{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T09:28:34Z","timestamp":1780824514362,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T00:00:00Z","timestamp":1545177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the rate of stillbirth and neonatal death reporting and testing for Ebola virus during the 2014\u20132015 Ebola virus disease (<jats:styled-content style=\"fixed-case\">EVD<\/jats:styled-content>) outbreak in Sierra Leone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was performed using information from the Sierra Leone National Ebola Laboratory database to identify stillbirths and neonatal deaths that had been tested for Ebola virus from July 2, 2014, to October 18, 2015. Outcomes included the percentage of all tested deaths attributable to stillbirths and neonatal deaths, the proportion of stillbirths and neonatal deaths attributable to Ebola virus, and the annualized rate of stillbirths and neonatal deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 1726 stillbirths and 4708 neonatal deaths were tested for Ebola virus, representing 2.6% and 7.2% of the total deaths tested (n=65\u00a0585), respectively. Of these, 25 stillbirths and neonatal deaths tested positive, accounting for 0.3% of <jats:styled-content style=\"fixed-case\">EVD<\/jats:styled-content> cases. In 2015, the annualized total number of reported stillbirths was higher than expected (3079 vs 1634), whereas reported neonatal deaths were lower (6351 vs 7770).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stillbirth and neonatal death reporting and testing improved over time. Systematic recording of these indicators might be used alongside retrospective surveillance to respond to the adverse effects of <jats:styled-content style=\"fixed-case\">EVD<\/jats:styled-content> on maternal and child health and guide response efforts for subsequent outbreaks.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12722","type":"journal-article","created":{"date-parts":[[2018,11,23]],"date-time":"2018-11-23T09:23:40Z","timestamp":1542965020000},"page":"225-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Stillbirths and neonatal deaths surveillance during the 2014\u20132015 Ebola virus disease outbreak in Sierra Leone"],"prefix":"10.1002","volume":"144","author":[{"given":"Titilope","family":"Oduyebo","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service Centers for Disease Control and Prevention (CDC)  Atlanta GA USA"},{"name":"Division of Reproductive Health National Center for Chronic Disease Prevention and Health Promotion CDC  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah D.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection Center for Global Health CDC  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhaji S.","family":"Nallo","sequence":"additional","affiliation":[{"name":"Office of Births and Deaths Sierra Leone Ministry of Health and Sanitation  Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise J.","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sascha","family":"Ellington","sequence":"additional","affiliation":[{"name":"Division of Reproductive Health National Center for Chronic Disease Prevention and Health Promotion CDC  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Souza","sequence":"additional","affiliation":[{"name":"Division of Surveillance, Hazard Evaluations, and Field Studies National Institute for Occupational Safety and Health CDC  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Meaney\u2010Delman","sequence":"additional","affiliation":[{"name":"Office of the Director National Center for Emerging and Zoonotic Infectious Diseases CDC  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T.","family":"Redd","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection Center for Global Health CDC  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/21665044.2016.1228326"},{"key":"e_1_2_7_3_1","first-page":"1226","article-title":"Perceptions of the risk for Ebola and health facility use among health workers and pregnant and lactating women\u2014Kenema District, Sierra Leone, September 2014","volume":"63","author":"Dynes MM","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_4_1","article-title":"Rapid assessment of Ebola\u2010related implications for reproductive, maternal, newborn and child health service delivery and utilization in Guinea","volume":"7","author":"Barden\u2010O'Fallon J","year":"2015","journal-title":"PLoS Curr"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0150080"},{"key":"e_1_2_7_6_1","article-title":"Services for mothers and newborns during the Ebola outbreak in Liberia: The need for improvement in emergencies","volume":"7","author":"Iyengar P","year":"2015","journal-title":"PLoS Curr"},{"key":"e_1_2_7_7_1","first-page":"6","article-title":"Gains in maternal health being wiped out by Ebola","volume":"17","year":"2014","journal-title":"Pract Midwife"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2015-000007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1086\/514289"},{"key":"e_1_2_7_10_1","first-page":"247","article-title":"Ebola haemorrhagic fever in Sudan, 1976. Report of a WHO\/International Study Team","volume":"56","author":"World Health Organization","year":"1978","journal-title":"Bull World Health Org"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1503275"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2014.19.49.20983"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1404505"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.15-0619"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ1024"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1413084"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001092"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1411680"},{"key":"e_1_2_7_19_1","first-page":"171","article-title":"First newborn baby to receive experimental therapies survives Ebola virus disease","volume":"215","author":"Dornemann J","year":"2017","journal-title":"J Infect Dis"},{"key":"e_1_2_7_20_1","unstructured":"Statistics Sierra Leone and MEASURE DHS ICF International.Sierra Leone Demographic and Health Survey 2013.Freetown Sierra Leone:Statistics Sierra Leone; Rockville MD: MEASURE DHS ICF International;2014.https:\/\/dhsprogram.com\/pubs\/pdf\/fr297\/fr297.pdf. Accessed November 21 2018."},{"key":"e_1_2_7_21_1","unstructured":"United Nations Economic Commission for Africa.MDG report 2014: Assessing progress in Africa toward the millennium development goals.Addis Ababa Ethiopia:United Nations Economic Commission for Africa;2014.http:\/\/www.undp.org\/content\/dam\/rba\/docs\/Reports\/MDG_Africa_Report_2014_ENG.pdf. Accessed November 21 2018."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_7_23_1","first-page":"20","article-title":"Improving burial practices and cemetery management during an Ebola virus disease epidemic\u2014Sierra Leone, 2014","volume":"64","author":"Nielsen CF","year":"2015","journal-title":"Morb Mortal Wkly Rep"},{"key":"e_1_2_7_24_1","unstructured":"Sierra Leone Emergency Management Program.Standard operating procedures for safe dignified medical burials.Freetown Sierra Leone:Sierra Leone Emergency Management Program;2014.https:\/\/www.humanitarianresponse.info\/sites\/www.humanitarianresponse.info\/files\/documents\/files\/sop_for_burial_sl_version2_26feb2015draft.pdf. Accessed November 21 2018."},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-203807"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70009-4"},{"key":"e_1_2_7_27_1","unstructured":"Statistics Sierra Leone.2015 Population and Housing Census summary of final results: planning a better future.Freetown Sierra Leone:Statistics Sierra Leone;2016.https:\/\/www.statistics.sl\/images\/StatisticsSL\/Documents\/final-results_-2015_population_and_housing_census.pdf. Accessed November 21 2018."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12722","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12722","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.12722","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T12:15:44Z","timestamp":1693138544000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1002\/ijgo.12722"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12722","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]},"assertion":[{"value":"2018-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}