Trends in the causes of stillbirths over 20 years in Southern Japan
Background This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan. Methods This was a population-based retrospective...
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Published in | BMC pregnancy and childbirth Vol. 25; no. 1; pp. 654 - 7 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
BioMed Central
04.06.2025
BMC |
Subjects | |
Online Access | Get full text |
ISSN | 1471-2393 1471-2393 |
DOI | 10.1186/s12884-025-07794-8 |
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Abstract | Background
This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan.
Methods
This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test.
Results
Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was “no relevant condition identified” in 39.5% cases, followed by “abruption” in 12.3%, “lethal congenital anomaly” in 9.5%, and “umbilical cord, other” in 5.8%. The trends in stillbirths caused by “fetal growth restriction,” “abruption,” “asphyxia,” and “no relevant condition identified” significantly decreased. However, no change in trend due to “lethal congenital anomaly” was seen. The stillbirth trend caused by “cord, other” significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged.
Conclusions
Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. |
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AbstractList | BackgroundThis study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan.MethodsThis was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test.ResultsOver the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was “no relevant condition identified” in 39.5% cases, followed by “abruption” in 12.3%, “lethal congenital anomaly” in 9.5%, and “umbilical cord, other” in 5.8%. The trends in stillbirths caused by “fetal growth restriction,” “abruption,” “asphyxia,” and “no relevant condition identified” significantly decreased. However, no change in trend due to “lethal congenital anomaly” was seen. The stillbirth trend caused by “cord, other” significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged.ConclusionsOver the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. Background This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan. Methods This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test. Results Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was “no relevant condition identified” in 39.5% cases, followed by “abruption” in 12.3%, “lethal congenital anomaly” in 9.5%, and “umbilical cord, other” in 5.8%. The trends in stillbirths caused by “fetal growth restriction,” “abruption,” “asphyxia,” and “no relevant condition identified” significantly decreased. However, no change in trend due to “lethal congenital anomaly” was seen. The stillbirth trend caused by “cord, other” significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged. Conclusions Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan.BACKGROUNDThis study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan.This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test.METHODSThis was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test.Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was "no relevant condition identified" in 39.5% cases, followed by "abruption" in 12.3%, "lethal congenital anomaly" in 9.5%, and "umbilical cord, other" in 5.8%. The trends in stillbirths caused by "fetal growth restriction," "abruption," "asphyxia," and "no relevant condition identified" significantly decreased. However, no change in trend due to "lethal congenital anomaly" was seen. The stillbirth trend caused by "cord, other" significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged.RESULTSOver the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was "no relevant condition identified" in 39.5% cases, followed by "abruption" in 12.3%, "lethal congenital anomaly" in 9.5%, and "umbilical cord, other" in 5.8%. The trends in stillbirths caused by "fetal growth restriction," "abruption," "asphyxia," and "no relevant condition identified" significantly decreased. However, no change in trend due to "lethal congenital anomaly" was seen. The stillbirth trend caused by "cord, other" significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged.Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes.CONCLUSIONSOver the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan. This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test. Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was "no relevant condition identified" in 39.5% cases, followed by "abruption" in 12.3%, "lethal congenital anomaly" in 9.5%, and "umbilical cord, other" in 5.8%. The trends in stillbirths caused by "fetal growth restriction," "abruption," "asphyxia," and "no relevant condition identified" significantly decreased. However, no change in trend due to "lethal congenital anomaly" was seen. The stillbirth trend caused by "cord, other" significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged. Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. Abstract Background This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan. Methods This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test. Results Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was “no relevant condition identified” in 39.5% cases, followed by “abruption” in 12.3%, “lethal congenital anomaly” in 9.5%, and “umbilical cord, other” in 5.8%. The trends in stillbirths caused by “fetal growth restriction,” “abruption,” “asphyxia,” and “no relevant condition identified” significantly decreased. However, no change in trend due to “lethal congenital anomaly” was seen. The stillbirth trend caused by “cord, other” significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged. Conclusions Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. |
ArticleNumber | 654 |
Author | Kodama, Yuki Sameshima, Hiroshi Kino, Emi Ikenoue, Tsuyomu Maki, Yohei Katsuragi, Shinji Yamada, Naoshi |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40468225$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/j.earlhumdev.2007.08.004 10.1097/AOG.0000000000001937 10.3109/14767058.2011.587061 10.1016/S0140-6736(11)60064-0 10.2350/05-05-0051.1 10.1371/journal.pone.0125246 10.1016/j.earlhumdev.2008.10.007 10.1038/s41598-018-22546-9 10.1111/aogs.13126 10.1111/1471-0528.14971 10.1111/aogs.13992 10.1111/jog.15438 10.1111/ajo.13497 10.1016/j.ajog.2005.03.074 10.1016/j.ajog.2011.10.026 10.1186/1471-2393-9-22 10.1186/s12884-019-2432-2 10.1186/1471-2393-10-S1-S1 10.1016/j.ajog.2006.11.041 10.1097/AOG.0000000000003676 10.1111/ped.12331 10.1136/bmj.38629.587639.7C 10.1371/journal.pone.0239630 10.1016/j.siny.2017.02.003 10.1080/14767058.2024.2321485 10.1097/AOG.0b013e3181e7d975 |
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Keywords | Chorioamnionitis Congenital defects Fetal growth restriction Stillbirth Asphyxia Umbilical cord Placental abruption |
Language | English |
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References | K Tindal (7794_CR3) 2022; 62 7794_CR4 RC Fretts (7794_CR27) 2005; 193 A Itakura (7794_CR15) 2023; 49 HQ Peng (7794_CR26) 2006; 9 HE Reinebrant (7794_CR16) 2018; 125 BD O’Leary (7794_CR20) 2021; 100 DJ Dudley (7794_CR12) 2010; 116 M Aminu (7794_CR9) 2017; 96 J Gardosi (7794_CR8) 2005; 331 T Okai (7794_CR13) 2003; 30 V Flenady (7794_CR17) 2011; 377 G Po (7794_CR28) 2019; 19 M Kasahara (7794_CR23) 2024; 37 T Norris (7794_CR21) 2017; 22 RM Silver (7794_CR10) 2007; 196 JF Frøen (7794_CR11) 2009; 9 K Itabashi (7794_CR14) 2014; 56 R Haruyama (7794_CR5) 2018; 8 DJL Hayes (7794_CR24) 2020; 15 H Sameshima (7794_CR6) 2008; 84 7794_CR19 CV Ananth (7794_CR22) 2015; 10 JM Page (7794_CR18) 2017; 129 7794_CR1 K Doi (7794_CR2) 2012; 25 Y Kodama (7794_CR7) 2009; 85 IA Hammad (7794_CR25) 2020; 135 |
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This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in... This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to... BackgroundThis study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in... Abstract Background This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal... |
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SubjectTerms | Adult Asphyxia Autopsies Births Cause of Death - trends Childbirth & labor Chorioamnionitis Congenital defects Congenital diseases Databases, Factual Ending preventable stillbirths Female Fetal growth restriction Gestational age Gynecology Humans Infant, Newborn Japan - epidemiology Maternal and Child Health Medicine Medicine & Public Health Placental abruption Pregnancy Reproductive Medicine Retrospective Studies Stillbirth Stillbirth - epidemiology Trends Ultrasonic imaging Umbilical cord |
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Title | Trends in the causes of stillbirths over 20 years in Southern Japan |
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