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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/194401
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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 Técnicas2025-09-03T10:06:31Zoai: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:34982025-09-03 10:06:31.984CONICET 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 |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0412.2011.01275.x 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 |
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CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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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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13.13397 |