{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:03:46Z","timestamp":1778864626450,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To classify cause\u2010of\u2010death (<jats:styled-content style=\"fixed-case\">COD<\/jats:styled-content>) for stillbirths occurring in a major referral hospital in Kumasi, Ghana.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective review conducted between June 8, 2011, and June 12, 2012, detailed information was collected on all stillbirths delivered at Komfo Anokye Teaching Hospital in Kumasi, Ghana. Patient records were independently reviewed by investigators using the Perinatal Society of Australia and New Zealand's Perinatal Death Classification system to determine <jats:styled-content style=\"fixed-case\">COD<\/jats:styled-content> for each case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">COD<\/jats:styled-content> was analyzed in 465 stillbirth cases. The leading causes of death were hypoxic interpartum death (105, 22.6%), antepartum hemorrhage (67, 14.4%), hypertension (52, 11.2%), and perinatal infection (32, 6.9%). One hundred and fifty seven (33.8%) stillbirths were classified as unexplained antepartum deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This evaluation of stillbirth in a busy, tertiary care hospital in Kumasi, Ghana provides crucial insight into the high volume of stillbirth in Ghana as well as its medical causes. The study demonstrated the high rate of stillbirth attributed to hypoxic intrapartum events, placental abruption, pre\u2010eclampsia, and unspecified bacterial infections. Yet, our rate of unexplained stillbirths underscores the need for a stillbirth classification system that thoughtfully integrates the needs and limitations of low\u2010resource settings as unexplained stillbirth rates are a common indicator of the effectiveness of a classification system.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12930","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T02:59:16Z","timestamp":1564369156000},"page":"173-178","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Determining the cause of stillbirth in Kumasi, Ghana"],"prefix":"10.1002","volume":"147","author":[{"given":"Jennifer N.","family":"Angell","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine Oregon Health and Science University  Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul\u2010Razak S.","family":"Abdul\u2010Mumin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Komfo Anokye Teaching Hospital  Kumasi Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine J.","family":"Gold","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Michigan  Ann Arbor MI USA"},{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60098-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31575-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-S1-S1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802559129"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-S1-S2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_8_8_1","unstructured":"Ghana Statistical Service.Ghana Demographic Health Survey[Website].https\u200b:\/\/dhspr\u200bogram.com\/pubs\/pdf\/FR307\/\u200bFR307.pdf. 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