Major Risk Factors for Stillbirth in High-Income Countries: A Systematic Review and Meta-Analysis
Pourquoi ce travail est dans la base
Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.
Notice bibliographique
Résumé
Risk factors for stillbirth have been extensively investigated in the past 2 decades, with increasing emphasis on those that are potentially avoidable. Use of strategies that target potentially avoidable or preventable risk factors could achieve reduction in stillbirth rates. This systematic review of the medical literature was conducted to identify important risk factors for stillbirth in high-income countries that could be potentially reduced through lifestyle or medical intervention. Data from population-based studies published between 1998 and 2009 were obtained by search of several databases, including Medline, CINAHL, and Cochrane Database of Systemic Reviews. The contribution of important modifiable risk factors for stillbirth was estimated for the 5 high-income countries (Australia, Canada, Netherlands, United Kingdom, and United States) having the highest numbers of stillbirths and all relevant data required for analysis. The population-attributable risk (PAR) was calculated for each risk factor identified. Among the 6963 studies identified in the initial review, 96 population-based studies were included after full review. Across the 5 countries, the highest ranking modifiable risk factors were maternal overweight and obesity (body mass index >25 kg/m2); prevalence of overweight and obesity ranged from 28% to 58%, with PARs of around 8% to 18% contributing to around 8000 stillbirths (≥22 weeks' gestation) annually. Two other important modifiable risk factors, advanced maternal age (>35 years) and maternal smoking, had PARs of 7% to 11% and 4% to 7%, respectively, and contribute annually to more than 4200 and 2800 stillbirths, respectively. Maternal smoking is estimated to contribute to approximately 20% of stillbirths in disadvantaged populations (indigenous Australian and Canadian women). The contribution of primiparity to stillbirths is estimated to be around 15%. Among pregnancy disorders, small size for gestational age and placental abruption have the highest PARs (23% and 15%, respectively). Other important risk factors associated with stillbirth in high-income countries include preexisting diabetes and hypertension. These findings suggest that a prevention strategy addressing potentially modifiable risk factors for stillbirth (overweight and obesity, advanced maternal age, and smoking) in high-income countries may achieve substantial reductions in stillbirth rates.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,025 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,020 | 0,003 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle