OBJECTIVE: To estimate the incidence of stillbirth, explore the associated maternal and fetal factors and to evaluate the most appropriate classification of stillbirth for a multiethnic population. METHODS: This is a retrospective population-based study of stillbirth in a large tertiary unit. Data of each stillbirth with a gestational age >/=24 weeks in the year 2015 were collected from electronic medical records and analyzed. RESULTS: The stillbirth rate for our multiethnic population is 7.81 per 1000 births. Maternal medical factors comprised 52.4% in which the rates of hypertensive disorders, diabetes and other medical disorders were 22.5%, 20.8% and 8.3%, respectively. The most common fetal factor was intrauterine growth restriction (IUGR) (22.5%) followed by congenital anomalies (21.6%). All cases were categorized using the Wigglesworth, Aberdeen, Tulip, ReCoDe and International Classification of Diseases-perinatal mortality (ICD-PM) classifications and the rates of unclassified stillbirths were 59.2%, 46.6%, 16.6%, 11.6% and 7.5%, respectively. An autopsy was performed in 9.1% of cases reflecting local religious and cultural sensitivities. CONCLUSION: This study highlighted the modifiable risk factors among the Middle Eastern population. The most appropriate classification was the ICD-PM. The low rates of autopsy prevented a detailed evaluation of stillbirths, therefore it is suggested that a minimally invasive autopsy [postmortem magnetic resonance imaging (MRI)] may improve the quality of care.
OBJECTIVE: To estimate the incidence of stillbirth, explore the associated maternal and fetal factors and to evaluate the most appropriate classification of stillbirth for a multiethnic population. METHODS: This is a retrospective population-based study of stillbirth in a large tertiary unit. Data of each stillbirth with a gestational age >/=24 weeks in the year 2015 were collected from electronic medical records and analyzed. RESULTS: The stillbirth rate for our multiethnic population is 7.81 per 1000 births. Maternal medical factors comprised 52.4% in which the rates of hypertensive disorders, diabetes and other medical disorders were 22.5%, 20.8% and 8.3%, respectively. The most common fetal factor was intrauterine growth restriction (IUGR) (22.5%) followed by congenital anomalies (21.6%). All cases were categorized using the Wigglesworth, Aberdeen, Tulip, ReCoDe and International Classification of Diseases-perinatal mortality (ICD-PM) classifications and the rates of unclassified stillbirths were 59.2%, 46.6%, 16.6%, 11.6% and 7.5%, respectively. An autopsy was performed in 9.1% of cases reflecting local religious and cultural sensitivities. CONCLUSION: This study highlighted the modifiable risk factors among the Middle Eastern population. The most appropriate classification was the ICD-PM. The low rates of autopsy prevented a detailed evaluation of stillbirths, therefore it is suggested that a minimally invasive autopsy [postmortem magnetic resonance imaging (MRI)] may improve the quality of care.
Authors: Lucia Hug; Danzhen You; Hannah Blencowe; Anu Mishra; Zhengfan Wang; Miranda J Fix; Jon Wakefield; Allisyn C Moran; Victor Gaigbe-Togbe; Emi Suzuki; Dianna M Blau; Simon Cousens; Andreea Creanga; Trevor Croft; Kenneth Hill; K S Joseph; Salome Maswime; Elizabeth M McClure; Robert Pattinson; Jon Pedersen; Lucy K Smith; Jennifer Zeitlin; Leontine Alkema Journal: Lancet Date: 2021-08-28 Impact factor: 79.321
Authors: Zita D Prüst; Lachmi R Kodan; Thomas van den Akker; Kitty Wm Bloemenkamp; Marcus J Rijken; Kim Jc Verschueren Journal: J Glob Health Date: 2022-08-17 Impact factor: 7.664
Authors: Suruchi Mohan; Thomas Gray; Weiguang Li; Mohamed Alloub; Andrew Farkas; Stephen Lindow; Tom Farrell Journal: Eur J Obstet Gynecol Reprod Biol X Date: 2019-04-16
Authors: Rami H Al-Rifai; Nasloon Ali; Esther T Barigye; Amal H I Al Haddad; Fatima Al-Maskari; Tom Loney; Luai A Ahmed Journal: Syst Rev Date: 2020-01-16