{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:23:14Z","timestamp":1787271794359,"version":"build-2736575974"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective\u2003Inequalities contribute substantially to adverse perinatal outcomes; however, data on stillbirth risk and its etiologic diversity across maternal migrant status remain limited in Italy. Understanding these patterns is essential for developing targeted prevention strategies. The aim of the present study was to assess stillbirth risk and evaluate differences in underlying causes between Italian and migrant women in a large population-based cohort.<\/jats:p>\n                  <jats:p>Study Design\u2003We conducted a retrospective cohort study including 323,635 births in Emilia-Romagna, Italy (2014\u20132023). Stillbirth (SB) was defined as fetal death at \u226528 weeks. Maternal origin was categorized as Italian versus migrant according to the citizenship. Risk factors were assessed using multivariable logistic and Cox regression models, and causes of fetal death were classified by Re.Co.De.<\/jats:p>\n                  <jats:p>Results\u2003SB incidence was significantly higher in migrants (0.32%) than Italians (0.21%; OR 1.52; HR 1.55, p\u2009&lt;\u20090.001). Low birthweight, advanced maternal age, obesity, and low number of antenatal visits emerged as significant risk factors for SB irrespective of maternal citizenship. Importantly, fetal deaths related to placental pathologies were significantly more frequent in migrants (n\u2009=\u2009150\/328, 45.7% in migrants vs. n\u2009=\u2009159\/464, 34.3% in Italians, p\u2009=\u20090.001), as well as infection\/inflammation (n\u2009=\u200933\/328, 10.1% in migrants vs. 25\/464, 5.4% in Italians, p\u2009=\u20090.019).<\/jats:p>\n                  <jats:p>Conclusion\u2003Substantial diversity in SB etiology exists across mothers of different origin, underscoring the need for tailored prevention strategies. Accordingly, ultrasounds and infection screening (i.e., antenatal care) should be implemented, especially in migrants. Such measures, combined with culturally sensitive counseling could reduce preventable stillbirths in the multicultural Italian population.<\/jats:p>","DOI":"10.1055\/a-2933-0074","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T23:05:13Z","timestamp":1786057513000},"source":"Crossref","is-referenced-by-count":0,"title":["Inequalities in Late Stillbirths: A Population-based Study in Northern Italy"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7808-7578","authenticated-orcid":false,"given":"Laura","family":"Avagliano","sequence":"additional","affiliation":[{"name":"University of Milan, Lombardy, Italy","place":["Milan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0568-9892","authenticated-orcid":false,"given":"Martina","family":"Benuzzi","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Cuoghi Costantini","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Sadd\u00f2","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrica","family":"Perrone","sequence":"additional","affiliation":[{"name":"Emilia-Romagna Health and Welfare Directorate, Italy","place":["Bologna"],"department":["Department of Community Care"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Neri","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Facchinetti","sequence":"additional","affiliation":[{"name":"Advanced School of Nursing and Midwifery at Reggio Emilia, University of Modena and Reggio Emilia, Italy","place":["Modena"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"La Marca","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Monari","sequence":"additional","affiliation":[{"name":"University of Modena and Reggio Emilia, Emilia Romagna, Italy","place":["Modena"],"department":["Department of Medical and Surgical Sciences for Mothers, Children and Adults, Obstetrics and Gynecology Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1111\/jmwh.12490","article-title":"Racial discrimination and adverse birth outcomes: an integrative review","volume":"61","author":"J L 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