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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Epidemiology of stillbirth in low-middle income countries: A Global Network Study
Acta Obstetricia et Gynecologica Scandinavica, Volume 90, No. 12, Year 2011
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Description
Objective. To determine population-based stillbirth rates and to determine whether the timing and maturity of the stillbirths suggest a high proportion of potentially preventable deaths. Design. Prospective observational study. Setting. Communities in six low-income countries (Democratic Republic of Congo, Kenya, Zambia, Guatemala, India, and Pakistan) and one site in a mid-income country (Argentina). Population. Pregnant women residing in the study communities. Methods. Over a five-year period, in selected catchment areas, using multiple methodologies, trained study staff obtained pregnancy outcomes on each delivery in their area. Main outcome measures. Pregnancy outcome, stillbirth characteristics. Results. Outcomes of 195 400 deliveries were included. Stillbirth rates ranged from 32 per 1 000 in Pakistan to 8 per 1 000 births in Argentina. Three-fourths (76%) of stillbirth offspring were not macerated, 63% were ≥37 weeks and 48% weighed 2 500g or more. Across all sites, women with no education, of high and low parity, of older age, and without access to antenatal care were at significantly greater risk for stillbirth (p<0.001). Compared to those delivered by a physician, women delivered by nurses and traditional birth attendants had a lower risk of stillbirth. Conclusions. In these low-middle income countries, most stillbirth offspring were not macerated, were reported as ≥37 weeks' gestation, and almost half weighed at least 2 500g. With access to better medical care, especially in the intrapartum period, many of these stillbirths could likely be prevented. © 2011 Nordic Federation of Societies of Obstetrics and GynecologyNo claim to original US government works.
Authors & Co-Authors
McClure, Elizabeth M.
United States, Research Triangle Park
Rti International
Pasha, Omrana
Pakistan, Karachi
The Aga Khan University
Goudar, Shivaprasad S.
India, Belgaum
Jawaharlal Nehru Medical College Belgaum
Chomba, Elwyn Nachanya
Zambia, Lusaka
University of Zambia
Garcés, Ana Lucía
Guatemala, Guatemala City
San Carlos University
Tshefu, Antoinette Kitoto
Congo, Kinshasa
Kinshasa School of Public Health
Althabe, Fernando A.
Argentina, Buenos Aires
Universidad de Buenos Aires
Esamai, Fabian O.
Kenya, Eldoret
Moi University
Patel, Archana Behram
India, Nagpur
Government Medical College Nagpur
Wright, Linda L.
United States, Bethesda
National Institute of Child Health and Human Development Nichd
Moore, Janet L.
United States, Research Triangle Park
Rti International
Kodkany, Bhalachandra S.
India, Belgaum
Jawaharlal Nehru Medical College Belgaum
Belizán, J.
Argentina, Buenos Aires
Universidad de Buenos Aires
Saleem, Sarah
Pakistan, Karachi
The Aga Khan University
Derman, Richard J.
United States, Newark
Christianacare Health System
Carlo, Waldemar A.
United States, Birmingham
The University of Alabama at Birmingham
Hambidge, K. Michael
United States, Aurora
University of Colorado Anschutz Medical Campus
Buekens, Pierre M.
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Liechty, Edward A.
United States, Indianapolis
Indiana University-purdue University Indianapolis
Bose, Carl Lewis
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Koso-Thomas, Marion W.
Pakistan, Karachi
The Aga Khan University
Jobe, Alan Hall
United States, Cincinnati
University of Cincinnati
Goldenberg, Robert L.
United States, Philadelphia
Drexel University
Statistics
Citations: 97
Authors: 23
Affiliations: 18
Identifiers
Doi:
10.1111/j.1600-0412.2011.01275.x
ISSN:
00016349
e-ISSN:
16000412
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Congo
Kenya
Zambia
Participants Gender
Female