ArticleFrontiers in public health2025
The incidence, characteristics, and complications of pregnant women who delivered stillbirths under different child policies in central China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: China's evolving fertility policies (one-child to three-child) have shaped maternal and neonatal outcomes, but specific gaps in stillbirth epidemiology during policy transitions. Methods: This retrospective cohort study analyzed 721,860 singleton pregnancies in 2011-2023, from 18 maternal near-miss surveillance hospitals in Hunan. Stillbirth rates were assessed across four policy periods: one-child (2011-2013), partial two-child (2013-2015), universal two-child (2016-2020), and three-child (2021-2023). Multivariable logistic regression identified risk factors, adjusting for fertility policy period, maternal demographics and maternal comorbidities. Trends over time were analyzed using segmented regression models. Results: The overall stillbirth rate was 7.02‰ (95% confidence interval [CI]: 6.82-7.21), declining significantly from 9.62‰ during the one-child policy to 5.73‰ (95%CI: 5.25-6.23) under the three-child policy ( Conclusion: China's fertility policy transitions correlate with dynamic stillbirth epidemiology, emphasizing age- and parity-specific vulnerabilities. Targeted interventions for high-risk subgroups, especially younger, less well-educated, multiparous women, and those with hypertensive or placental disorders, are critical amid ongoing implementation of the three-child policy.
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