Evidence map›Paper›PMID 33306840›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2021

Association between obstetric and medical risk factors and stillbirths in a low-income urban setting.

George N Gwako, Moses M Obimbo, Peter B Gichangi, John Kinuthia, Onesmus W Gachuno, Fredrick Were

Open access · greenAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Value of CODAC classification in identifying causes of stillbirths.Archives of gynecology and obstetrics · 2025
    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

6 authors at 2 institutions in 1 country.

George N GwakoDepartment of Obstetrics & Gynecology, University of Nairobi, Nairobi, Kenya.
Moses M ObimboDepartment of Obstetrics & Gynecology, University of Nairobi, Nairobi, Kenya.
Peter B GichangiDepartment of Human Anatomy, University of Nairobi, Nairobi, Kenya.
John KinuthiaDepartment of Obstetrics & Gynecology, University of Nairobi, Nairobi, Kenya.
Onesmus W GachunoDepartment of Obstetrics & Gynecology, University of Nairobi, Nairobi, Kenya.
Fredrick WereDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
University of Nairobi · KETechnical University of Mombasa · KE

Funding

Partnership for Health Research Training in Kenya (P-HERT)D43TW010141 · FIC · UNIVERSITY OF NAIROBI · PI WAMALWA, DALTON CHEKOKO · 2015 to 2019
$3.2M
Health-Professional Education Partnership Initiative (HEPI) - KenyaR25TW011212 · FIC · UNIVERSITY OF NAIROBI · PI NDUATI, RUTH WANJIRU, WAMALWA, DALTON CHEKOKO · 2018 to 2022
$3.2M
FIC NIH HHS D43 TW010141FIC NIH HHS R25 TW011212University of Nairobi's Partnerships for Health Research Training in KenyaUS National Institutes of Health 43US National Institutes of Health 5DUS National Institutes of Health TW010141
6 · The paper itself

Abstract

objectiveTo evaluate the association between obstetric and medical risk factors and stillbirths in a Kenyan set-up.

methodsA case-control study was conducted in four hospitals between August 2018 and April 2019. Two hundred and fourteen women with stillbirths and 428 with live births at more than >28 weeks of gestation were enrolled. Data collection was via interviews and abstraction from medical records. Outcome variables were stillbirth and live birth; exposure variables were sociodemographic characteristics, and medical and obstetric factors. The two-sample t test and χ

resultsStillbirth was associated with pre-eclampsia without severe features (odds ratio [OR] 9.1, 95% confidence interval [CI] 2.6-32.5), pre-eclampsia with severe features (OR 7.4, 95% CI 2.4-22.8); eclampsia (OR 9.2, 95% CI 2.6-32.5), placenta previa (OR 8.6 95% CI 2.8-25.9), placental abruption (OR 6.9 95% CI 2.2-21.3), preterm delivery(OR 9.5, 95% CI 5.7-16), and gestational diabetes mellitus, (OR 11.5, 95% CI 2.5-52.6). Stillbirth was not associated with multiparity, anemia, and HIV.

conclusionProper antepartum care and surveillance to identify and manage medical and obstetric conditions with the potential to cause stillbirth are recommended.

Indexed as

AdultCase-Control StudiesDiabetes, GestationalFemaleHumansInfant, NewbornKenyaObstetric Labor ComplicationsParityPlacentaPovertyPre-EclampsiaPregnancyPregnancy ComplicationsPremature BirthPrenatal Carelow-and-middle-income countriesmedical complicationsobstetric complicationsprenatal carestillbirth

Identifiers

PMID33306840
PMCPMC9072077
OpenAlexW3111702017

What OpenQuestion holds

Textmetadata
LicenceTDM
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.