Epidemiology of stillbirth in low-middle income countries: A Global Network Study

Autores
McClure, Elizabeth M.; Pasha, Omrana; Goudar, Shivaprasad S.; Chomba, Elwyn; Garces, Ana; Tshefu, Antoinette; Althabe, Fernando; Esamai, Fabian; Patel, Archana; Wright, Linda L.; Moore, Janet; Kodkany, Bhalchandra S.; Belizan, Jose; Saleem, Sarah; Derman, Richard J.; Carlo, Waldemar A.; Hambidge, K. Michael; Buekens, Pierre; Liechty, Edward A.; Bose, Carl; Koso Thomas, Marion; Jobe, Alan H.; Goldenberg, Robert L.
Año de publicación
2011
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Fil: McClure, Elizabeth M.. Research Triangle Institute; Estados Unidos
Fil: Pasha, Omrana. Aga Khan University; Pakistán
Fil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College; India
Fil: Chomba, Elwyn. University of Zambia; Zambia
Fil: Garces, Ana. Universidad de San Carlos de Guatemala (univ. de San C. de Guatemala);
Fil: Tshefu, Antoinette. Kinshasa School of Public Health; República del Congo
Fil: Althabe, Fernando. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Esamai, Fabian. Moi University; Kenia
Fil: Patel, Archana. Indira Medical College; India
Fil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development,; Estados Unidos
Fil: Moore, Janet. Research Triangle Institute; Estados Unidos
Fil: Kodkany, Bhalchandra S.. Jawaharlal Nehru Medical College; India
Fil: Belizan, Jose. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Saleem, Sarah. Aga Khan University; Pakistán
Fil: Derman, Richard J.. Christiana Health Care; Estados Unidos
Fil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados Unidos
Fil: Hambidge, K. Michael. University of Colorado Health Sciences Center; Estados Unidos
Fil: Buekens, Pierre. Tulane School of Public Health and Tropic Medicine; Estados Unidos
Fil: Liechty, Edward A.. Indiana University; Estados Unidos
Fil: Bose, Carl. University of North Carolina; Estados Unidos
Fil: Koso Thomas, Marion. Aga Khan University; Pakistán
Fil: Jobe, Alan H.. University of Cincinnati; Estados Unidos
Fil: Goldenberg, Robert L.. Drexel University; Estados Unidos
Materia
DEVELOPING COUNTRIES
INTRAPARTUM STILLBIRTH
STILLBIRTH
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/194401
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/194401
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Epidemiology of stillbirth in low-middle income countries: A Global Network StudyMcClure, Elizabeth M.Pasha, OmranaGoudar, Shivaprasad S.Chomba, ElwynGarces, AnaTshefu, AntoinetteAlthabe, FernandoEsamai, FabianPatel, ArchanaWright, Linda L.Moore, JanetKodkany, Bhalchandra S.Belizan, JoseSaleem, SarahDerman, Richard J.Carlo, Waldemar A.Hambidge, K. MichaelBuekens, PierreLiechty, Edward A.Bose, CarlKoso Thomas, MarionJobe, Alan H.Goldenberg, Robert L.DEVELOPING COUNTRIESINTRAPARTUM STILLBIRTHSTILLBIRTHhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective. 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.Fil: McClure, Elizabeth M.. Research Triangle Institute; Estados UnidosFil: Pasha, Omrana. Aga Khan University; PakistánFil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College; IndiaFil: Chomba, Elwyn. University of Zambia; ZambiaFil: Garces, Ana. Universidad de San Carlos de Guatemala (univ. de San C. de Guatemala);Fil: Tshefu, Antoinette. Kinshasa School of Public Health; República del CongoFil: Althabe, Fernando. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Esamai, Fabian. Moi University; KeniaFil: Patel, Archana. Indira Medical College; IndiaFil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development,; Estados UnidosFil: Moore, Janet. Research Triangle Institute; Estados UnidosFil: Kodkany, Bhalchandra S.. Jawaharlal Nehru Medical College; IndiaFil: Belizan, Jose. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Saleem, Sarah. Aga Khan University; PakistánFil: Derman, Richard J.. Christiana Health Care; Estados UnidosFil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados UnidosFil: Hambidge, K. Michael. University of Colorado Health Sciences Center; Estados UnidosFil: Buekens, Pierre. Tulane School of Public Health and Tropic Medicine; Estados UnidosFil: Liechty, Edward A.. Indiana University; Estados UnidosFil: Bose, Carl. University of North Carolina; Estados UnidosFil: Koso Thomas, Marion. Aga Khan University; PakistánFil: Jobe, Alan H.. University of Cincinnati; Estados UnidosFil: Goldenberg, Robert L.. Drexel University; Estados UnidosTaylor & Francis As2011-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/194401McClure, Elizabeth M.; Pasha, Omrana; Goudar, Shivaprasad S.; Chomba, Elwyn; Garces, Ana; et al.; Epidemiology of stillbirth in low-middle income countries: A Global Network Study; Taylor & Francis As; Acta Obstetricia And Gynecologica Scandinavica; 90; 12; 12-2011; 1379-13850001-63491600-0412CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0412.2011.01275.xinfo:eu-repo/semantics/altIdentifier/doi/10.1111/j.1600-0412.2011.01275.xinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:30:24Zoai:ri.conicet.gov.ar:11336/194401instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:30:25.284CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Epidemiology of stillbirth in low-middle income countries: A Global Network Study
title Epidemiology of stillbirth in low-middle income countries: A Global Network Study
spellingShingle Epidemiology of stillbirth in low-middle income countries: A Global Network Study
McClure, Elizabeth M.
