Evidence map›Paper›PMID 34287881›Full record

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

Stillbirths in Germany: On the rise, but no additional increases during the first COVID-19 lockdown.

Maxi S Kniffka, Natalie Nitsche, Roland Rau, Mine Kühn

Open access · hybridAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.1field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Rising Stillbirth Rates in Germany.Deutsches Arzteblatt international · 2023
    Article
  6. Article
  7. Antepartum stillbirth rates during the COVID-19 pandemic in Austria: A population-based study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  8. Article
  9. Stillbirths in Germany: On the rise, but no additional increases during the first COVID-19 lockdown.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    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

4 authors at 1 institution in 1 country.

Maxi S KniffkaLaboratory of Fertility and Well-Being, Max Planck Institute for Demographic Research, Rostock, Germany.ORCID https://orcid.org/0000-0001-6603-2724
Natalie NitscheLaboratory of Fertility and Well-Being, Max Planck Institute for Demographic Research, Rostock, Germany.ORCID https://orcid.org/0000-0002-9744-5393
Roland RauDepartment of Sociology and Demography, Chair of Demography, University of Rostock, Rostock, Germany.ORCID https://orcid.org/0000-0003-2131-6269
Mine KühnLaboratory of Population Health, Max Planck Institute for Demographic Research, Rostock, Germany.ORCID https://orcid.org/0000-0001-8252-7903
Max Planck Institute for Demographic Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine possible changes in the rate of stillbirths in Germany during the first COVID-19 lockdown.

methodsPopulation-level data of live births and stillbirths occurring between January 1995 and July 2020 were used and negative binomial regression was applied to estimate the rate of stillbirths in this period. The actual rate was compared to the expected figure for 2020.

resultsA steady increase in stillbirths was detected in Germany since 2013. The stillbirth rate for January to July 2020 (4.148) was slightly lower than that of the same period in 2019 (4.242). Furthermore, all monthly rates of stillbirths during the first half of 2020 lie inside the 95% prediction interval of expected stillbirth rates for this period.

conclusionA growing body of studies on the indirect effect of the COVID-19 pandemic on stillbirths shows mixed and context-dependent evidence. In contrast to other European countries, stillbirth rates have been on the rise in Germany in the last decade. However, stillbirth rates during the first half of 2020 were not higher than expected. The results suggest that stillbirth rates have not changed during the first-wave COVID-19 lockdown in this high-income setting. However, further studies on the causes of the increasing trend in stillbirths in Germany are needed.

Indexed as

COVID-19StillbirthCommunicable Disease ControlFemaleGermanyHumansPandemicsPregnancySARS-CoV-2COVID-19fetal deathGermanylockdownstillbirth

Identifiers

PMID34287881
PMCPMC9087793
OpenAlexW3185895742

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.