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  • Blencowe, HannahLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)

Stillbirth outcome capture and classification in population-based surveys : EN-INDEPTH study

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-02-08
  • BioMed Central (BMC),2021
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-440991
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-440991URI
  • https://doi.org/10.1186/s12963-020-00239-8DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:146112016URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background: Household surveys remain important sources of stillbirth data, but omission and misclassification are common. Classifying adverse pregnancy outcomes as stillbirths requires accurate reporting of vital status at birth and gestational age or birthweight for every pregnancy. Further categorisation, e.g. by sex, or timing (intrapartum/antepartum) improves data to understand and prevent stillbirth.Methods: We undertook a cross-sectional population-based survey of women of reproductive age in five health and demographic surveillance system sites in Bangladesh, Ethiopia, Ghana, Guinea-Bissau and Uganda (2017-2018). All women answered a full birth history with pregnancy loss questions (FBH+) or a full pregnancy history (FPH). A sub-sample across both groups were asked additional stillbirth questions. Questions were evaluated using descriptive measures. Using an interpretative paradigm and phenomenology methodology, focus group discussions with women exploring barriers to reporting birthweight for stillbirths were conducted. Thematic analysis was guided by an a priori codebook.Results: Overall 69,176 women reported 98,483 livebirths (FBH+) and 102,873 pregnancies (FPH). Additional questions were asked for 1453 stillbirths, 1528 neonatal deaths and 12,620 surviving children born in the 5years prior to the survey. Completeness was high (> 99%) for existing FBH+/FPH questions on signs of life at birth and gestational age (months). Discordant responses in signs of life at birth between different questions were common; nearly one-quarter classified as stillbirths on FBH+/FPH were reported born alive on additional questions. Availability of information on gestational age (weeks) (58.1%) and birthweight (13.2%) was low amongst stillbirths, and heaping was common. Most women (93.9%) were able to report the sex of their stillborn baby. Response completeness for stillbirth timing (18.3-95.1%) and estimated proportion intrapartum (15.6-90.0%) varied by question and site. Congenital malformations were reported in 3.1% stillbirths. Perceived value in weighing a stillborn baby varied and barriers to weighing at birth a nd knowing birthweight were common.Conclusions: Improving stillbirth data in surveys will require investment in improving the measurement of vital status, gestational age and birthweight by healthcare providers, communication of these with women, and overcoming reporting barriers. Given the large burden and effect on families, improved data must be made available to end preventable stillbirths.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Bottecchia, MatteoLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • Kwesiga, DorisUppsala universitet,Global hälsa - implementering och hållbarhet,Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, Kampala, Uganda.;Makerere Univ, Ctr Excellence Maternal Newborn & Child Hlth Res, Kampala, Uganda.(Swepub:uu)dorka977 (författare)
  • Akuze, JosephLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.;Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, Kampala, Uganda.;Makerere Univ, Ctr Excellence Maternal Newborn & Child Hlth Res, Kampala, Uganda. (författare)
  • Haider, M. MoinuddinIcddr B, Hlth Syst & Populat Studies Div, Dhaka, Bangladesh. (författare)
  • Galiwango, EdwardMakerere Univ, Ctr Hlth & Populat Res, IgangaMayuge Hlth & Demog Surveillance Syst, Makerere, Uganda. (författare)
  • Dzabeng, FrancisKintampo Hlth Res Ctr, Kintampo, Ghana. (författare)
  • Fisker, Ane B.Bandim Hlth Project, Bissau, Guinea Bissau.;Statens Serum Inst, Res Ctr Vitamins & Vaccines, Copenhagen, Denmark.;Univ Southern Denmark, Dept Clin Res, Open Patient Data Explorat Network OPEN, Odense, Denmark. (författare)
  • Enuameh, Yeetey Akpe KwesiKintampo Hlth Res Ctr, Kintampo, Ghana.;Kwame Nkrumah Univ Sci & Technol, Dept Epidemiol & Biostat, Kumasi, Ghana. (författare)
  • Geremew, Bisrat MisganawUniv Gondar, Inst Publ Hlth, Dept Epidemiol & Biostat, Gondar, Ethiopia. (författare)
  • Nareeba, TryphenaMakerere Univ, Ctr Hlth & Populat Res, IgangaMayuge Hlth & Demog Surveillance Syst, Makerere, Uganda. (författare)
  • Woodd, SusannahLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • Beedle, AlexandraLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • Peven, KimberlyLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • Cousens, SimonLondon Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • Waiswa, PeterKarolinska Institutet (författare)
  • Lawn, Joy E.London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England. (författare)
  • London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.Global hälsa - implementering och hållbarhet (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Population Health Metrics: BioMed Central (BMC)191478-7954

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