DEVELOPING COUNTRIES
INTRAPARTUM STILLBIRTH
STILLBIRTH
title_short Epidemiology of stillbirth in low-middle income countries: A Global Network Study
title_full Epidemiology of stillbirth in low-middle income countries: A Global Network Study
title_fullStr Epidemiology of stillbirth in low-middle income countries: A Global Network Study
title_full_unstemmed Epidemiology of stillbirth in low-middle income countries: A Global Network Study
title_sort Epidemiology of stillbirth in low-middle income countries: A Global Network Study
dc.creator.none.fl_str_mv McClure, Elizabeth M.
Pasha, Omrana
Goudar, Shivaprasad S.
Chomba, Elwyn
Garces, Ana
Tshefu, Antoinette
Althabe, Fernando
Esamai, Fabian
Patel, Archana
Wright, Linda L.
Moore, Janet
Kodkany, Bhalchandra S.
Belizan, Jose
Saleem, Sarah
Derman, Richard J.
Carlo, Waldemar A.
Hambidge, K. Michael
Buekens, Pierre
Liechty, Edward A.
Bose, Carl
Koso Thomas, Marion
Jobe, Alan H.
Goldenberg, Robert L.
author McClure, Elizabeth M.
author_facet McClure, Elizabeth M.
Pasha, Omrana
Goudar, Shivaprasad S.
Chomba, Elwyn
Garces, Ana
Tshefu, Antoinette
Althabe, Fernando
Esamai, Fabian
Patel, Archana
Wright, Linda L.
Moore, Janet
Kodkany, Bhalchandra S.
Belizan, Jose
Saleem, Sarah
Derman, Richard J.
Carlo, Waldemar A.
Hambidge, K. Michael
Buekens, Pierre
Liechty, Edward A.
Bose, Carl
Koso Thomas, Marion
Jobe, Alan H.
Goldenberg, Robert L.
author_role author
author2 Pasha, Omrana
Goudar, Shivaprasad S.
Chomba, Elwyn
Garces, Ana
Tshefu, Antoinette
Althabe, Fernando
Esamai, Fabian
Patel, Archana
Wright, Linda L.
Moore, Janet
Kodkany, Bhalchandra S.
Belizan, Jose
Saleem, Sarah
Derman, Richard J.
Carlo, Waldemar A.
Hambidge, K. Michael
Buekens, Pierre
Liechty, Edward A.
Bose, Carl
Koso Thomas, Marion
Jobe, Alan H.
Goldenberg, Robert L.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv DEVELOPING COUNTRIES
INTRAPARTUM STILLBIRTH
STILLBIRTH
topic DEVELOPING COUNTRIES
INTRAPARTUM STILLBIRTH
STILLBIRTH
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv 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.
Fil: McClure, Elizabeth M.. Research Triangle Institute; Estados Unidos
Fil: Pasha, Omrana. Aga Khan University; Pakistán
Fil: Goudar, Shivaprasad S.. Jawaharlal Nehru Medical College; India
Fil: Chomba, Elwyn. University of Zambia; Zambia
Fil: Garces, Ana. Universidad de San Carlos de Guatemala (univ. de San C. de Guatemala);
Fil: Tshefu, Antoinette. Kinshasa School of Public Health; República del Congo
Fil: Althabe, Fernando. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Esamai, Fabian. Moi University; Kenia
Fil: Patel, Archana. Indira Medical College; India
Fil: Wright, Linda L.. Eunice Kennedy Shriver National Institute of Child Health and Human Development,; Estados Unidos
Fil: Moore, Janet. Research Triangle Institute; Estados Unidos
Fil: Kodkany, Bhalchandra S.. Jawaharlal Nehru Medical College; India
Fil: Belizan, Jose. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Saleem, Sarah. Aga Khan University; Pakistán
Fil: Derman, Richard J.. Christiana Health Care; Estados Unidos
Fil: Carlo, Waldemar A.. University of Alabama at Birmingahm; Estados Unidos
Fil: Hambidge, K. Michael. University of Colorado Health Sciences Center; Estados Unidos
Fil: Buekens, Pierre. Tulane School of Public Health and Tropic Medicine; Estados Unidos
Fil: Liechty, Edward A.. Indiana University; Estados Unidos
Fil: Bose, Carl. University of North Carolina; Estados Unidos
Fil: Koso Thomas, Marion. Aga Khan University; Pakistán
Fil: Jobe, Alan H.. University of Cincinnati; Estados Unidos
Fil: Goldenberg, Robert L.. Drexel University; Estados Unidos
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.
publishDate 2011
dc.date.none.fl_str_mv 2011-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/194401
McClure, Elizabeth M.; Pasha, Omrana; Goudar, Shivaprasad S.; Chomba, Elwyn; Garces, Ana; et al.; Epidemiology of stillbirth in low-middle income countries: A Global Network Study; Taylor & Francis As; Acta Obstetricia And Gynecologica Scandinavica; 90; 12; 12-2011; 1379-1385
0001-6349
1600-0412
CONICET Digital
CONICET
url http://hdl.handle.net/11336/194401
identifier_str_mv McClure, Elizabeth M.; Pasha, Omrana; Goudar, Shivaprasad S.; Chomba, Elwyn; Garces, Ana; et al.; Epidemiology of stillbirth in low-middle income countries: A Global Network Study; Taylor & Francis As; Acta Obstetricia And Gynecologica Scandinavica; 90; 12; 12-2011; 1379-1385
0001-6349
1600-0412
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
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info:eu-repo/semantics/altIdentifier/doi/10.1111/j.1600-0412.2011.01275.x
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis As
publisher.none.fl_str_mv Taylor & Francis As
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.069144

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