Evidence map›Paper›PMID 28813528›Full record

ArticlePloS one2017

Maternal and fetal risk factors for stillbirth in Northern Tanzania: A registry-based retrospective cohort study.

Francisca S Chuwa, Amasha H Mwanamsangu, Benjamin G Brown, Sia E Msuya, Elizabeth E Senkoro, Oresta P Mnali, Festo Mazuguni, Michael J Mahande

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Perinatal mortality in eastern Africa: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Verbal Information From Parents About Stillbirth: The VIPS Study (Phase One).The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  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

8 authors at 3 institutions in 3 countries.

Francisca S ChuwaDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Amasha H MwanamsanguKilimanjaro Christian Medical University College, Moshi, Tanzania.
Benjamin G BrownDepartment of Global Health,Weill Cornell Medical College, New York, NY, United States of America.
Sia E MsuyaDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Elizabeth E SenkoroDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Oresta P MnaliDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Festo MazuguniDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Michael J MahandeDepartment of Community Health, Institute of Public Health, Kilimanjaro Christian Medical College, Moshi, Tanzania.
Kilimanjaro Christian Medical Centre · TZChristian Medical College & Hospital · INCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStillbirth is a major cause of perinatal mortality and occurs disproportionately in developing countries including Tanzania. However, there is scant information regarding the predictors of this condition in Tanzania. This study aimed to determine maternal and fetal risk factors for stilbirth in northen Tanzania. METHODOLOGY: A retrospective cohort study was performed using maternally-linked data from the Kilimanjaro Christian Medical Centre birth registry. A total of 47681 women who had singleton delivery at KCMC between 2000 and 2014 were analyzed. Women with multiple gestations were excluded. Descriptive statistics were summarized using proportions and frequency. Chi-square test was used to determine risk factors for stillbirth in bivariate analysis. A multivariable regression model was used to estimate adjusted odds ratios (AOR) with 95% confidence intervals for maternal and fetal factors associated with stillbirth. A p-value of less than 0.05 was considered statistically significant.

resultsThe frequency of stillbirth was 3.5%. Pre-eclampsia (AOR 3.99; 95% CI: 3.31-4.81) and placental abruption (AOR 22.62; 95% CI: 15.41-33.19) were the strongest maternal risk factors associated with still birth. While non-cephalic presentation (AOR 6.05; 95% CI: 4.77-7.66) and low birth weight (AOR 9.66; 95%CI: 8.66-10.77) were the fetal factors with the greatest impact on stillbirth.

conclusionThe rate of stillbirth in our study was consistent with past studies of developing countries. Numerous maternal and fetal factors risk factors were identified. Early identification of at risk pregnancies and appropriate intervention may help to reduce the occurrence of stillbirth.

Indexed as

Abruptio PlacentaeAdultChi-Square DistributionFemaleHumansInfant, NewbornLogistic ModelsPre-EclampsiaPregnancyRetrospective StudiesRisk FactorsSocial ClassStillbirthTanzania

Identifiers

PMID28813528
PMCPMC5557599
OpenAlexW2750213324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.