Evidence map›Paper›PMID 34335785›Full record

ArticleObstetrics and gynecology international2021

Association of Stillbirths with Maternal and Fetal Risk Factors in a Tertiary Care Hospital in South India.

Rajshekher V Mali, Anita Dalal, Romana Khursheed, Aditya Gan

Open access · goldAbstract read
In one paragraph

Article in Obstetrics and gynecology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Review
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  8. Article
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  10. Investigation of Factors Related to Stillbirth.Inquiry : a journal of medical care organization, provision and financing
    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.

Rajshekher V MaliDepartment of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed to Be University), Belagavi-590010, Karnataka, India.ORCID https://orcid.org/0000-0001-9666-6648
Anita DalalDepartment of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed to Be University), Belagavi-590010, Karnataka, India.ORCID https://orcid.org/0000-0003-3456-7999
Romana KhursheedDepartment of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed to Be University), Belagavi-590010, Karnataka, India.ORCID https://orcid.org/0000-0002-3147-0932
Aditya GanDepartment of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed to Be University), Belagavi-590010, Karnataka, India.ORCID https://orcid.org/0000-0003-0568-3536
Jawaharlal Nehru Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBirth of a fetus with no signs of life after a predefined age of viability is a nightmare for the obstetrician. Stillbirth is a sensitive indicator of maternal care during the antepartum and intrapartum period. Though there has been a renewed global focus on stillbirth as a public health concern, the decline in stillbirth rate (SBR) has not been satisfactory across the nations, with a large number of stillbirths occurring in the low- to middle-income countries (LMICs). Hence, the study was carried out to analyze maternal and fetal risk factors and their association with stillbirths in a tertiary care center in South India.

methodsThis observational prospective study included pregnant women with stillbirth beyond 20 weeks of gestation or fetal weight more than 500 grams. Stillbirths were classified according to the simplified causes of death and associated conditions (CODAC) classification. Association between the risk factor and stillbirths was calculated with chi-square test and odds ratio with 95% confidence interval.

resultsThere were 171 stillbirths (2.97%) among total 5755 births. The SBR was 29.71/1000 births. Risk factors such as preterm delivery (OR: 22.33, 95% CI: 15.35-32.50), anemia (OR: 21.87, 95% CI: 15.69-30.48), congenital malformation (OR: 11.24, 95% CI: 6.99-18.06), abruption (OR: 10.14, 95% CI: 6.43-15.97), oligohydramnios (OR: 4.88, 95% CI: 3.23-7.39), and hypertensive disorder (OR: 3.01, 95% CI: 2.03-4.46) were significantly associated with stillbirths. The proportion of intrapartum stillbirths was found to be 5 (3%) among the study population.

conclusionHighest prevalent risk factors associated with stillbirth are anemia and prematurity. Intrapartum stillbirths can be reduced significantly through evidence-based clinical interventions and practices in resource-poor settings. There is a need to provide and assure access to specialized quality antenatal care to pregnant women to control the risk factors associated with stillbirths.

Identifiers

PMID34335785
PMCPMC8324385
OpenAlexW3185352747

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.