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Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study

OBJECTIVES: Stillbirth is a major global health issue, which disproportionately affects families living in low-income and middle-income countries. The Solomon Islands is a Pacific nation with poor perinatal outcomes, however research investigating stillbirth is lacking. Thus, we aimed to investigate...

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Autores principales: De Silva, Manarangi Sajini, Panisi, Leeanne, Manubuasa, Lenin, Honimae, Catherine, Taragwanu, Susan, Burggraaf, Simon, Ogaoga, Divinal, Lindquist, Anthea Clare, Walker, Susan P, Tong, Stephen, Hastie, Roxanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809253/
https://www.ncbi.nlm.nih.gov/pubmed/36585152
http://dx.doi.org/10.1136/bmjopen-2022-066237
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author De Silva, Manarangi Sajini
Panisi, Leeanne
Manubuasa, Lenin
Honimae, Catherine
Taragwanu, Susan
Burggraaf, Simon
Ogaoga, Divinal
Lindquist, Anthea Clare
Walker, Susan P
Tong, Stephen
Hastie, Roxanne
author_facet De Silva, Manarangi Sajini
Panisi, Leeanne
Manubuasa, Lenin
Honimae, Catherine
Taragwanu, Susan
Burggraaf, Simon
Ogaoga, Divinal
Lindquist, Anthea Clare
Walker, Susan P
Tong, Stephen
Hastie, Roxanne
author_sort De Silva, Manarangi Sajini
collection PubMed
description OBJECTIVES: Stillbirth is a major global health issue, which disproportionately affects families living in low-income and middle-income countries. The Solomon Islands is a Pacific nation with poor perinatal outcomes, however research investigating stillbirth is lacking. Thus, we aimed to investigate the incidence and cause of stillbirth occurring at the National Referral Hospital, Solomon Islands. DESIGN: We conducted a retrospective cohort study from January 2017 to December 2018. SETTING: At the only tertiary referral hospital in the Solomon Islands, on the main island of Guadalcanal. PARTICIPANTS: All births occurring in the hospital during the study period. OUTCOME MEASURES: Number of, causes and risk factors for stillbirths (fetal deaths before birth at ≥20 estimated gestational weeks, or ≥500 g in birth weight). RESULTS: Over 2 years 341 stillbirths and 11 056 total births were recorded, giving an institutional incidence of 31 stillbirths per 1000 births. Of the cases with a recorded cause of death, 72% were deemed preventable. Most stillbirths occurred antenatally and 62% at preterm gestations (<37 weeks). 59% had a birth weight below 2500 g and preventable maternal conditions were present in 42% of the cases. 46% of the cases were caused by an acute intrapartum event, and among these 92% did not receive intrapartum monitoring. CONCLUSIONS: Stillbirth affects 31 in every 1000 births at the National Referral Hospital in the Solomon Islands and many cases are preventable. Our findings highlight the urgent need for increased focus on perinatal deaths in the Solomon Islands with universal classification and targeted training, improved quality of obstetrical care and community awareness.
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spelling pubmed-98092532023-01-04 Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study De Silva, Manarangi Sajini Panisi, Leeanne Manubuasa, Lenin Honimae, Catherine Taragwanu, Susan Burggraaf, Simon Ogaoga, Divinal Lindquist, Anthea Clare Walker, Susan P Tong, Stephen Hastie, Roxanne BMJ Open Obstetrics and Gynaecology OBJECTIVES: Stillbirth is a major global health issue, which disproportionately affects families living in low-income and middle-income countries. The Solomon Islands is a Pacific nation with poor perinatal outcomes, however research investigating stillbirth is lacking. Thus, we aimed to investigate the incidence and cause of stillbirth occurring at the National Referral Hospital, Solomon Islands. DESIGN: We conducted a retrospective cohort study from January 2017 to December 2018. SETTING: At the only tertiary referral hospital in the Solomon Islands, on the main island of Guadalcanal. PARTICIPANTS: All births occurring in the hospital during the study period. OUTCOME MEASURES: Number of, causes and risk factors for stillbirths (fetal deaths before birth at ≥20 estimated gestational weeks, or ≥500 g in birth weight). RESULTS: Over 2 years 341 stillbirths and 11 056 total births were recorded, giving an institutional incidence of 31 stillbirths per 1000 births. Of the cases with a recorded cause of death, 72% were deemed preventable. Most stillbirths occurred antenatally and 62% at preterm gestations (<37 weeks). 59% had a birth weight below 2500 g and preventable maternal conditions were present in 42% of the cases. 46% of the cases were caused by an acute intrapartum event, and among these 92% did not receive intrapartum monitoring. CONCLUSIONS: Stillbirth affects 31 in every 1000 births at the National Referral Hospital in the Solomon Islands and many cases are preventable. Our findings highlight the urgent need for increased focus on perinatal deaths in the Solomon Islands with universal classification and targeted training, improved quality of obstetrical care and community awareness. BMJ Publishing Group 2022-12-30 /pmc/articles/PMC9809253/ /pubmed/36585152 http://dx.doi.org/10.1136/bmjopen-2022-066237 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Obstetrics and Gynaecology
De Silva, Manarangi Sajini
Panisi, Leeanne
Manubuasa, Lenin
Honimae, Catherine
Taragwanu, Susan
Burggraaf, Simon
Ogaoga, Divinal
Lindquist, Anthea Clare
Walker, Susan P
Tong, Stephen
Hastie, Roxanne
Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title_full Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title_fullStr Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title_full_unstemmed Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title_short Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study
title_sort incidence and causes of stillbirth in the only tertiary referral hospital in the solomon islands: a hospital-based retrospective cohort study
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809253/
https://www.ncbi.nlm.nih.gov/pubmed/36585152
http://dx.doi.org/10.1136/bmjopen-2022-066237
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