{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:20:24Z","timestamp":1790688024227,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T00:00:00Z","timestamp":1599004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate a stillbirth rate at 24 or more gestational weeks in 2015\u20132016 and to explore potentially preventable causes in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multi\u2010centre cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Ninety\u2010six hospitals distributed in 24 (of 34) provinces in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>A total of 75\u00a0132 births at 24 completed weeks of gestation or more.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>COX Proportional Hazard Models were performed to examine risk factors for antepartum and intrapartum stillbirths. Population attributable risk percentage was calculated for major risk factors. Correspondence analysis was used to explore region\u2010specific risk factors for stillbirths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Stillbirth rate and risk factors for stillbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 75\u00a0132 births including 949 stillbirths were used for the final analysis, giving a weighted stillbirth rate of 13.2 per 1000 births (95% CI 7.9\u201318.5). Small for gestational age (SGA) and pre\u2010eclampsia\/eclampsia increased antepartum stillbirths by 26.2% and 11.7%, respectively. Fetal anomalies increased antepartum and intrapartum stillbirths by 17.9% and 7.4%, respectively. Overall, 31.4% of all stillbirths were potentially preventable. Advanced maternal age, pre\u2010pregnant obesity, chronic hypertension and diabetes mellitus were important risk factors in East China; low education and SGA were major risk factors in Northwest, Southwest, Northeast and South China; and pre\u2010eclampsia\/eclampsia and intrapartum complications were significant risk factors in Central China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of stillbirth was 13.2 per 1000 births in China in 2015\u20132016. Nearly one\u2010third of all stillbirths may be preventable. Strategies based on regional characteristics should be considered to reduce further the burden of stillbirths in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Tweetable abstract<\/jats:title>\n                    <jats:p>The stillbirth rate was 13.2 per 1000 births in China in 2015\u20132016 and nearly one\u2010third of all stillbirths may be preventable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.16458","type":"journal-article","created":{"date-parts":[[2020,8,8]],"date-time":"2020-08-08T09:10:20Z","timestamp":1596877820000},"page":"67-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Stillbirths in China: a nationwide survey"],"prefix":"10.1111","volume":"128","author":[{"given":"J","family":"Zhu","sequence":"first","affiliation":[{"name":"MOE\u2010Shanghai Key Laboratory of Children's Environmental Health Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"},{"name":"Department of Obstetrics and Gynecology Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Zhang","sequence":"additional","affiliation":[{"name":"MOE\u2010Shanghai Key Laboratory of Children's Environmental Health Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Shijiazhuang Obstetrics and Gynecology Hospital Hebei 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