Evidence map›Paper›PMID 36585152›Full record

ArticleBMJ open2022

Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study.

Manarangi Sajini De Silva, Leeanne Panisi, Lenin Manubuasa, Catherine Honimae, Susan Taragwanu, Simon Burggraaf, Divinal Ogaoga, Anthea Clare Lindquist, Susan P Walker, Stephen Tong and 1 more

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Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Manarangi Sajini De SilvaObstetrics and Gynaecology, The University of Melbourne Melbourne Medical School, Melbourne, Victoria, Australia rangi.desilva7@gmail.com.ORCID 0000-0002-0780-519X
Leeanne PanisiDepartment of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands.
Lenin ManubuasaDepartment of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands.
Catherine HonimaeDepartment of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands.
Susan TaragwanuDepartment of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands.
Simon BurggraafDepartment of Maternal and Child Health, Office of the WHO Representative in Solomon Islands, Honiara, Solomon Islands.
Divinal OgaogaMinistry of Health of Solomon Islands, Honiara, Solomon Islands.
Anthea Clare LindquistDepartment of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia.
Susan P WalkerDepartment of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia.ORCID 0000-0001-9075-4655
Stephen TongDepartment of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia.
Roxanne HastieDepartment of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesStillbirth is a major global health issue, which disproportionately affects families living in low-income and middle-income countries. The Solomon Islands is a Pacific nation with poor perinatal outcomes, however research investigating stillbirth is lacking. Thus, we aimed to investigate the incidence and cause of stillbirth occurring at the National Referral Hospital, Solomon Islands.

designWe conducted a retrospective cohort study from January 2017 to December 2018.

settingAt the only tertiary referral hospital in the Solomon Islands, on the main island of Guadalcanal.

participantsAll births occurring in the hospital during the study period. OUTCOME MEASURES: Number of, causes and risk factors for stillbirths (fetal deaths before birth at ≥20 estimated gestational weeks, or ≥500 g in birth weight).

resultsOver 2 years 341 stillbirths and 11 056 total births were recorded, giving an institutional incidence of 31 stillbirths per 1000 births. Of the cases with a recorded cause of death, 72% were deemed preventable. Most stillbirths occurred antenatally and 62% at preterm gestations (<37 weeks). 59% had a birth weight below 2500 g and preventable maternal conditions were present in 42% of the cases. 46% of the cases were caused by an acute intrapartum event, and among these 92% did not receive intrapartum monitoring.

conclusionsStillbirth affects 31 in every 1000 births at the National Referral Hospital in the Solomon Islands and many cases are preventable. Our findings highlight the urgent need for increased focus on perinatal deaths in the Solomon Islands with universal classification and targeted training, improved quality of obstetrical care and community awareness.

Indexed as

StillbirthBirth WeightFemaleHumansIncidenceInfant, NewbornMelanesiaPregnancyRetrospective StudiesTertiary Care CentersHealth policyMaternal medicineOrganisation of health services

Identifiers

PMID36585152
PMCPMC9809253

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