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https://hdl.handle.net/2440/111041
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Type: | Journal article |
Title: | Making stillbirths visible: a systematic review of globally reported causes of stillbirth |
Author: | Reinebrant, H. Leisher, S. Coory, M. Henry, S. Wojcieszek, A. Gardener, G. Lourie, R. Ellwood, D. Teoh, Z. Allanson, E. Blencowe, H. Draper, E. Erwich, J. Frøen, J. Gardosi, J. Gold, K. Gordijn, S. Gordon, A. Heazell, A. Khong, T. et al. |
Citation: | BJOG: an International Journal of Obstetrics and Gynaecology, 2018; 125(2):212-224 |
Publisher: | Wiley |
Issue Date: | 2018 |
ISSN: | 1470-0328 1471-0528 |
Statement of Responsibility: | HE Reinebrant, SH Leisher, M Coory, S Henry, AM Wojcieszek, G Gardener, R Lourie, D Ellwood, Z Teoh, E Allanson, H Blencowe, ES Draper, JJ Erwich, JF Frøen, J Gardosi, K Gold, S Gordijn, A Gordon, AEP Heazell, TY Khong, F Korteweg, JE Lawn, EM McClure, J Oats, R Pattinson, K Pettersson, D Siassakos, RM Silver, GCS Smith, Ö Tunçalp, V Flenady |
Abstract: | Background: Stillbirth is a global health problem. The World Health Organization (WHO) application of the International Classification of Diseases for perinatal mortality (ICD-PM) aims to improve data on stillbirth to enable prevention. Objectives: To identify globally reported causes of stillbirth, classification systems, and alignment with the ICD-PM. Search strategy: We searched CINAHL, EMBASE, Medline, Global Health, and Pubmed from 2009 to 2016. Selection criteria: Reports of stillbirth causes in unselective cohorts. Data collection and analysis: Pooled estimates of causes were derived for country representative reports. Systems and causes were assessed for alignment with the ICD-PM. Data are presented by income setting (low, middle, and high income countries; LIC, MIC, HIC). Main results: Eighty-five reports from 50 countries (489 089 stillbirths) were included. The most frequent categories were Unexplained, Antepartum haemorrhage, and Other (all settings); Infection and Hypoxic peripartum (LIC), and Placental (MIC, HIC). Overall report quality was low. Only one classification system fully aligned with ICD-PM. All stillbirth causes mapped to ICD-PM. In a subset from HIC, mapping obscured major causes. Conclusions There is a paucity of quality information on causes of stillbirth globally. Improving investigation of stillbirths and standardisation of audit and classification is urgently needed and should be achievable in all well-resourced settings. Implementation of the WHO Perinatal Mortality Audit and Review guide is needed, particularly across high burden settings. |
Keywords: | Cause of death; classification; ICD; stillbirth, systems |
Rights: | © 2017 Royal College of Obstetricians and Gynaecologists |
DOI: | 10.1111/1471-0528.14971 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1116640 http://purl.org/au-research/grants/nhmrc/1123611 |
Published version: | http://dx.doi.org/10.1111/1471-0528.14971 |
Appears in Collections: | Aurora harvest 3 Obstetrics and Gynaecology publications |
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