{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:55:00Z","timestamp":1791374100940,"version":"4.3.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To undertake a retrospective perinatal death audit and assessment of avoidable factors associated with stillbirths among a cohort of women in two provinces in Papua New Guinea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from an ongoing cluster\u2010randomized crossover trial in 10 sites among 4600 women in Papua New Guinea (from 2017 to date). The overarching aim is to improve birth outcomes. All stillbirths from July 2017 to January 2020 were identified. The Perinatal Problem Identification Program was used to analyze each stillbirth and review associated avoidable factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 59 stillbirths among 2558 births (23 per 1000 births); 68% (40\/59) were classified \u201cfresh\u201d and 32% as \u201cmacerated\u201d. Perinatal cause of death was identified for 63% (37\/59): 30% (11\/37) were due to intrapartum asphyxia and traumatic breech birth and 19% (7\/37) were the result of pre\u2010eclampsia. At least one avoidable factor was identified for 95% (56\/59) of stillbirths. Patient\u2010associated factors included lack of response to reduced fetal movements and delay in seeking care during labor. Health personnel\u2010associated factors included poor intrapartum care, late diagnosis of breech presentation, and prolonged second stage with no intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Factors associated with stillbirths in this setting could be avoided through a package of interventions at both the community and health\u2010facility levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13431","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T12:01:51Z","timestamp":1603540911000},"page":"160-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Perinatal death audit and classification of stillbirths in two provinces in Papua New Guinea: A retrospective analysis"],"prefix":"10.1002","volume":"153","author":[{"given":"Lisa M.","family":"Vallely","sequence":"first","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"},{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Smith","sequence":"additional","affiliation":[{"name":"Maternal, Child and Adolescent Health Program Burnet Institute Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Bolnga","sequence":"additional","affiliation":[{"name":"Modilon Hospital Madang Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delly","family":"Babona","sequence":"additional","affiliation":[{"name":"St Mary's Hospital Vunapope East New Britain Province Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela A.","family":"Riddell","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"},{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Mengi","sequence":"additional","affiliation":[{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Au","sequence":"additional","affiliation":[{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherolyn","family":"Polomon","sequence":"additional","affiliation":[{"name":"Pacific Adventist University Port Moresby Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua P.","family":"Vogel","sequence":"additional","affiliation":[{"name":"Maternal, Child and Adolescent Health Program Burnet Institute Melbourne VIC 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