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Causes and temporal changes in nationally collected stillbirth audit data in high-resource settings

journal contribution
posted on 2017-02-22, 14:09 authored by Tom Norris, Bradley N. Manktelow, Lucy K. Smith, Elizabeth S. Draper
Few high-income countries have an active national programme of stillbirth audit. From the three national programmes identified (UK, New Zealand, and the Netherlands) steady declines in annual stillbirth rates have been observed over the audit period between 1993 and 2014. Unexplained stillbirth remains the largest group in the classification of stillbirths, with a decline in intrapartum-related stillbirths, which could represent improvements in intrapartum care. All three national audits of stillbirths suggest that up to half of all reviewed stillbirths have elements of care that failed to follow standards and guidance. Variation in the classification of stillbirth, cause of death and frequency of risk factor groups limit our ability to draw meaningful conclusions as to the true scale of the burden and the changing epidemiology of stillbirths in high-income countries. International standardization of these would facilitate direct comparisons between countries. The observed declines in stillbirth rates over the period of perinatal audit, a possible consequence of recommendations for improved antenatal care, should serve to incentivise other countries to implement similar audit programmes.

History

Citation

Seminars in Fetal and Neonatal Medicine 2017

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

  • AM (Accepted Manuscript)

Published in

Seminars in Fetal and Neonatal Medicine 2017

Publisher

WB Saunders

issn

1744-165X

eissn

1878-0946

Acceptance date

2017-01-09

Copyright date

2017

Available date

2018-02-16

Publisher version

http://www.sciencedirect.com/science/article/pii/S1744165X17300185

Notes

The file associated with this record is under embargo until 12 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.

Language

en

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