Evidence map›Paper›PMID 39291344›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2025

Differences in Factors Associated With Preterm and Term Stillbirth: A Secondary Cohort Analysis of the DESiGN Trial.

Chivon Winsloe, James Elhindi, Matias C Vieira, Sophie Relph, Charles G Arcus, Alessandro Alagna, Annette Briley, Mark Johnson, Louise M Page, Andrew Shennan and 9 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions to Address Disparities in Perinatal Outcomes by Ethnicity: A Systematic Review.BJOG : an international journal of obstetrics and gynaecology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Ethnic Disparities in Perinatal Mortality and Associated Factors: A Nationwide Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  7. Article
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

19 authors.

Chivon WinsloeDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID https://orcid.org/0000-0002-9860-4173
James ElhindiReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Matias C VieiraDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Sophie RelphWomen's Health Division, Royal London Hospital, Barts Health NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-2007-9647
Charles G ArcusReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Alessandro AlagnaLondon Perinatal Morbidity and Mortality Working Group (NHS), London, UK.
Annette BrileyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Mark JohnsonDepartment of Surgery and Cancer, Imperial College London, London, UK.
Louise M PageWest Middlesex University Hospital, Chelsea & Westminster Hospital NHS Foundation Trust, Isleworth, UK.
Andrew ShennanDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Baskaran ThilaganathanFetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, London, UK.
Neil MarlowUCL Institute for Women's Health, University College London, London, UK.ORCID https://orcid.org/0000-0001-5890-2953
Christoph LeesDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Deborah A LawlorMedical Research Council Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Asma KhalilFetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, London, UK.
Jane SandallDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Andrew CopasCentre for Pragmatic Global Health Trials, Institute for Global Health, University College London, London, UK.
Dharmintra PasupathyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
DESiGN Trial team

Funding

Guy's and St Thomas' CharityStillborn and Neonatal Death CharityTommy's Charity
6 · The paper itself

Abstract

objectiveTo identify whether maternal and pregnancy characteristics associated with stillbirth differ between preterm and term stillbirth.

designSecondary cohort analysis of the DESiGN RCT.

settingThirteen UK maternity units. POPULATION: Singleton pregnant women and their babies.

methodsMultiple logistic regression was used to assess whether the 12 factors explored were associated with stillbirth. Interaction tests assessed for a difference in these associations between the preterm and term periods.

main outcome measureStillbirth stratified by preterm (<37

resultsA total of 195 344 pregnancies were included. Six hundred and sixty-seven were stillborn (3.4 per 1000 births), of which 431 (65%) were preterm. Significant interactions were observed for maternal age, ethnicity, IMD, BMI, parity, smoking, PAPP-A, gestational hypertension, pre-eclampsia and gestational diabetes but not for chronic hypertension and pre-existing diabetes. Stronger associations with term stillbirth were observed in women with obesity compared to BMI 18.5-24.9 kg/m

conclusionDifferences in association exist between mothers experiencing preterm and term stillbirth. These differences could contribute to design of timely surveillance and interventions to further mitigate the risk of stillbirth.

Indexed as

Premature BirthStillbirthTerm BirthAdultBody Mass IndexCohort StudiesFemaleGestational AgeHumansInfant, NewbornLogistic ModelsMaternal AgeParityPregnancyPregnancy ComplicationsRisk Factorsfetal growth restrictionperinatal deathpremature birthSGAstillbirthterm birth

Identifiers

PMID39291344
PMCPMC11612614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.