Trends and risk factors of stillbirth in New Jersey 1997-2005

Introduction: The purpose of this study was to examine the trends in the rates of stillbirth by race and ethnicity and to determine the risk factors of stillbirth. Methods: We used New Jersey data (1997-2005) for live births and fetal deaths. Cox proportional hazards model was used to estimate the r...

Full description

Saved in:
Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2012-06, Vol.25 (6), p.699-705
Main Authors: Faiz, Ambarina S., Demissie, Kitaw, Rich, David Q., Kruse, Lakota, Rhoads, George G.
Format: Article
Language:English
Subjects:
Adult
Birth Rate - ethnology
Birth Rate - trends
Ethnic Groups - statistics & numerical data
Etiology of stillbirth
Female
fetal death
Fetal Death - epidemiology
Fetal Death - ethnology
Fetal Death - etiology
Fetal Mortality - ethnology
Fetal Mortality - trends
Humans
Infant, Newborn
New Jersey - epidemiology
Pregnancy
Risk Factors
risk factors of stillbirth
Socioeconomic Factors
Stillbirth - epidemiology
Stillbirth - ethnology
Time Factors
trends of stillbirth
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction: The purpose of this study was to examine the trends in the rates of stillbirth by race and ethnicity and to determine the risk factors of stillbirth. Methods: We used New Jersey data (1997-2005) for live births and fetal deaths. Cox proportional hazards model was used to estimate the risk of stillbirth associated with maternal risk factors and pregnancy complications. Results: The rate of stillbirth was 4.4/1000 total births (3.4 for white and 7.9 for black non-Hispanics and 4.4 for Hispanics/1000 total births). The rates of stillbirth decreased from 3.8 in 1997 to 2.7/1000 total births in 2005 for white non-Hispanics but remained unchanged for other race/ethnicity groups. Adjusted relative risks for the risk factors associated with stillbirth were 1.3 (95% CI, 1.2-1.4) for maternal age ≥ 35 years, 1.9 (95% CI, 1.7-2.1) for black non-Hispanics, 2.8 (95% CI, 2.4-3.3) for no prenatal care, 40.2 (95% CI, 36.9-43.9) for placental abruption, 5.3 (95% CI, 3.4-8.2) for eclampsia, 3.5 (95% CI, 2.8-4.3) for diabetes mellitus and 1.7 (95% CI, 1.3-2.2) for preeclampsia. Conclusion: There was a decline in the rate of stillbirth but there were persistent racial disparities with the highest rates of stillbirth for black non-Hispanics.
ISSN:1476-7058
1476-4954
DOI:10.3109/14767058.2011.596593