAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT02377817 nacompletednot on this mapstarted 2016, after this paper: background citation

Modifying Maternal Sleep Position in the Third Trimester of Pregnancy With Positional Therapy: A Randomized Pilot Trial

TypeinterventionalSponsorAllan KemberRan2016 to 2017Enrolled23ConditionsSleep, Pregnancy, Stillbirth, Infant, Low Birth WeightArmsPrenaBelt, Sham PrenaBelt
NCT02379728 nacompletednot on this mapstarted 2015, after this paper: background citation

A Maternal Device to Reduce the Risk of Stillbirth and Low Birth-Weight

TypeinterventionalSponsorAllan KemberRan2015 to 2016Enrolled200ConditionsSleep, Pregnancy, Stillbirth, Infant, Low Birth WeightArmsPrenaBelt, Body Position Sensor, sham-PrenaBelt
NCT03062228 completednot on this mapstarted 2016, after this paper: background citation

Korle Bu Teaching Hospital - Global Innovations for Reproductive Health & Life Healthy Birth Weight Study: A Cross-Section

TypeobservationalSponsorIWK Health CentreRan2016 to 2017Enrolled162ConditionsInfant, Small for Gestational Age, Infant, Low Birth Weight, Pregnancy, Sleep
NCT04437407 naterminatednot on this mapstarted 2020, after this paper: background citation

UniSA BackOff! Study: A Randomized, Controlled, Five-way, Cross-over Trial to Evaluate the Effect of a Positional Therapy Device on Maternal Sleeping Position in the Third Trimester of Pregnancy

TypeinterventionalSponsorShiphrah Biomedical Inc.Ran2020 to 2021Enrolled6ConditionsStillbirth, Infant, Low Birth Weight, Infant, Very Low Birth Weight, Sleep-Disordered BreathingArmsPB2-1 prototype, PB2-2 prototype, PB2-3 prototype, PB2-4 prototype, PB2-5 prototype
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Stillbirth in pregnancies with flat OGTT: Placental clues to occult maternal dysmetabolism.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  7. Genetics and Stillbirth.Clinics in perinatology · 2026
    Review
  8. Verbal Information From Parents About Stillbirth: The VIPS Study (Phase One).The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Article
  9. Review
  10. Article
  11. Insights into Reproductive Immunology and Placental Pathology.International journal of molecular sciences · 2024
    Article
  12. Epidemiology and placental pathology of intrauterine fetal demise in a tertiary hospital in the Philippines.European journal of obstetrics & gynecology and reproductive biology: X · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Association between obstetric and medical risk factors and stillbirths in a low-income urban setting.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Jane WarlandMothers, Babies and Families: Health Research Group, School of Nursing and Midwifery, University of South Australia, Adelaide, Australia. jane.warland@unisa.edu.au.
Edwin A Mitchell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe triple risk model for sudden infant death syndrome (SIDS) has been useful in understanding its pathogenesis. Risk factors for late stillbirth are well established, especially relating to maternal and fetal wellbeing. DISCUSSION: We propose a similar triple risk model for unexplained late stillbirth. The model proposed by us results from the interplay of three groups of factors: (1) maternal factors (such as maternal age, obesity, smoking), (2) fetal and placental factors (such as intrauterine growth retardation, placental insufficiency), and (3) a stressor (such as venocaval compression from maternal supine sleep position, sleep disordered breathing). We argue that the risk factors within each group in themselves may be insufficient to cause the death, but when they interrelate may produce a lethal combination. SUMMARY: Unexplained late stillbirth occurs when a fetus who is somehow vulnerable dies as a result of encountering a stressor and/or maternal condition in a combination which is lethal for them.

Indexed as

FemaleHumansInfant, NewbornMaternal AgeMaternal ExposurePregnancyRisk AssessmentRisk FactorsStillbirthSudden Infant Death

Identifiers

PMID24731396
PMCPMC3991879

What OpenQuestion holds

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LicenceCC BY
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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.