ArticleThe Lancet regional health. Southeast Asia2023
Stillbirth rates and its spatial patterns in India: an exploration of HMIS data.
Article in The Lancet regional health. Southeast Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Stillbirths at 22- and 28-weeks' gestation or longer for the states in India: findings from the Global Burden of Disease Study 2023.The Lancet regional health. Southeast Asia · 2026Article
- Risk of stillbirth among pregnant women with anaemia in India: secondary analysis of multiple cohorts from the ICMR-SPIC consortium.The Lancet regional health. Southeast Asia · 2026Article
- National, state and district-level estimates of stillbirth in India at 20 weeks' gestation or longer using national family health survey data (2005-21).The Lancet regional health. Southeast Asia · 2026Article
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- Association of affirmative action with health and education outcomes and services in India.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- Epidemiology and determinants of stillbirth disparities in India: a geospatial hotspot clustering study using integrated population-level data.The Lancet regional health. Southeast Asia · 2025Article
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- Stillbirth rate and maternal risk factors for antenatal stillbirth in Bihar: A hospital-based cross-sectional study.Journal of family medicine and primary care · 2025Article
- A Long-Term Analysis of Pregnancy Outcomes in Kidney Transplant Recipients in an Indian Cohort.Kidney international reports · 2025Article
- Spatial Clustering of Pregnancy Wastage and its Determinants in Manipur: Evidence from National Family Health Surveys.Journal of obstetrics and gynaecology of India · 2025Article
- Spatial Distribution and Multilevel Analysis of Pregnancy Loss in India: Examining Individual and Contextual Factors.Journal of research in health sciences · 2025Article
- Pooled prevalence and multilevel determinants of stillbirths in sub-Saharan African countries: implications for achieving sustainable development goal.Global health research and policy · 2025Article
- Spatial patterns and temporal trends in stillbirth, neonatal, and infant mortality: an exploration of country-level data from 2000 to 2021.Journal of global health · 2025Article
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- Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis.Frontiers in public health · 2023Article
- Trend, Pattern, and Prevalence of Adverse Pregnancy Outcomes among Women of Reproductive Age in India, 1992-2021.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: High prevalence of stillbirths is a significant concern for the health system of India. This necessitates a closer scrutiny of the prevalence, spatial pattern and the risk factors of stillbirth at both national and local level. Methods: We analysed stillbirth data of three financial years (April 2017-March 2020) from Health Management Information System (HMIS) of India which provides majorly public facility level data for stillbirths up to the district level on a monthly basis. National and state level prevalence of stillbirth rate (SBR) were estimated. Spatial patterns of SBR at district level was identified using local indicator of spatial association (LISA). Risk factors of stillbirths were studied by triangulation of HMIS and National Family Health Survey (NFHS-4) data using bivariate LISA. Findings: National average of SBR in 2017-18, 2018-2019 and 2019-2020 are 13.4 [4.2-24.2], 13.1 [4.2-22.2] and 12.4 [3.7-22.5] respectively. Districts of Odisha, Madhya Pradesh, Rajasthan and Chhattisgarh (OMRC) form a contiguous east-west belt of high SBR. Body mass index (BMI) of the mother, antenatal care (ANC), maternal anemia, iron-folic acid (IFA) supplementation and institutional delivery show significant spatial autocorrelation with SBR. Interpretation: Maternal and child health programme delivery should prioritise targeted intervention in the hotspot clusters of high SBR, considering the locally significant determinants. The findings show inter alia, the need to focus on ANC to reduce stillbirth in India. Funding: The study is not funded.
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