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dc.contributor.authorHilder, Lisa
dc.contributor.authorFlenady, Vicki
dc.contributor.authorEllwood, David
dc.contributor.authorDonnolley, Natasha
dc.contributor.authorChambers, Georgina M
dc.date.accessioned2019-08-22T03:01:56Z
dc.date.available2019-08-22T03:01:56Z
dc.date.issued2018
dc.identifier.issn0269-5022
dc.identifier.doi10.1111/ppe.12508
dc.identifier.urihttp://hdl.handle.net/10072/383764
dc.description.abstractBackground: Stillbirth remains a public health concern in high‐income countries. Over the past 20 years, stillbirth rates globally have shown little improvement and large disparities. The overall stillbirth rate, which measures risk among births at all gestations, masks diverging trends at different gestations. This study investigates trends over time in gestation‐specific risk of stillbirth in Australia. Methods: Analytical epidemiological study using nationally reported gestational age data for births in Australia, 1994‐2015. Average annual change in gestation‐specific prospective risk of stillbirth (per 1000 fetuses at risk [FAR]) was calculated among births in 1994‐2009 and 2010‐2015 at term (37‐41 weeks) and for preterm gestational age subgroups: 28‐36, 24‐27, and 20‐23 weeks. Results: The decline in risk of stillbirth at term from 2010 to 2015 from 1.43 to 1.16 per 1000 FAR was more rapid than from 1994 to 2009; for preterm gestations from 24 to 27 weeks, there were no discernible trends; from 28 to 36 weeks, the decline between 1994 and 2009 was not sustained; among births from 20 to 23 weeks, the risk of stillbirth plateaued in 2010‐2015, fluctuating around 3.3 per 1000 FAR. Conclusions: Improvement in the stillbirth rate from 28 weeks’ gestation aligns with changes in other high‐income countries, but more work is needed in Australia to achieve the levels of reduction seen elsewhere. Gestation‐specific risk of stillbirth is more informative than the overall stillbirth rate. The message that the overall risk of stillbirth is not changing disregards gains at different stages of pregnancy.
dc.description.peerreviewedYes
dc.description.sponsorshipGold Coast Hospital and Health Service
dc.description.sponsorshipGold Coast Hospital and Health Service
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom487
dc.relation.ispartofpageto494
dc.relation.ispartofissue6
dc.relation.ispartofjournalPaediatric and Perinatal Epidemiology
dc.relation.ispartofvolume32
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/GNT1081026
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/APP1067363
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/APP1029613
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/APP1116640
dc.relation.grantIDGNT1081026
dc.relation.grantIDAPP1067363
dc.relation.grantIDAPP1029613
dc.relation.grantIDAPP1116640
dc.relation.fundersNHMRC
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchEpidemiology
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode4202
dc.titleImproving, but could do better: Trends in gestation-specific stillbirth in Australia, 1994-2015
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorEllwood, David A.


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