“Stillbirth rates in 20 countries of Latin America: an ecological study”

PINGRAY, VERONICA; ALTHABE, FERNANDO; VAZQUEZ, PAULA; CORREA, MALENA; PAJUELO, MÓNICA; BELIZÁN, JOSÉ M

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY

WILEY-BLACKWELL PUBLISHING, INC

Año: 2018

1470-0328

AbstractOBJECTIVE:To describe country-level stillbirth rates and their change over time in Latin America, and to measure the association of stillbirth rates with socioeconomic and health coverage indicators in the region.DESIGN:Ecological study.SETTING:20 countries of Latin America.POPULATION OR SAMPLE:Aggregated data from pregnant women with countries as units of analysis.METHODS:We used stillbirth estimates, and socioeconomic and health care coverage indicators reported from 2006 to 2016 from UNICEF, United Nations Development Programme and World Bank datasets. We calculated Spearman´s correlation coefficients between stillbirths rates and socioeconomic and health coverage indicators.MAIN OUTCOME MEASURE:National estimates of stillbirth rates in each country.RESULTS:The estimated stillbirth rate for Latin America for 2015 was 8.1 per 1000 births (range 3.1-24.9). Seven Latin America countries had rates higher than 10 stillbirths per 1000 births. The average annual reduction rate for the region was 2% (range 0.1-3.8%), with the majority of Latin America countries ranging between 1.5 and 2.5%. National stillbirth rates were correlated to: women´s schooling (rS=-0.7910), gross domestic product per capita (rS=-0.8226), fertility rate (rS=0.6055), urban population (rS=-0.6316) and deliveries at health facilities (rS=-0.6454).CONCLUSIONS:Country-level estimated stillbirth rates in Latin America varied widely in 2015. The trend and magnitude of reduction in stillbirth rates between 2000 and 2015 was similar to the world average. Socioeconomic and health coverage indicators were correlated to stillbirth rates in Latin America. This article is protected by copyright. All rights reserved.