Evidence map›Paper›PMID 38750442›Full record

ArticleBMC pregnancy and childbirth2024

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study.

Anneka Bowman, Thomas Sullivan, Maria Makrides, Vicki Flenady, Emily Shepherd, Karen Hawke, Deanna Stuart-Butler, Cathy Leane, Philippa Middleton

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Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

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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

9 authors.

Anneka BowmanAboriginal Communities and Families Health Research Alliance (ACRA), Adelaide, Australia. anneka.bowman@adelaide.edu.au.
Thomas SullivanSouth Australian Health and Medical Research Institute, North terrace, Adelaide, Australia.
Maria MakridesSouth Australian Health and Medical Research Institute, North terrace, Adelaide, Australia.
Vicki FlenadyCentre for Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia.
Emily ShepherdSouth Australian Health and Medical Research Institute, North terrace, Adelaide, Australia.
Karen HawkeAboriginal Communities and Families Health Research Alliance (ACRA), Adelaide, Australia.
Deanna Stuart-ButlerCentre for Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia.
Cathy LeaneAboriginal Health Division of the Women's and Children's Health Network, Adelaide, Australia.
Philippa MiddletonAboriginal Communities and Families Health Research Alliance (ACRA), Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStillbirth rates remain a global priority and in Australia, progress has been slow. Risk factors of stillbirth are unique in Australia due to large areas of remoteness, and limited resource availability affecting the ability to identify areas of need and prevalence of factors associated with stillbirth. This retrospective cohort study describes lifestyle and sociodemographic factors associated with stillbirth in South Australia (SA), between 1998 and 2016.

methodsAll restigered births in SA between 1998 ad 2016 are included. The primary outcome was stillbirth (birth with no signs of life ≥ 20 weeks gestation or ≥ 400 g if gestational age was not reported). Associations between stillbirth and lifestyle and sociodemographic factors were evaluated using multivariable logistic regression and described using adjusted odds ratios (aORs).

resultsA total of 363,959 births (including 1767 stillbirths) were included. Inadequate antenatal care access (assessed against the Australian Pregnancy Care Guidelines) was associated with the highest odds of stillbirth (aOR 3.93, 95% confidence interval (CI) 3.41-4.52). Other factors with important associations with stillbirth were plant/machine operation (aOR, 1.99; 95% CI, 1.16-2.45), birthing person age ≥ 40 years (aOR, 1.92; 95% CI, 1.50-2.45), partner reported as a pensioner (aOR, 1.83; 95% CI, 1.12-2.99), Asian country of birth (aOR, 1.58; 95% CI, 1.19-2.10) and Aboriginal/Torres Strait Islander status (aOR, 1.50; 95% CI, 1.20-1.88). The odds of stillbirth were increased in regional/remote areas in association with inadequate antenatal care (aOR, 4.64; 95% CI, 2.98-7.23), birthing age 35-40 years (aOR, 1.92; 95% CI, 1.02-3.64), Aboriginal and/or Torres Strait Islander status (aOR, 1.90; 95% CI, 1.12-3.21), paternal occupations: tradesperson (aOR, 1.69; 95% CI, 1.17-6.16) and unemployment (aOR, 4.06; 95% CI, 1.41-11.73).

conclusionFactors identified as independently associated with stillbirth odds include factors that could be addressed through timely access to adequate antenatal care and are likely relevant throughout Australia. The identified factors should be the target of stillbirth prevention strategies/efforts. SThe stillbirth rate in Australia is a national concern. Reducing preventable stillbirths remains a global priority.

Indexed as

Life StyleStillbirthAdultFemaleHealth Services AccessibilityHumansLogistic ModelsPregnancyPrenatal CareRetrospective StudiesRisk FactorsSociodemographic FactorsSocioeconomic FactorsSouth AustraliaYoung AdultEnvironmentPerinatal deathPregnancyReproductive healthRiskStillbirth

Identifiers

PMID38750442
PMCPMC11097586

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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.