{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T11:40:48Z","timestamp":1771846848896,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore term mortality rates in relation to rates of early\u2010term birth (gestational ages 37\u2009+\u20090 to 38\u2009+\u20096\u2009weeks), regarded as a proxy indicator of practices of elective birth by induction or caesarean.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Ecological study using national birth data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>28 European countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Births \u2265\u200937\u2009weeks between 2015 and 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Aggregated data on live and stillbirths by completed week of gestation was compiled from routine sources in the Euro\u2010Peristat network. Countries were divided into three groups based on their percentages of early\u2010term births using terciles (high, medium and low) and mortality rates were compared between groups with random\u2010effects meta\u2010analysis of proportions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Stillbirths (antepartum or intrapartum fetal death) and perinatal death (stillbirth or early neonatal death) per 1000 total births \u2265\u200937\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Early\u2010term birth rates ranged from 17.8% (Iceland) to 49.1% (Cyprus), with terciles being &lt;\u200921%, 21%\u201327%, and\u2009&gt;\u200927%. Post\u2010term birth rates were low in countries with higher early\u2010term birth rates. The pooled stillbirth rate\u2009\u2265\u200937\u2009weeks was 1.28 per 1000 total births (95% CI: 1.13\u20131.46) in the lowest tercile and 1.05 (95% CI: 0.95\u20131.16) in the highest (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05), but prediction intervals were wide reflecting heterogeneity within groups. No evidence of difference was seen between perinatal mortality rates by tercile (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.71).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>On average, the stillbirth rate was lower in countries where early\u2010term birth rates were highest, but no difference was found in perinatal mortality rates. Heterogeneity was high within groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.18292","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T10:13:31Z","timestamp":1752142411000},"page":"1655-1663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Timing of Term Births and Associated Mortality Risks: Ecological Analysis Across 28 European Countries"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2989-7160","authenticated-orcid":false,"given":"J\u00f3hanna","family":"Gunnarsd\u00f3ttir","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Obstetrics and Gynecology Landspitali\u2014The National University Hospital of Iceland  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Philibert","sequence":"additional","affiliation":[{"name":"Obstetrical Perinatal and Pediatric Epidemiology Universit\u00e9 Paris Cit\u00e9, Inserm  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[{"name":"Department of Data and Analytics THL Finnish Institute for Health and Welfare  Helsinki Finland"},{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"K\u00e4ll\u00e9n","sequence":"additional","affiliation":[{"name":"The National Board of Health and Welfare, Department of Evaluation and Analysis Epidemiology and Methodological Support Unit  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kari","family":"Klungs\u00f8yr","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Division of Mental and Physical Health The Norwegian Institute of Public Health  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marzia","family":"Loghi","sequence":"additional","affiliation":[{"name":"Directorate for Social Statistics and Welfare Italian Statistic Institute\u2014Istat  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Macfarlane","sequence":"additional","affiliation":[{"name":"Centre for Maternal and Child Health Research City St George's, University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luule","family":"Sakkeus","sequence":"additional","affiliation":[{"name":"Estonian Institute for Population Studies Tallinn University  Tallinn Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vlad","family":"Tica","sequence":"additional","affiliation":[{"name":"University \u201cOvidius\u201d, County University Emergency Hospital  Constanta Romania"},{"name":"Academy of Romanian Scientists  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9568-2969","authenticated-orcid":false,"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Obstetrical Perinatal and Pediatric Epidemiology Universit\u00e9 Paris Cit\u00e9, Inserm  Paris 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