Evidence map›Paper›PMID 40376868›Full record

Observational studyBJOG : an international journal of obstetrics and gynaecology2025

Disparities in Stillbirths in England: Analysis of A Population-Based Study of 1.3 Million Births.

Ggenga Kayode, Baskaran Thilaganathan, Christy Burden, Amy Howell, Vincent Cheng, Jane Sandall, Maria Viner, Lia Brigante, Dilly Anumba, Cathy Winter and 5 more

Abstract readObservational Study
In one paragraph

Observational study 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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. Acceptable Nomenclature for Pregnancy Loss Care: A Cross-Sectional Observational Survey.BJOG : an international journal of obstetrics and gynaecology · 2026
    Observational
  4. Article
  5. Ethnic Disparities in Perinatal Mortality and Associated Factors: A Nationwide Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  6. 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

15 authors.

Ggenga KayodeTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Baskaran ThilaganathanRoyal College of Obstetricians and Gynaecologists, London, UK.
Christy BurdenTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Amy HowellTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Vincent ChengTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Jane SandallDepartment of Women and Children's Health, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Maria VinerMothers for Mothers, Bristol, UK.
Lia BriganteRoyal College of Midwives, London, UK.
Dilly AnumbaAcademic Unit of Reproductive and Developmental Medicine-Obstetrics and Gynaecology, Faculty of Medicine Dentistry and Health, The University of Sheffield, Sheffield, UK.
Cathy WinterThe PROMPT Maternity Foundation, Department of Women's Health, Southmead Hospital, Bristol, UK.
Birte Harlev-LamRoyal College of Midwives, London, UK.
Timothy DraycottTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Andrew JudgeTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
Erik LenguerrandTranslational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-0371-731X
Tommy's National Centre for Maternity Improvement

Funding

Tommy's Baby Charity
6 · The paper itself

Abstract

objectiveTo examine the variation in stillbirth rates between different ethnic and socioeconomic groups within each organisational hospital group (health trust).

designNational registry study.

settingAll health trusts (HT) in National Health Service England. POPULATION: All mothers and babies born between April 2015 and March 2017.

methodsThis observational study examined ethnic and socioeconomic disparities in stillbirth rates for 1 268 367 births in 133 HTs compared to the national average. OUTCOME: Stillbirth at or after 24 gestational weeks.

resultsThe average stillbirth rates ranged from 3.4/1000 births for White women up to 7.1/1000 births for Black women. The rates ranged from 2.9/1000 births for women living in the least deprived areas to 4.7/1000 births for those in the most deprived. The proportions of HTs with stillbirth rates well above the national average (more than 2 standard deviations) for White, Asian and Black women were 0.8%, 21.8% and 38.6%, respectively. When HTs were ranked by stillbirth rate, there were notable variations, with some trusts demonstrating lower than average stillbirth rates for White women while concurrently having higher than average stillbirth rates for Asian and/or Black women. There were no units exhibiting lower than national average stillbirth rates for Asian/Black women while concurrently having higher than average stillbirth rates for White women.

conclusionsThese findings suggest that access to and delivery of maternity care vary depending on the mother's ethnicity and level of socioeconomic deprivation. Social factors are likely determinants of inequality in stillbirth rather than maternity care alone.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesStillbirthAdultEnglandEthnicityFemaleHumansInfant, NewbornPregnancyRegistriesSocioeconomic FactorsState MedicineWhite Peopleethnicitymaternity care provisionsocial inequalitystillbirth

Identifiers

PMID40376868
PMCPMC12137752

What OpenQuestion holds

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LicenceCC BY
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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.