ArticleGlobal health action2020
Investigation of stillbirth causes in Suriname: application of the WHO ICD-PM tool to national-level hospital data.
Article in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- A systematic review and meta-analysis of the globally reported International Classification of Diseases to Perinatal Mortality (ICD-PM).Frontiers in medicine · 2024Pooled it
- The global use of the International Classification of Diseases to Perinatal Mortality (ICD-PM): A systematic review.Journal of global health · 2022Pooled it
- Postpartum hemorrhage in Suriname: A national descriptive study of hospital births and an audit of case management.PloS one · 2020Trial
- Perinatal Deaths in Suriname: A Nationwide Cohort Study on Causes of Death and Lessons Learned from Facility-Based Audits.Maternal and child health journal · 2026Article
- Reduction of stillbirth rate in refugee and migrant populations living on the Thailand Myanmar border: A retrospective study 1986-2023.PLOS global public health · 2026Article
- Improving the Documentation of Causes of Death Certificates Based on the International Classification of Diseases Perinatal Mortality (ICD-PM): The Impact of a Mixed Method Approach.Health science reports · 2025Article
- Cesarean section in Suriname using robson classification: a two-year nationwide cross-sectional study on rates, risk factors and perinatal outcomes of cesarean section.BMC pregnancy and childbirth · 2025Observational
- Can International Classification of Disease Perinatal Mortality (ICD-PM) be a solution to overcome neglected tragedy? A scoping reviews.Health science reports · 2024Article
- Evaluating the accuracy of International Classification of Disease Perinatal Mortality (ICD-PM) codes assigned on death certificates before and after expert panel review: a mixed methods observational study.BMC pregnancy and childbirth · 2024Observational
- Prerenal Acute Kidney Injury is Still the Most Important Cause for Dialysis in an Obstetric Critical Care Referral Unit of North India: A 3 Year Retrospective Study.Journal of obstetrics and gynaecology of India · 2024Article
- The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system.PloS one · 2023Article
- Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia.PloS one · 2023Article
- Article
- A retrospective autopsy study of 42 cases of stillbirth in Avicenna Research Institute.BMC pregnancy and childbirth · 2022Article
- The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname.AJOG global reports · 2021Article
- Association of Mercury Exposure and Maternal Sociodemographics on Birth Outcomes of Indigenous and Tribal Women in Suriname.International journal of environmental research and public health · 2021Article
- Applicability of the WHO maternal near-miss tool: A nationwide surveillance study in Suriname.Journal of global health · 2020Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuriname has one of the highest stillbirth rates in Latin America and the Caribbean. To facilitate data comparison of perinatal deaths, the World Health Organization developed the International Classification of Diseases-10 Perinatal Mortality (ICD-PM).
objectiveWe aimed to (1) assess characteristics and risk indicators of women with a stillbirth, (2) determine the timing and causes of stillbirths according to the ICD-PM with critical evaluation of its application and (3) propose recommendations for the reduction of stillbirths in Suriname.
methodsA hospital-based, nation-wide, cross-sectional study was conducted in all hospitals within Suriname during one-year (2017). The medical files of stillbirths (gestation ≥28 weeks/birth weight ≥1000 grams) were reviewed and classified using ICD-PM. We used descriptive statistics and multiple logistic regression analyses.
resultsThe stillbirth rate in Suriname was 14.4/1000 births (n=131 stillbirths, n=9089 total births). Medical files were available for 86% (n=113/131) of stillbirths. Women of African descent had the highest stillbirth rate and two times the odds of stillbirth (OR 2.1, 95%CI 1.4-3.1) compared to women of other ethnicities. One third (33%, n=37/113) of stillbirths occurred after hospital admission. The timing was antepartum in 85% (n=96/113), intrapartum in 11% (n=12/113) and unknown in 4% (n=5/113). Antepartum stillbirths were caused by
conclusionStillbirth reduction strategies in Suriname call for targeting ethnic disparities, improving antenatal services, implementing perinatal death audits and improving diagnostic post-mortem investigations. ICD-PM limited the formulation of recommendations due to many stillbirths of 'unspecified' causes. Based on our study findings, we also recommend addressing some challenges with applying the ICD-PM. ABBREVIATIONS: CTG: Cardiotocography; ENAP: Every Newborn Action Plan (ENAP); ICD-PM: The WHO application of ICD-10 to deaths during the perinatal period - perinatal mortality; SBR: Stillbirth rate; SGA: Small for gestational age; WHO: World Health Organization; LMIC: Low- and middle-income countries; FHR: foetal heart rate.
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