ArticleBMC public health2020
Decreasing trend in preterm birth and perinatal mortality, do disparities also decline?
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 38 citations in OpenAlex.
- Socioeconomic determinants of extreme perinatal outcomes in Spain, 1996-2022.Scientific reports · 2026Article
- Epigenetic modifications of VEGF, cerebral hypoxia, and impaired cerebrovascular autoregulation as early indicators for preterm brain injury.Function (Oxford, England) · 2026Observational
- Dutch nationwide registry study to identify spatial, contextual and environmental inequalities in birth outcomes.BMJ public health · 2026Article
- Experiences and challenges in perinatal palliative care: a qualitative study among parents and healthcare providers in regional and tertiary hospitals.BMC palliative care · 2025Article
- The first 1000 days: the price of inequalities in high and middle-income countries.Pediatric research · 2025Review
- Prevalence, Incidence, and Temporal Trend of Hypertensive Disorders of Pregnancy and Its Association with Adverse Perinatal Outcomes in High and Low-Middle Income Countries: A Narrative Review.Iranian journal of public health · 2025Review
- Fertility and abortion: A population-based comparison between women with cancer and those in childbearing age.Tumori · 2025Article
- The Italian Perinatal Surveillance System SPItOSS: insights from Confidential Enquiries.Italian journal of pediatrics · 2024Article
- Differences in maternal and perinatal outcomes between Dutch and non-Western women in a midwife-led care setting: a retrospective cohort study.BMC pregnancy and childbirth · 2024Article
- Prediction model for spontaneous preterm birth less than 32 weeks of gestation in low-risk women with mid-trimester short cervical length: a retrospective cohort study.BMC pregnancy and childbirth · 2024Observational
- Perinatal mortality and its predictors in Beni City, Democratic Republic of Congo: a cross-sectional study.Maternal health, neonatology and perinatology · 2024Article
- Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Hypertensive disorders during pregnancy as a major cause of preterm birth and adverse perinatal outcomes: findings from a Brazilian National Survey.Einstein (Sao Paulo, Brazil) · 2024Article
- Influence of Antiphospholipid Antibody-Associated Thrombophilia on the Risk of Preterm Birth: A Systematic Review.Journal of clinical medicine · 2023Review
- Article
- Lessons learned in cases of late preterm mortality in the Netherlands: Results from nationwide perinatal audits, a mixed method study.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Gestational age-specific neonatal mortality in Hong Kong: a population-based retrospective study.World journal of pediatrics : WJP · 2023Article
- Intrauterine growth restriction, prematurity, and low birth weight: risk phenotypes of neonatal death, Rio de Janeiro State, Brazil.Cadernos de saude publica · 2023Article
- A protocol for a systematic review of standardised tools used in perinatal death review programmes.HRB open research · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the Netherlands, several initiatives started after the publication of the PERISTAT findings that showed the perinatal mortality risk was higher than in other European countries. The objective of this study is 1) to report recent trends in perinatal mortality and in intermediate risk groups (preterm birth, congenital anomalies and small for gestational age (SGA)), 2) describing perinatal mortality risk among children born preterm, with congenital anomalies or SGA, and born in maternal high risk groups (parity, age, ethnicity and socio-economic status (SES)).
methodsA nationwide cohort study in the Netherlands among 996,423 singleton births in 2010-2015 with a gestational age between 24.0 and 42.6 weeks. Trend tests, univariate and multivariable logistic regression analyses were used. We did separate analyses for gestational age subgroups and line of care.
resultsThe perinatal mortality rate was 5.0 per 1000 and it decreased significantly from 5.6 in 2010 to 4.6 per 1000 in 2015. Preterm birth significantly declined (6.1% in 2010 to 5.6% in 2015). Analysis by gestational age groups showed that the largest decline in perinatal mortality of 32% was seen at 24-27 weeks of gestation where the risk declined from 497 to 339 per 1000. At term, the decline was 23% from 2.2 to 1.7 per 1000. The smallest decline was 3% between 32 and 36 weeks. In children with preterm birth, congenital anomalies or SGA, the perinatal mortality risk significantly declined. Main risk factors for perinatal mortality were African ethnicity (adjusted odds ratio (aOR) 2.1 95%CI [1.9-2.4]), maternal age ≥ 40 years (aOR1.9 95%CI [1.7-2.2]) and parity 2
conclusionsThere is a decline in preterm birth and in perinatal mortality between 2010 and 2015. The decline in perinatal mortality is both in stillbirths and in neonatal mortality, most prominently among 24-27 weeks and among (post)term births. A possible future target could be deliveries among 32-36 weeks, women with high maternal age or non-Western ethnicity.
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