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Stillbirths includi...
Stillbirths including intrapartum timing: EN-BIRTH multi-country validation study.
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- Peven, Kimberly (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.;Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, London, England.
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- Day, Louise T (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.,Int Ctr Diarrhoeal Dis Res Bangladesh Iccdr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Ruysen, Harriet (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.
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Tahsina, Tazeen (författare)
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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- Shabani, Josephine (författare)
- Ifakara Hlth Inst, Dept Hlth Syst Impact Evaluat & Policy, Dar Es Salaam, Tanzania.
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- Kong, Stefanie (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.
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- Ameen, Shafiqul (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Iccdr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Basnet, Omkar (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Haider, Rajib (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Iccdr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Rahman, Qazi Sadeq-Ur (författare)
- Int Ctr Diarrhoeal Dis Res Bangladesh Iccdr B, Maternal & Child Hlth Div, Dhaka, Bangladesh.
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- Blencowe, Hannah (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.
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- Lawn, Joy E (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England.
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London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England;Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, London, England. London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, Keppel St, London WC1E 7HT, England. (creator_code:org_t)
- 2021-03-26
- 2021
- Engelska.
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 21:Suppl 1
- Relaterad länk:
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https://bmcpregnancy...
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- An estimated >2 million babies stillborn around the world each year lack visibility. Low- and middle-income countries carry 84% of the burden yet have the least data. Most births are now in facilities, hence routine register-recording presents an opportunity to improve counting of stillbirths, but research is limited, particularly regarding accuracy. This paper evaluates register-recorded measurement of hospital stillbirths, classification accuracy, and barriers and enablers to routine recording.The EN-BIRTH mixed-methods, observational study took place in five hospitals in Bangladesh, Nepal and Tanzania (2017-2018). Clinical observers collected time-stamped data on perinatal care and birth outcomes as gold standard. To assess accuracy of routine register-recorded stillbirth rates, we compared birth outcomes recorded in labour ward registers to observation data. We calculated absolute rate differences and individual-level validation metrics (sensitivity, specificity, percent agreement). We assessed misclassification of stillbirths with neonatal deaths. To examine stillbirth appearance (fresh/macerated) as a proxy for timing of death, we compared appearance to observed timing of intrauterine death based on heart rate at admission.23,072 births were observed including 550 stillbirths. Register-recorded completeness of birth outcomes was > 90%. The observed study stillbirth rate ranged from 3.8 (95%CI = 2.0,7.0) to 50.3 (95%CI = 43.6,58.0)/1000 total births and was under-estimated in routine registers by 1.1 to 7.3 /1000 total births (register: observed ratio 0.9-0.7). Specificity of register-recorded birth outcomes was > 99% and sensitivity varied between hospitals, ranging from 77.7-86.1%. Percent agreement between observer-assessed birth outcome and register-recorded birth outcome was very high across all hospitals and all modes of birth (> 98%). Fresh or macerated stillbirth appearance was a poor proxy for timing of stillbirth. While there were similar numbers of stillbirths misclassified as neonatal deaths (17/430) and neonatal deaths misclassified as stillbirths (21/36), neonatal deaths were proportionately more likely to be misclassified as stillbirths (58.3% vs 4.0%). Enablers to more accurate register-recording of birth outcome included supervision and data use.Our results show these routine registers accurately recorded stillbirths. Fresh/macerated appearance was a poor proxy for intrapartum stillbirths, hence more focus on measuring fetal heart rate is crucial to classification and importantly reduction in these preventable deaths.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Adolescent
- Adult
- Bangladesh
- epidemiology
- Data Accuracy
- Female
- Gestational Age
- Hospitals
- statistics & numerical data
- Humans
- Infant
- Newborn
- Live Birth
- Nepal
- epidemiology
- Pregnancy
- Registries
- statistics & numerical data
- Sensitivity and Specificity
- Stillbirth
- Tanzania
- epidemiology
- Young Adult
- Stillbirth
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Peven, Kimberly
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Day, Louise T
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Ruysen, Harriet
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Tahsina, Tazeen
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KC, Ashish, 1982
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Shabani, Josephi ...
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visa fler...
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Kong, Stefanie
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Ameen, Shafiqul
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Basnet, Omkar
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Haider, Rajib
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Rahman, Qazi Sad ...
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Blencowe, Hannah
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Lawn, Joy E
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reproduktionsmed ...
- Artiklar i publikationen
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BMC pregnancy an ...
- Av lärosätet
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Göteborgs universitet
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Uppsala universitet