ArticleBMJ open2016
Weekly miscarriage rates in a community-based prospective cohort study in rural western Kenya.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- The safety of atovaquone-proguanil for the prevention and treatment of malaria in pregnancy: A systematic review.Travel medicine and infectious diseasePooled it
- Female genital schistosomiasis, human papilloma virus infection, and cervical cancer in rural Madagascar: a cross sectional study.Infectious diseases of poverty · 2023Trial
- Safety and Immunogenicity of Radiation-Attenuated PfSPZ Vaccine in Equatoguinean Infants, Children, and Adults.The American journal of tropical medicine and hygiene · 2023Trial
- Prevalence, risk factors and short-term consequences of adverse birth outcomes in Zimbabwean pregnant women: a secondary analysis of a cluster-randomized trial.International journal of epidemiology · 2022Trial
- Undesired Births, Contraception, and Abortion Before and After the Cairo Consensus: Trends in Conditional Undesired Birth Rates and the Impact of Contraception and Abortion.Studies in family planning · 2025Article
- Contraception use and pregnancy in women receiving a 2-dose Ebola vaccine in Rwanda: A retrospective analysis of UMURINZI vaccination campaign data.PLoS medicine · 2025Article
- Article
- Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015-2019.BMJ global health · 2022Article
- Pregnancy outcomes in a malaria-exposed Malian cohort of women of child-bearing age.Frontiers in medicine · 2022Article
- Social inequalities in utilization of a feminist telehealth abortion service in Brazil: A multilevel analysis.Frontiers in reproductive health · 2022Article
- Malaria Infection Is Common and Associated With Perinatal Mortality and Preterm Delivery Despite Widespread Use of Chemoprevention in Mali: An Observational Study 2010 to 2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Observational
- Lifetime Prevalence of Abortion and Risk Factors in Women: Evidence from a Cohort Study.Journal of pregnancy · 2020Article
- The Interplay Between Reproductive Tract Microbiota and Immunological System in Human Reproduction.Frontiers in immunology · 2020Review
- Pregnancy and Neonatal Outcomes Following Prenatal Exposure to Dolutegravir.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- Safety of atovaquone-proguanil during pregnancy.Journal of travel medicine · 2019Article
- Pregnancies, abortions, and pregnancy intentions: a protocol for modeling and reporting global, regional and country estimates.Reproductive health · 2019Article
- High report of miscarriage among women living with HIV who want to conceive in Uganda.BMC research notes · 2018Article
- Early pregnancy loss in Belagavi, Karnataka, India 2014-2017: a prospective population-based observational study in a low-resource setting.Reproductive health · 2018Observational
- Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model.The Lancet. Global health · 2018Article
- Prevalence of positive depression screen among post miscarriage women- A cross sectional study.BMC psychiatry · 2018Article
Corrections and comments
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Authors and funding
18 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInformation on adverse pregnancy outcomes is important to monitor the impact of public health interventions. Miscarriage is a challenging end point to ascertain and there is scarce information on its rate in low-income countries. The objective was to estimate the background rate and cumulative probability of miscarriage in rural western Kenya.
designThis was a population-based prospective cohort. PARTICIPANTS AND
settingWomen of childbearing age were followed prospectively to identify pregnancies and ascertain their outcomes in Siaya County, western Kenya. The cohort study was carried out in 33 adjacent villages under health and demographic surveillance. OUTCOME MEASURE: Miscarriage.
resultsBetween 2011 and 2013, among 5536 women of childbearing age, 1453 pregnancies were detected and 1134 were included in the analysis. The cumulative probability was 18.9%. The weekly miscarriage rate declined steadily with increasing gestation until approximately 20 weeks. Known risk factors for miscarriage such as maternal age, gravidity, occupation, household wealth and HIV infection were confirmed.
conclusionsThis is the first report of weekly miscarriage rates in a rural African setting in the context of high HIV and malaria prevalence. Future studies should consider the involvement of community health workers to identify the pregnancy cohort of early gestation for better data on the actual number of pregnancies and the assessment of miscarriage.
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