ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2022
Preventing antenatal stillbirths: An innovative approach for primary health care.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Effectiveness of a mobile cardiotocography device (iCTG) in improving antenatal care and detecting abnormal fetal heart rate during late pregnancy: an implementation study in Tanzania.BMC public health · 2025Trial
- The association between maternal HIV and stillbirths in an Era of universal ART access in pregnancy in the Western Cape, South Africa, 2017 - 2021.Journal of gynecology obstetrics and human reproduction · 2026Article
- Article
- Parental experiences of stillbirth rituals in Limpopo, South Africa.Health SA = SA Gesondheid · 2025Article
- Coping with stillbirth: Insights from parents in rural Limpopo, South Africa.Journal of public health in Africa · 2025Article
- Causes of stillbirths at Kgapane hospital, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Neonatal death audits at Kgapane Hospital, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Implementation of continuous-wave Doppler ultrasound to detect the high-risk foetus in the low-risk mother: lessons from South Africa.BMC pregnancy and childbirth · 2023Article
- Fetal death and its association with indicators of social inequality: 20-year analysis in Tacna, Peru.PloS one · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn South Africa (SA), approximately 16 000 stillbirths occur annually. Most are classified as unexplained and occur in district hospitals. Many of these deaths may be caused by undetected foetal growth restriction. Continuous wave Doppler ultrasound of the umbilical artery (CWDU-UmA) is a simple method for assessing placental function. This screening method may detect the foetus at risk of dying and growth-restricted foetuses, allowing for appropriate management.
methodsA cohort study was conducted across South Africa. Pregnant women attending primary health care clinics at 28-34 weeks gestation were screened using CWDU-UmA. Women not screened at those antenatal clinics served as control group 1. Control group 2 consisted of the subset of control group 1 with women detected with antenatal complications excluded. Women with foetuses identified with an abnormal CWDU-UmA test were referred and managed according to a standardised protocol. A comparison between the study and control groups was performed.
resultsThe study group consisted of 6536 pregnancies, and there were 66 stillbirths (stillbirth rate [SBR]: 10.1/1000 births). In control group 1, there were 193 stillbirths in 10 832 women (SBR: 17.8/1000 births), and in control group 2, 152 stillbirths in 9811 women (SBR: 15.5/1000 births) (risk ratio: 0.57, 95% confidence intervals: 0.29-0.85 and 0.65, 0.36-0.94, respectively).
conclusionScreening a low-risk pregnant population identified the low-risk mother with a high-risk foetus, and acting on the information as described was associated with a significant reduction (35% - 43%) in stillbirths. This demonstrates a step-change reduction in stillbirths and warrants screening in SA.
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