ArticleScientific reports2017
Trends in perinatal mortality and its risk factors in Japan: Analysis of vital registration data, 1979-2010.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Causes and risk factors for singleton stillbirth in Japan: Analysis of a nationwide perinatal database, 2013-2014.Scientific reports · 2018Trial
- Midwife-Led Home Births in Japan: A 25-Year Retrospective Analysis of Care in Accordance with WHO Recommendations Before and After COVID-19.Healthcare (Basel, Switzerland) · 2026Article
- Association of Labor Epidural Analgesia with Neonatal Umbilical Arterial Blood pH and Apgar Score: The Japan Environment and Children's Study (JECS).Yonago acta medica · 2026Article
- Birth intervals and the risk of perinatal mortality in Indonesia: findings from a cross-sectional study.BMJ open · 2026Article
- Regional disparities in primary cesarean delivery rates in Japan: the role of obstetrician availability.AJOG global reports · 2024Article
- Effects of the COVID-19 pandemic on the rates of adverse birth outcomes and fetal mortality in Japan: an analysis of national data from 2010 to 2022.BMC public health · 2024Article
- Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021.Journal of Korean medical science · 2023Article
- The influence of the Great Recession on perinatal health-an ecological study on the trend changes and regional differences in Portugal.The Lancet regional health. Europe · 2023Article
- Difference in risk of preterm and small-for-gestational-age birth depending on maternal occupations in Japan.BMC research notes · 2023Article
- Obesity as a potential risk factor for stillbirth: The Japan Environment and Children's Study.Preventive medicine reports · 2023Article
- Analysis of Differences in Preterm Birth Rates According to Household Occupation in Japan From 2007 to 2019.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2022Article
- The Roles of Obstetrics Training Skills and Utilisation of Maternity Unit Protocols in Reducing Perinatal Mortality in Limpopo Province, South Africa.Healthcare (Basel, Switzerland) · 2022Article
- Differences in Rates of Low Birth Weight among Prefectures in Japan: An Ecological Study Using Government Statistics Data.Children (Basel, Switzerland) · 2022Article
- Article
- An Association between Maternal Occupations and Low Birth Weight Infants in Japan from 1995 to 2015.International journal of environmental research and public health · 2021Article
- Lack of concern about body image and health during pregnancy linked to excessive gestational weight gain and small-for-gestational-age deliveries: the Japan Environment and Children's Study.BMC pregnancy and childbirth · 2021Article
- An Analysis of the Trend of Fetal Mortality Rates among Working and Jobless Households in Japan, 1995-2019.International journal of environmental research and public health · 2021Article
- Impact of free maternal health care policy on maternal health care utilization and perinatal mortality in Ghana: protocol design for historical cohort study.Reproductive health · 2020Article
- Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece.International journal of environmental research and public health · 2020Article
- Analysis of the difference in the perinatal mortality rate between white-collar and blue-collar workers in Japan, 1995-2015.Epidemiology and health · 2020Article
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4 authors.
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Abstract
As Japan has achieved one of the lowest perinatal mortality rates (PMR), our study aims to estimate trends in and risk factors for perinatal mortality among singleton births in Japan. We used Japanese vital registration data to assess trends in and risk factors for perinatal outcomes between 1979 and 2010. Birth and death registration data were merged. An autoregressive integrated moving average model was fitted separately by sex to the PMR and the proportion of stillbirths. A multilevel Poisson regression model was used to estimate risk factors for perinatal mortality. Between 1979 and 2010 there were 40,833,957 pregnancies and 355,193 perinatal deaths, the PMR decreased from 18.86 per 1,000 all births to 3.25 per 1,000 all births, and the proportion of stillbirths increased from 83.6% to 92.1%. Key risk factors for perinatal mortality were low or high birth weight, prematurity and post maturity, and being from poorer or unemployed families. A higher proportion of excess perinatal deaths could be averted by effective policies to prevent stillbirths and improved research into their interventions and risk factors. As the cost and challenge of maintaining perinatal mortality gains increases, policies need to be targeted towards higher risk groups and social determinants of health.
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