ArticleBJOG : an international journal of obstetrics and gynaecology2017
Impact of stillbirths on international comparisons of preterm birth rates: a secondary analysis of the WHO multi-country survey of Maternal and Newborn Health.
Article in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Incidence and trend of preterm birth in China, 1990-2016: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis.The Lancet. Global health · 2019Pooled it
- Perinatal loss in Tanzania: Perspectives of maternal-child healthcare providers.PLOS global public health · 2024Article
- Machine learning-based placental clusters and their associations with adverse pregnancy outcomes.Paediatric and perinatal epidemiology · 2023Article
- Increase in preterm stillbirths in association with reduction in iatrogenic preterm births during COVID-19 lockdown in Australia: a multicenter cohort study.American journal of obstetrics and gynecology · 2022Article
- Erythropoietin as a Neuroprotective Drug for Newborn Infants: Ten Years after the First Use.Antioxidants (Basel, Switzerland) · 2022Review
- Adverse pregnancy and perinatal outcomes in Latin America and the Caribbean: systematic review and meta-analysis.Revista panamericana de salud publica = Pan American journal of public health · 2022Review
- Implementing an intrapartum package of interventions to improve quality of care to reduce the burden of preterm birth in Kenya and Uganda.Implementation science communications · 2021Article
- Association between antenatal care visit and preterm birth: a cohort study in rural Bangladesh.BMJ open · 2020Article
- A Review of the Potential Benefits of Increasing Vitamin D Status in Mongolian Adults through Food Fortification and Vitamin D Supplementation.Nutrients · 2019Review
- Maternal mortality in Spain and its association with country of origin: cross-sectional study during the period 1999-2015.BMC public health · 2018Article
- The project to understand and research preterm pregnancy outcomes and stillbirths in South Asia (PURPOSe): a protocol of a prospective, cohort study of causes of mortality among preterm births and stillbirths.Reproductive health · 2018Article
- Human Development Index (HDI) of the maternal country of origin as a predictor of perinatal outcomes - a longitudinal study conducted in Spain.BMC pregnancy and childbirth · 2017Article
- Impact of stillbirths on international comparisons of preterm birth rates: a secondary analysis of the WHO multi-country survey of Maternal and Newborn Health.BJOG : an international journal of obstetrics and gynaecology · 2017Article
- Provider-initiated delivery, late preterm birth and perinatal mortality: a secondary analysis of the WHO multicountry survey on maternal and newborn health.BMJ global health · 2017Article
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17 authors at 15 institutions in 9 countries.
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Abstract
objectiveTo evaluate the extent to which stillbirths affect international comparisons of preterm birth rates in low- and middle-income countries.
designSecondary analysis of a multi-country cross-sectional study.
setting29 countries participating in the World Health Organization Multicountry Survey on Maternal and Newborn Health. POPULATION: 258 215 singleton deliveries in 286 hospitals.
methodsWe describe how inclusion or exclusion of stillbirth affect rates of preterm births in 29 countries.
main outcome measuresPreterm delivery.
resultsIn all countries, preterm birth rates were substantially lower when based on live births only, than when based on total births. However, the increase in preterm birth rates with inclusion of stillbirths was substantially higher in low Human Development Index (HDI) countries [median 18.2%, interquartile range (17.2-34.6%)] compared with medium (4.3%, 3.0-6.7%), and high-HDI countries (4.8%, 4.4-5.5%).
conclusionInclusion of stillbirths leads to higher estimates of preterm birth rate in all countries, with a disproportionately large effect in low-HDI countries. Preterm birth rates based on live births alone do not accurately reflect international disparities in perinatal health; thus improved registration and reporting of stillbirths are necessary. TWEETABLE ABSTRACT: Inclusion of stillbirths increases preterm birth rates estimates, especially in low-HDI countries.
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