Evidence map›Paper›PMID 37556034›Full record

SynthesisIndian journal of pediatrics2023

Burden, Differentials and Causes of Stillbirths in India: A Systematic Review and Meta Analysis.

Bharti Sharma, Chandrakant Lahariya, Marie Gilbert Majella, Anita Upadhyay, Sapna Yadav, Ankit Raina, Tamkin Khan, Neelam Aggarwal

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Indian journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
11.0field-weighted citation impact, top 1% 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

4 citing papers in PubMed, 19 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Bharti SharmaDepartment of Obstetrics & Gynecology, Postgraduate Institute of Medical Education & Research, Chandigarh, 160012, India. drbharti22@gmail.com.ORCID 0000-0001-8442-5126
Chandrakant LahariyaIntegrated Department of Health Policy, Epidemiology, Preventive Medicine and Pediatrics, Foundation for People-centric Health Systems, New Delhi, 110029, India.
Marie Gilbert MajellaDepartment of Community Medicine, Sri Venkateshwara Medical College Hospital & Research Center, Puducherry, India.
Anita UpadhyayDirector- Projects, Human Capital Lighthouse Consulting Pvt Ltd, New Delhi, 110029, India.
Sapna YadavIntegrated Department of Health Policy, Epidemiology, Preventive Medicine and Pediatrics, Foundation for People-centric Health Systems, New Delhi, 110029, India.
Ankit RainaDepartment of Public Health, Survival for Women & Children (SWACH) Foundation, Panchkula, Haryana, India.
Tamkin KhanDepartment of Obstetrics & Gynecology, Aligarh Muslim University, Aligarh, U.P, India.
Neelam AggarwalDepartment of Obstetrics & Gynecology, Postgraduate Institute of Medical Education & Research, Chandigarh, 160012, India.
Post Graduate Institute of Medical Education and Research · INAligarh Muslim University · INIIHMR University · INPublic Health Foundation of India · INSri Venkateshwaraa Medical College Hospital and Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

India contributes the highest absolute number of stillbirths in the world. This systematic review and meta-analysis was conducted to synthesize the burden, timing and causes of stillbirths in India. Forty-nine reports from 46 studies conducted in 21 Indian states and Union Territories were included. It was found that there was no uniformity/standardization in the definition of stillbirths and in the classification system used to assign the cause. The share of antepartum stillbirths was estimated to be two-third while remaining were intrapartum stillbirths. Maternal conditions and fetal causes were found to be the leading cause of stillbirth in India. The maternal condition was assigned as the commonest cause (25%) followed by fetal (14%), placental cause (13%), congenital malformation (6%) and intrapartum complications (4%). Approximately 20% of the stillbirths were assigned as unknown or unexplained. This review demonstrates that there is a paucity of quality stillbirth data in India. Other than the state level differences in stillbirth rates, no other data is available on inequities in stillbirths in India. There is an urgent need for strengthening availability and quality of stillbirth data in India on both stillbirth rates as well as the causes. There is a need to conduct additional research to know the timing of the stillbirths, causes of death and actual burden. India needs to strengthen stillbirth audits along with registry to find out the modifiable factors and delays for making country specific preventive strategies. The policy makers, academic community and researchers need to work together to ensure accelerated and equitable reduction in stillbirths in India.

Indexed as

PlacentaStillbirthFemaleHumansIndiaPregnancyPrenatal CareRisk FactorsAntepartum stillbirthIndiaIndia newborn action planIntrapartum stillbirthPrimary healthcareStillbirth rateStillbirths

Identifiers

PMID37556034
OpenAlexW4385684209

What OpenQuestion holds

Textmetadata
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.