Defining Preterm Birth and Stillbirth in the Western Pacific: A Systematic Review

Connolly, Mairead; Phung, Laura; Farrington, Elise; Scoullar, Michelle J. L.; Wilson, Alyce N.; Comrie-Thomson, Liz; Homer, Caroline; Vogel, Joshua P.

doi:10.1177/10105395211026099

Cited by 5 publications

(4 citation statements)

References 34 publications

(61 reference statements)

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“…However, the definition of MHL is not only related to national economic income, but also closely related to national policy environment and socio‐cultural contexts. It is necessary to conduct a comparative study across countries with different socio‐economic‐political‐cultural contexts, such as the United States and China, to measure and improve the provision of maternal and child care across diverse country contexts (Brown et al, 2021; Connolly et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

An integrative review on the maternal health literacy among maternal and child workers

Chen

Yue

Han

et al. 2022

J Nursing Management

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Aims This study aim to capture the most comprehensive evidence‐based dimensions of maternal health literacy, including summarizing the definitions, theoretical frameworks, measuring instruments, and the association between maternal health literacy and health behaviours. Background Maternal health literacy has been recognized as an important approach to achieving high‐quality maternal and child health; however, little is known about maternal health literacy comprehensively and scientifically. Evaluation An integrative review retrieved articles from 11 databases, following the methodology of Whittemore and Knafl. Inductive content analysis and narrative synthesis were conducted, guided by the aim of this review. Key issues A total of 5580 articles were retrieved and 23 articles were finally identified. Existing definitions and theoretical frameworks took less consideration of maternal applicability and failed to summarize maternal health literacy from a dynamic and systematic perspective. Measurement instruments were set up with many items that make it difficult to quickly screen for poor maternal health literacy. Most articles proved the association between maternal health literacy and health behaviours through correlation analysis or regression analysis but less explored the influence pathways between them. Conclusion The definition and theoretical framework need to focus on maternal applicability and explain the process of individual mothers acquiring and understanding health knowledge and skills from a dynamic and systematic perspective. A rapid instrument for maternal health literacy should be developed and high‐quality empirical research was conducted to understand the associated mechanisms between maternal health literacy and health behaviours. Implications for Nursing Management It is necessary to strengthen maternal and child health education of primary health care nurses and enhance their ability to help perinatal women use maternal and child health information effectively.

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Section: Discussionmentioning

confidence: 99%

An integrative review on the maternal health literacy among maternal and child workers

Chen

Yue

Han

et al. 2022

J Nursing Management

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“…2 In the Western Pacific, Connolly et al. 28 identified considerable variation in definitions of preterm birth and stillbirth across the region. Within the PICTs only Tonga had a lower threshold of 28 weeks, while stillbirth definitions ranged from 20 to 28 weeks 28 ( Table 2 ).…”

Section: Maternal and Newborn Health Indicatorsmentioning

confidence: 99%

“… 28 identified considerable variation in definitions of preterm birth and stillbirth across the region. Within the PICTs only Tonga had a lower threshold of 28 weeks, while stillbirth definitions ranged from 20 to 28 weeks 28 ( Table 2 ). In addition, 20–27 weeks makes up almost half of stillbirths in high-income countries so using 28 weeks underestimates the global burden.…”

Section: Maternal and Newborn Health Indicatorsmentioning

confidence: 99%

Improving maternal and newborn health and reducing stillbirths in the Western Pacific Region – current situation and the way forward

Vallely

Calvert²,

Silva³

et al. 2023

The Lancet Regional Health - Western Pacific

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“…Dilemmas in de ning stillbirths and underreporting pose a barrierr in accurate estimation and policy planning [4] .…”

Section: Introductionmentioning

confidence: 99%

A Decade Under the Microscope: Analyzing Fetal Death Rates in the United States (2005-2021), a CDC Wonder Analysis

Chughtai,

Younas

2023

Preprint

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Background: Availability of the CDC WONDER database provides us the opportunity to analyze fetal demise data from the last decade and uncover any underlying patterns. To the best of our knowledge, these trends in the U.S. population have not been explored recently. Objectives: The purpose of this study was to determine the directionality of trends and the regional differences in intrauterine fetal deaths in the United States from 2005 to 2021. Methods: Data from the CDC WONDER (Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiological Research) database were inspected from 2005 to 2021 for fetal mortality in the U.S. Comparisons with respect to year, sex, race/ethnicity and geographic region were performed. Results: Between 2005 and 2021, 406240 total fetal deaths occurred. Total fetal deaths per year have gradually decreased over a span of 17 years from 2005 (25894) to 2021 (21105). On Comparison of the Census Regions, Census Divisions and States, the highest number of fatal deaths was in the South (168595; 41.5%), South Atlantic (90827; 22.4%) and California (43368; 10.7%), respectively. From the numbers provided, we determined that the Non-Hispanic white racial and ethnic group had the highest number of fetal deaths (148091; 36.5%). Of the fetal deaths on record, 52.7% were identified as male and 47.3% as female. 241714 (59.5%) of the fetuses weighed 1499g or less. 91.7% of the fetuses were from singleton pregnancies. 97.8% of the fetal fatalities were in hospitals. The highest number of deaths (21929; 5.4%) was at 21 weeks gestational age. 79.8% of the demised fetuses were delivered vaginally. 6.9%, 4.8%, 5.1%, 0.6% of the pregnant women were diabetic, chronic hypertensive, gestational hypertensive and eclamptic, respectively.

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Defining Preterm Birth and Stillbirth in the Western Pacific: A Systematic Review

Cited by 5 publications

References 34 publications

An integrative review on the maternal health literacy among maternal and child workers

An integrative review on the maternal health literacy among maternal and child workers

Improving maternal and newborn health and reducing stillbirths in the Western Pacific Region – current situation and the way forward

A Decade Under the Microscope: Analyzing Fetal Death Rates in the United States (2005-2021), a CDC Wonder Analysis

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