ArticleBMC pregnancy and childbirth2014
Ethnic variation in stillbirth risk and the role of maternal obesity: analysis of routine data from a London maternity unit.
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. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts.International journal of population data science · 2024Pooled it
- Pooled it
- Effects of maternal anthropometrics on pregnancy outcomes in South Asian women: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- Reproductive health characteristics among women living in severe poverty in urban Haiti.Reproductive health · 2025Observational
- Disparities in Stillbirths in England: Analysis of A Population-Based Study of 1.3 Million Births.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Prevalence and associated factors of occupational injuries in an industrial city in Ghana.PloS one · 2024Article
- The practicalities of adapting UK maternity clinical information systems for observational research: Experiences of the POOL study.International journal of population data science · 2023Article
- Role of ethnicity in high-level obstetric clinical incidents: a review of cases from a large UK NHS maternity unit.BMJ open quality · 2022Review
- Maternal Race and Stillbirth: Cohort Study and Systematic Review with Meta-Analysis.Journal of clinical medicine · 2022Article
- Understanding ethnic inequalities in stillbirth rates: a UK population-based cohort study.BMJ open · 2022Article
- Could a multidisciplinary regional audit identify avoidable factors and delays that contribute to stillbirths? A retrospective cohort study.BMC pregnancy and childbirth · 2020Observational
- Childbirth outcomes and ethnic disparities in Suriname: a nationwide registry-based study in a middle-income country.Reproductive health · 2020Article
- An iterative design process to develop a randomized feasibility study and inform recruitment of minority women after stillbirth.Pilot and feasibility studies · 2019Article
- Stillbirth among women in nine states in India: rate and risk factors in study of 886,505 women from the annual health survey.BMJ open · 2018Article
- Understanding the consumption of folic acid during preconception, among Pakistani, Bangladeshi and white British mothers in Luton, UK: a qualitative study.BMC pregnancy and childbirth · 2018Article
- Propensity for adverse pregnancy outcomes in African-American women may be explained by low energy expenditure in early pregnancy.The American journal of clinical nutrition · 2018Article
- A comparison of antenatal classifications of 'overweight' and 'obesity' prevalence between white British, Indian, Pakistani and Bangladeshi pregnant women in England; analysis of retrospective data.BMC public health · 2017Article
- A perinatal review of singleton stillbirths in an Australian metropolitan tertiary centre.PloS one · 2017Article
- Obesity and pregnancy outcomes: Do the relationships differ by maternal region of birth? A retrospective cohort study.BMC pregnancy and childbirth · 2016Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 5 in 1,000 deliveries in England and Wales result in stillbirth, with little improvement in figures over the last few decades. The aim of this study was to investigate the association between clinical and socio-demographic factors and stillbirth, with a particular focus on ethnicity and obesity.
methodsAnalysis of routine maternity data on 53,293 singleton births occurring in a large London teaching hospital between 2004 and 2012. Logistic regression was used to investigate risk factors for stillbirth and to explore potential effect modification.
results53,293 deliveries occurred during the time period, of which 329 resulted in a stillbirth (6.2 per 1,000 births). Compared to White women, non-White ethnicity was associated with a doubling of the odds of stillbirth (aOR for Black women 2.15, 95% CI 1.56-2.97; aOR for South Asian women 2.33, 95% CI 1.42-3.83). Obese women had a trend towards higher odds of stillbirth compared to women of recommended BMI (aOR 1.38, 95% CI 0.98-1.96), though this was not significant (p 0.07). Both higher parity (≥2 compared to para 1) and hypertension were associated with a higher odds of stillbirth (parity ≥2 aOR 1.65, 95% CI 1.13-2.39; hypertension aOR 1.84, 95% CI 1.22-2.78) but there was no evidence that area deprivation or maternal age were independently associated with stillbirth in this population. There was some evidence of effect modification between ethnicity and obesity (p value for interaction 0.06), with obesity a particularly strong risk factor for stillbirth in South Asian women (aOR 4.64, 95% CI 1.84-11.70).
conclusionsThere was a high prevalence of stillbirth in this multi-ethnic urban population. The increased risk of stillbirth observed in non-White women remains after adjusting for other factors. Our finding of possible effect modification between ethnicity and obesity suggests that further research should be conducted in order to improve understanding of the interplay between ethnicity, obesity and stillbirth.
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