Use of active surveillance methodologies to examine over‐reporting of stillbirths on fetal death certificates

Makelarski, Jennifer A.; Romitti, Paul A.; Caspers, Kristin; Puzhankara, Soman; McDowell, Bradley D.; Piper, Kimberly Noble

doi:10.1002/bdra.22856

Cited by 8 publications

(12 citation statements)

References 21 publications

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“…Data inadequacies, as in most fetal studies, are the major limitation to this study [23,24,25]. The undetected or unreported cases of pregnancy and fetal mortality, especially in the early stages, could lead to the underestimation of this phenomenon.…”

Section: Discussionmentioning

confidence: 94%

Pre-Pregnancy Risk Factors for Intrauterine Fetal Mortality in Ghana

Luguterah¹,

Nokoe²

2013

AJPHR

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Fetal mortality refers to the intrauterine death of a fetus and is a major, but often overlooked public health issue in Ghana. Due in part to a paucity of knowledge of the incidence, etiology and prevention strategies, much of the public concern on reproductive loss has focused on infant mortality. Effective antenatal care, which must be evidence-based information driven, necessitates regular, updated and reviewed studies on risk factors associated with fetal mortality to help in addressing this phenomenon. In this study, using data of the 2007 Ghana Maternal Health Survey, the incidence and some pre-pregnancy risk factors of fetal mortality were studied using non-parametric procedures. The results showed that the first trimester of pregnancy was the riskiest period, accounting for over 50% of all fetal mortalities in Ghana: The third month, where over 5% of pregnancies are lost, is the riskiest month of pregnancy. Previous pregnancy outcomes, the age and education of the mother as well as her place of residence, were shown to be significantly associated with fetal mortality at the 5% significance level: Particularly, women with a history of abortion and those who have never given birth are over 4 times more likely to lose their pregnancy than their counterparts. The results highlight the adverse effects of the pressures of urban life on fetal survival, as well as the need for early antenatal care and comprehensive care for women who lose a fetus.

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Section: Discussionmentioning

confidence: 94%

Pre-Pregnancy Risk Factors for Intrauterine Fetal Mortality in Ghana

Luguterah¹,

Nokoe²

2013

AJPHR

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“…29 Further research on the under-recording of FM in Argentina is required. In other countries, some authors [30][31][32][33][34] have proposed how to carry it out.…”

Section: Discussionmentioning

confidence: 99%

Evolution of fetal mortality in the setting of Argentine socioeconomic inequalities. Period 2007-2014

Loiacono

2018

Arch Argent Pediatr

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“…29 Se debería evaluar el subregistro de la MF en Argentina. En otros países, algunos autores [30][31][32][33][34] proponen cómo realizarlo.…”

Section: Discussionunclassified

Evolución de la mortalidad fetal, inmersa en las desigualdades socioeconómicas de la República Argentina. Período 2007-2014

Loiacono

2018

Arch Argent Pediatr

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Mg. Karina V. Loiacono a RESUMEN Introducción. Pocos estudios relacionaron las condiciones sociales adversas en cuanto a áreas geográficas (AG) con la mortalidad fetal (MF). Objetivo. Evaluar la desigualdad en salud en la MF según las AG. Población y métodos. Estudio descriptivo ecológico. Se analizaron los componentes principales de 525 AG. Se construyó y calculó el indicador de situación socioeconómica e índices de desigualdad, y se estimó la razón de mortalidad fetal (RMF). Resultados. El índice relativo de desigualdad de Kunst y Mackenbach varió de 1,8 a 1,4 para los bienios 2007/2008-2013/2014, y se estimó la mayor RMF para el estrato de situación socioeconómica muy desfavorable. Conclusión. La RMF es mayor para dicho estrato. La brecha entre los extremos de situación socioeconómica disminuyó hacia el último bienio. Independientemente, para las AG de situación socioeconómica muy desfavorable, la RMF descendió en el último bienio y, para las de situación socioeconómica muy favorable, se incrementó.

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Use of active surveillance methodologies to examine over‐reporting of stillbirths on fetal death certificates

Abstract: These results suggest that over-reporting limits the use of FDCs as a primary ascertainment source for stillbirth surveillance in Iowa. Continued expansion of the IRCID active surveillance methodologies to monitor stillbirths in Iowa is recommended.

Cited by 8 publications

References 21 publications

Pre-Pregnancy Risk Factors for Intrauterine Fetal Mortality in Ghana

Pre-Pregnancy Risk Factors for Intrauterine Fetal Mortality in Ghana

Evolution of fetal mortality in the setting of Argentine socioeconomic inequalities. Period 2007-2014

Evolución de la mortalidad fetal, inmersa en las desigualdades socioeconómicas de la República Argentina. Período 2007-2014

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