The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system.
<h4>Objective</h4>To determine stillbirth ratio and its association with maternal, perinatal, and delivery characteristics, as well as geographic differences in Latin American countries (LAC).<h4>Methods</h4>We analysed data from the Perinatal Information System of the Latin...
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Public Library of Science (PLoS)
2023-01-01
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| Online Access: | https://doi.org/10.1371/journal.pone.0296002 |
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| author | Bremen de Mucio Claudio Sosa Mercedes Colomar Luis Mainero Carmen M Cruz Luz M Chévez Rita Lopez Gema Carrillo Ulises Rizo Erika E Saint Hillaire William E Arriaga Rosa M Guadalupe Flores Carlos Ochoa Freddy Gonzalez Rigoberto Castro Allan Stefan Amanda Moreno Sherly Metelus Renato T Souza Maria L Costa Adriana G Luz Maria H Sousa José G Cecatti Suzanne J Serruya |
| author_facet | Bremen de Mucio Claudio Sosa Mercedes Colomar Luis Mainero Carmen M Cruz Luz M Chévez Rita Lopez Gema Carrillo Ulises Rizo Erika E Saint Hillaire William E Arriaga Rosa M Guadalupe Flores Carlos Ochoa Freddy Gonzalez Rigoberto Castro Allan Stefan Amanda Moreno Sherly Metelus Renato T Souza Maria L Costa Adriana G Luz Maria H Sousa José G Cecatti Suzanne J Serruya |
| author_sort | Bremen de Mucio |
| collection | DOAJ |
| description | <h4>Objective</h4>To determine stillbirth ratio and its association with maternal, perinatal, and delivery characteristics, as well as geographic differences in Latin American countries (LAC).<h4>Methods</h4>We analysed data from the Perinatal Information System of the Latin American Center for Perinatology and Human Development (CLAP) between January 2018 and June 2021 in 8 health facilities from five LAC countries (Bolivia, Guatemala, Honduras, Nicaragua, and the Dominican Republic). Maternal, pregnancy, and delivery characteristics, in addition to pregnancy outcomes were reported. Estimates of association were tested using chi-square tests, and P < 0.05 was regarded as significant. Bivariate analysis was conducted to estimate stillbirth risk. Prevalence ratios (PR) with their 95% confidence intervals (CI) for each predictor were reported.<h4>Results</h4>In total, 101,852 childbirths comprised the SIP database. For this analysis, we included 99,712 childbirths. There were 762 stillbirths during the study period; the Stillbirth ratio of 7.7/1,000 live births (ranged from 3.8 to 18.2/1,000 live births across the different maternities); 586 (76.9%) were antepartum stillbirths, 150 (19.7%) were intrapartum stillbirths and 26 (3.4%) with an ignored time of death. Stillbirth was significantly associated with women with diabetes (PRadj 2.36; 95%CI [1.25-4.46]), preeclampsia (PRadj 2.01; 95%CI [1.26-3.19]), maternal age (PRadj 1.04; 95%CI [1.02-1.05]), any medical condition (PRadj 1.48; 95%CI [1.24-1.76, and severe maternal outcome (PRadj 3.27; 95%CI [3.27-11.66]).<h4>Conclusions</h4>Pregnancy complications and maternal morbidity were significantly associated with stillbirths. The stillbirth ratios varied across the maternity hospitals, which highlights the importance for individual surveillance. Specialized antenatal and intrapartum care remains a priority, particularly for women who are at a higher risk of stillbirth. |
| format | Article |
| id | doaj-art-c62640c465e445d28906dba485647f11 |
| institution | OA Journals |
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| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-c62640c465e445d28906dba485647f112025-08-20T02:23:15ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011812e029600210.1371/journal.pone.0296002The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system.Bremen de MucioClaudio SosaMercedes ColomarLuis MaineroCarmen M CruzLuz M ChévezRita LopezGema CarrilloUlises RizoErika E Saint HillaireWilliam E ArriagaRosa M Guadalupe FloresCarlos OchoaFreddy GonzalezRigoberto CastroAllan StefanAmanda MorenoSherly MetelusRenato T SouzaMaria L CostaAdriana G LuzMaria H SousaJosé G CecattiSuzanne J Serruya<h4>Objective</h4>To determine stillbirth ratio and its association with maternal, perinatal, and delivery characteristics, as well as geographic differences in Latin American countries (LAC).<h4>Methods</h4>We analysed data from the Perinatal Information System of the Latin American Center for Perinatology and Human Development (CLAP) between January 2018 and June 2021 in 8 health facilities from five LAC countries (Bolivia, Guatemala, Honduras, Nicaragua, and the Dominican Republic). Maternal, pregnancy, and delivery characteristics, in addition to pregnancy outcomes were reported. Estimates of association were tested using chi-square tests, and P < 0.05 was regarded as significant. Bivariate analysis was conducted to estimate stillbirth risk. Prevalence ratios (PR) with their 95% confidence intervals (CI) for each predictor were reported.<h4>Results</h4>In total, 101,852 childbirths comprised the SIP database. For this analysis, we included 99,712 childbirths. There were 762 stillbirths during the study period; the Stillbirth ratio of 7.7/1,000 live births (ranged from 3.8 to 18.2/1,000 live births across the different maternities); 586 (76.9%) were antepartum stillbirths, 150 (19.7%) were intrapartum stillbirths and 26 (3.4%) with an ignored time of death. Stillbirth was significantly associated with women with diabetes (PRadj 2.36; 95%CI [1.25-4.46]), preeclampsia (PRadj 2.01; 95%CI [1.26-3.19]), maternal age (PRadj 1.04; 95%CI [1.02-1.05]), any medical condition (PRadj 1.48; 95%CI [1.24-1.76, and severe maternal outcome (PRadj 3.27; 95%CI [3.27-11.66]).<h4>Conclusions</h4>Pregnancy complications and maternal morbidity were significantly associated with stillbirths. The stillbirth ratios varied across the maternity hospitals, which highlights the importance for individual surveillance. Specialized antenatal and intrapartum care remains a priority, particularly for women who are at a higher risk of stillbirth.https://doi.org/10.1371/journal.pone.0296002 |
| spellingShingle | Bremen de Mucio Claudio Sosa Mercedes Colomar Luis Mainero Carmen M Cruz Luz M Chévez Rita Lopez Gema Carrillo Ulises Rizo Erika E Saint Hillaire William E Arriaga Rosa M Guadalupe Flores Carlos Ochoa Freddy Gonzalez Rigoberto Castro Allan Stefan Amanda Moreno Sherly Metelus Renato T Souza Maria L Costa Adriana G Luz Maria H Sousa José G Cecatti Suzanne J Serruya The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. PLoS ONE |
| title | The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. |
| title_full | The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. |
| title_fullStr | The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. |
| title_full_unstemmed | The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. |
| title_short | The burden of stillbirths in low resource settings in Latin America: Evidence from a network using an electronic surveillance system. |
| title_sort | burden of stillbirths in low resource settings in latin america evidence from a network using an electronic surveillance system |
| url | https://doi.org/10.1371/journal.pone.0296002 |
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