Epidemiology of stillbirth in low-middle income countries: a Global Network Study.
Acta Obstet Gynecol Scand
; 90(12): 1379-85, 2011 Dec.
Article
em En
| MEDLINE
| ID: mdl-21916854
ABSTRACT
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 OUTCOMEMEASURES:
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 2,500 g 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 2,500 g. With access to better medical care, especially in the intrapartum period, many of these stillbirths could likely be prevented.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Países em Desenvolvimento
/
Natimorto
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
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Screening_studies
Idioma:
En
Revista:
Acta Obstet Gynecol Scand
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos