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

MCCLURE EM; PASHA O; GOUDAR SS; CHOMBA E; GARCES A; TSHEFU A; ALTHABE F; ESAMAI F; PATEL A; WRIGHT LL; MOORE J; KODKANY BS; BELIZAN JM; SALEEM S; DERMAN RJ; CARLO WA; HAMBIDGE KM; BUEKENS P; LIECHTY EA; BOSE C; KOSO-THOMAS M; JOBE AH; GOLDENBERG R

ACTA OBSTETRICIA AND GYNECOLOGICA SCANDINAVICA

TAYLOR & FRANCIS AS

Lugar: Londres; Año: 2011 p. 1379 - 1385

0001-6349

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 2,500 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