{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T06:20:11Z","timestamp":1787552411766,"version":"build-2736575974"},"reference-count":54,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014748","name":"Clarendon Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014748","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010348","name":"Kellogg College, University of Oxford","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010348","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024811","name":"Nuffield Department of Population Health, University of Oxford","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024811","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W029294\/1 and MR\/P022030\/1"],"award-info":[{"award-number":["MR\/W029294\/1 and MR\/P022030\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the risk factors for intrapartum stillbirth and examine whether these are different from that of antepartum stillbirth, and investigate the survival probabilities of fetuses by gestational age in high\u2010risk pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary data analysis of a hospital\u2010based cohort study from India, including 9774 singleton pregnancies from 13 hospitals across six states. We conducted modified Poisson regression analysis to assess associations between potential risk factors and intrapartum stillbirth. Kaplan\u2013Meier survival curves were used to explore survival probabilities of fetuses among pregnant women who had anemia and hypertensive disorders in pregnancy (HDP) compared with those who did not have these problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 167 intrapartum stillbirths and 9607 live births; representing an incidence of 17.1 per 1000 total births (95% confidence interval [CI]: 14.6\u201319.9). Risk factors identified were illiteracy (adjusted risk ratio [aRR]: 2.37, 95% CI: 1.33\u20134.38), age\u2009&gt;\u200934\u2009years (aRR: 3.17, 1.41\u20137.36), &lt;4 antenatal check\u2010ups (aRR: 1.90, 1.27\u20132.87), &lt;100\u2009days of iron and folic acid supplementation (aRR: 9.10, 4.15\u201321.05), other HDP (aRR: 2.48, 1.36\u20134.25), severe anemia (aRR: 3.33, 1.82\u20136.63), preterm birth (aRR: 3.25, 2.26\u20134.69) and &lt;10th percentile birth weight\u2010for\u2010gestational age (aRR: 1.57, 1.14\u20132.17). These were similar to the risk factors for antepartum stillbirths. Survival probabilities for fetuses among women with pre\u2010eclampsia\/eclampsia and severe anemia decreased from 34\u2009weeks' and 30\u2009weeks' gestation, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this high\u2010risk hospital cohort of pregnant women undergoing labor induction or augmentation, risk factors for intrapartum stillbirth overlapped substantially with those for antepartum stillbirth, although the antepartum analysis was underpowered. Targeted monitoring of women with severe anemia and HDP from 30\u2009weeks may reduce intrapartum stillbirth risk in similar settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71321","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:40:05Z","timestamp":1787550005000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors for intrapartum stillbirth and the survival probabilities of fetuses among pregnant women with complications: Secondary analysis of data from a multicenter prospective cohort study in India"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2557-0678","authenticated-orcid":false,"given":"Yebeen Ysabelle","family":"Boo","sequence":"first","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saswati S.","family":"Choudhury","sequence":"additional","affiliation":[{"name":"Gauhati Medical College and Hospital  Guwahati India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzana","family":"Zahir","sequence":"additional","affiliation":[{"name":"Assam Medical College (AMC)  Dibrugarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gitanjali","family":"Deka","sequence":"additional","affiliation":[{"name":"Tezpur Medical College and Hospital  Tezpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrit K.","family":"Bora","sequence":"additional","affiliation":[{"name":"Sonapur District Hospital  Sonapur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakuntala","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Mahatma Gandhi Institute of Medical Sciences  Wardha India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod","family":"Kumar","sequence":"additional","affiliation":[{"name":"Mahatma Gandhi Institute of Medical Sciences  Wardha India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranabika","family":"Mahanta","sequence":"additional","affiliation":[{"name":"Jorhat Medical College and Hospital  Jorhat India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bina","family":"Minz","sequence":"additional","affiliation":[{"name":"Sewa Bhawan Hospital Society  Basna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Rani","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences Banaras Hindu University  Varanasi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sereesha","family":"Rao","sequence":"additional","affiliation":[{"name":"Silchar Medical College and Hospital  Silchar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indrani","family":"Roy","sequence":"additional","affiliation":[{"name":"Nazareth Hospital  Shillong India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Solomi V.","sequence":"additional","affiliation":[{"name":"Makunda Christian Leprosy and General Hospital  Karimganj India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Verma","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Government Medical College  Sadarpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swapna","family":"Kakoty","sequence":"additional","affiliation":[{"name":"Fakhruddin Ali Ahmed Medical College and Hospital  Barpeta India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omesh Kumar","family":"Bharti","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Family Welfare, Government of Himachal Pradesh State Institute of Health and Family Welfare  Shimla India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupanjali","family":"Deka","sequence":"additional","affiliation":[{"name":"Srimanta Sankaradeva University of Health Sciences  Guwahati India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Opondo","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics London School of Hygiene &amp; Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuck Seng","family":"Cheng","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Kurinczuk","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Nair","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the MaatHRI collaborators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00836-3"},{"key":"e_1_2_11_3_1","volume-title":"Never Forgotten: the Situation of Stillbirth around the Globe","author":"United Nations Inter\u2010agency Group for Child Mortality Estimation (UN IGME)","year":"2023"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01112-0"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00379-0"},{"key":"e_1_2_11_6_1","unstructured":"United Nations.Transforming our World: The 2030 Agenda for Sustainable Development.2015."},{"key":"e_1_2_11_7_1","volume-title":"Every Newborn: an Action Plan to End Preventable Deaths","author":"World Health Organization","year":"2014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01925-1"},{"key":"e_1_2_11_9_1","unstructured":"Ministry of Health & Family Welfare Government of India.Indian Newborn Action Plan.2014."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15367"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701644876"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1727220"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.24923.3"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lansea.2024.100417"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050815"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.16008"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1557-4"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022583"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16820"},{"key":"e_1_2_11_20_1","first-page":"76","volume-title":"A Conceptual Framework for Action on the Social Determinants of Health","author":"World Health Organization","year":"2010"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115507"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14463"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh201"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.08.014"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2607"},{"key":"e_1_2_11_26_1","unstructured":"Planning Commission (Government of India).Press Note on Poverty Estimates 2011\u201312.2013."},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/41892"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-020-01099-9"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0226-9"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.40153.x"},{"key":"e_1_2_11_31_1","first-page":"138","article-title":"Infant mortality in India: use of maternal and child health services in relation to literacy status","volume":"20","author":"Gokhale MK","year":"2002","journal-title":"J Health Popul Nutr"},{"key":"e_1_2_11_32_1","volume-title":"WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience","author":"World Health Organization","year":"2016"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.47203\/IJCH.2022.v34i04.002"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2008.00855.x"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2009.097170"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-09814-w"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf077"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00688-8"},{"key":"e_1_2_11_39_1","unstructured":"Countdown to 2030.Country Equity Profiles \u2010 India. Country Equity Profiles.2023. Accessed February 21 2024.https:\/\/www.countdown2030.org\/equity\u2010profiles"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.04.034"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/134.9.2169"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1556742"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2006.00044.x"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15163508"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5704-2"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-021623"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.27059"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13522"},{"key":"e_1_2_11_49_1","volume-title":"FOGSI GCPR on Fetal Growth Restriction","author":"Gandhi A","year":"2021"},{"key":"e_1_2_11_50_1","volume-title":"WHO antenatal care randomized trial: manual for the implementation of the new model. Ensayo Cl\u00ednico Aleatorizado de Control Prenatal de La OMS: Manual Para La Puesta En Pr\u00e1ctica Del Nuevo Modelo de Control Prenatal","author":"World Health Organization","year":"2002"},{"key":"e_1_2_11_51_1","volume-title":"Anemia Mukt Bharat: Poshan Abhiyaan. PM's Overarching Scheme for Holistic Nourishment","author":"National Health Mission","year":"2023"},{"key":"e_1_2_11_52_1","first-page":"163","article-title":"Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management","volume":"57","author":"Misra A","year":"2009","journal-title":"J Assoc Physicians India"},{"key":"e_1_2_11_53_1","volume-title":"Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity","author":"World Health Organization","year":"2011"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2021.09.008"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60932-6"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71321","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:40:09Z","timestamp":1787550009000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,23]]},"references-count":54,"alternative-id":["10.1002\/ijgo.71321"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71321","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,23]]},"assertion":[{"value":"2026-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71321"}}