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dc.contributor.author
Okwaraji, Yemisrach B.
dc.contributor.author
Suárez Idueta, Lorena
dc.contributor.author
Ohuma, Eric O.
dc.contributor.author
Bradley, Ellen
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Yargawa, Judith
dc.contributor.author
Pingray, Veronica
dc.contributor.author
Cormick, Gabriela

dc.contributor.author
Gordon, Adrienne
dc.contributor.author
Flenady, Vicki
dc.contributor.author
Horváth Puhó, Erzsébet
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Sørensen, Henrik Toft
dc.contributor.author
Sakkeus, Luule
dc.contributor.author
Abuladze, Liili
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Heidarzadeh, Mohammed
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Khalili, Narjes
dc.contributor.author
Yunis, Khalid A.
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Al Bizri, Ayah
dc.contributor.author
Karalasingam, Shamala D.
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Jeganathan, Ravichandran
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Barranco, Arturo
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van Dijk, Aimée E.
dc.contributor.author
Broeders, Lisa
dc.contributor.author
Alyafei, Fawzya
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AlQubaisi, Mai
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Razaz, Neda
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Söderling, Jonas
dc.contributor.author
Smith, Lucy K.
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Matthews, Ruth J.
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Wood, Rachael
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Monteath, Kirsten
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Pereyra, Isabel
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Pravia, Gabriella
dc.contributor.author
Lisonkova, Sarka
dc.contributor.author
Wen, Qi
dc.contributor.author
Lawn, Joy E.
dc.contributor.author
Blencowe, Hannah
dc.date.available
2025-01-16T09:18:13Z
dc.date.issued
2023-11
dc.identifier.citation
Okwaraji, Yemisrach B.; Suárez Idueta, Lorena; Ohuma, Eric O.; Bradley, Ellen; Yargawa, Judith; et al.; Stillbirths: Contribution of preterm birth and size‐for‐gestational age for 125.4 million total births from nationwide records in 13 countries, 2000–2020; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 11-2023; 1-12
dc.identifier.issn
1470-0328
dc.identifier.uri
http://hdl.handle.net/11336/252645
dc.description.abstract
Objective: To examine the contribution of preterm birth and size-for-gestational age in stillbirths using six ´newborn types´.Design: Population-based multi-country analyses.Setting: Births collected through routine data systems in 13 countries.Sample: 125 419 255 total births from 22+0 to 44+6 weeks´ gestation identified from 2000 to 2020.Methods: We included 635 107 stillbirths from 22+0 weeks´ gestation from 13 countries. We classified all births, including stillbirths, into six ´newborn types´ based on gestational age information (preterm, PT, <37+0 weeks versus term, T, ≥37+0 weeks) and size-for-gestational age defined as small (SGA, <10th centile), appropriate (AGA, 10th-90th centiles) or large (LGA, >90th centile) for gestational age, according to the international newborn size for gestational age and sex INTERGROWTH-21st standards.Main outcome measures: Distribution of stillbirths, stillbirth rates and rate ratios according to six newborn types.Results: 635 107 (0.5%) of the 125 419 255 total births resulted in stillbirth after 22+0 weeks. Most stillbirths (74.3%) were preterm. Around 21.2% were SGA types (PT + SGA [16.2%], PT + AGA [48.3%], T + SGA [5.0%]) and 14.1% were LGA types (PT + LGA [9.9%], T + LGA [4.2%]). The median rate ratio (RR) for stillbirth was highest in PT + SGA babies (RR 81.1, interquartile range [IQR], 68.8-118.8) followed by PT + AGA (RR 25.0, IQR, 20.0-34.3), PT + LGA (RR 25.9, IQR, 13.8-28.7) and T + SGA (RR 5.6, IQR, 5.1-6.0) compared with T + AGA. Stillbirth rate ratios were similar for T + LGA versus T + AGA (RR 0.7, IQR, 0.7-1.1). At the population level, 25% of stillbirths were attributable to small-for-gestational-age.Conclusions: In these high-quality data from high/middle income countries, almost three-quarters of stillbirths were born preterm and a fifth small-for-gestational age, with the highest stillbirth rates associated with the coexistence of preterm and SGA. Further analyses are needed to better understand patterns of gestation-specific risk in these populations, as well as patterns in lower-income contexts, especially those with higher rates of intrapartum stillbirth and SGA.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Wiley Blackwell Publishing, Inc

dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
gestational age
dc.subject
newborn
dc.subject
pregnancy
dc.subject
premature birth
dc.subject
preterm
dc.subject
stillbirths
dc.subject.classification
Otras Ciencias de la Salud

dc.subject.classification
Ciencias de la Salud

dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD

dc.title
Stillbirths: Contribution of preterm birth and size‐for‐gestational age for 125.4 million total births from nationwide records in 13 countries, 2000–2020
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-11-27T15:11:24Z
dc.journal.pagination
1-12
dc.journal.pais
Reino Unido

dc.journal.ciudad
Londres
dc.description.fil
Fil: Okwaraji, Yemisrach B.. London School Of Hygiene & Tropical Medicine; Reino Unido
dc.description.fil
Fil: Suárez Idueta, Lorena. Sociedad Mexicana de Salud Pública; México
dc.description.fil
Fil: Ohuma, Eric O.. London School Of Hygiene & Tropical Medicine; Reino Unido
dc.description.fil
Fil: Bradley, Ellen. London School Of Hygiene & Tropical Medicine; Reino Unido
dc.description.fil
Fil: Yargawa, Judith. London School Of Hygiene & Tropical Medicine; Reino Unido
dc.description.fil
Fil: Pingray, Veronica. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Gordon, Adrienne. University Of Sydney; Australia
dc.description.fil
Fil: Flenady, Vicki. University Of Sydney; Australia
dc.description.fil
Fil: Horváth Puhó, Erzsébet. University Aarhus; Dinamarca
dc.description.fil
Fil: Sørensen, Henrik Toft. University Aarhus; Dinamarca
dc.description.fil
Fil: Sakkeus, Luule. Tallinn University; Estonia
dc.description.fil
Fil: Abuladze, Liili. Tallinn University; Estonia
dc.description.fil
Fil: Heidarzadeh, Mohammed. No especifíca;
dc.description.fil
Fil: Khalili, Narjes. No especifíca;
dc.description.fil
Fil: Yunis, Khalid A.. No especifíca;
dc.description.fil
Fil: Al Bizri, Ayah. No especifíca;
dc.description.fil
Fil: Karalasingam, Shamala D.. No especifíca;
dc.description.fil
Fil: Jeganathan, Ravichandran. No especifíca;
dc.description.fil
Fil: Barranco, Arturo. No especifíca;
dc.description.fil
Fil: van Dijk, Aimée E.. No especifíca;
dc.description.fil
Fil: Broeders, Lisa. No especifíca;
dc.description.fil
Fil: Alyafei, Fawzya. No especifíca;
dc.description.fil
Fil: AlQubaisi, Mai. No especifíca;
dc.description.fil
Fil: Razaz, Neda. No especifíca;
dc.description.fil
Fil: Söderling, Jonas. No especifíca;
dc.description.fil
Fil: Smith, Lucy K.. No especifíca;
dc.description.fil
Fil: Matthews, Ruth J.. No especifíca;
dc.description.fil
Fil: Wood, Rachael. No especifíca;
dc.description.fil
Fil: Monteath, Kirsten. No especifíca;
dc.description.fil
Fil: Pereyra, Isabel. No especifíca;
dc.description.fil
Fil: Pravia, Gabriella. No especifíca;
dc.description.fil
Fil: Lisonkova, Sarka. No especifíca;
dc.description.fil
Fil: Wen, Qi. No especifíca;
dc.description.fil
Fil: Lawn, Joy E.. No especifíca;
dc.description.fil
Fil: Blencowe, Hannah. No especifíca;
dc.journal.title
BJOG - An International Journal of Obstetrics and Gynaecology

dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17653
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1111/1471-0528.17653
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