{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:56:44Z","timestamp":1765727804971},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,7,23]],"date-time":"2015-07-23T00:00:00Z","timestamp":1437609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Timor\u2010Leste has high maternal and infant mortality rates. Estimates of stillbirths are unreliable and limited by poor collection of vital health statistics. Lack of accurate data impedes the development of interventions to address local determinants of stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to identify the rate, timing and causes of stillbirths at National Hospital Guido Valadares in Dili, Timor\u2010Leste, between November 2009 and December 2010, during which data were available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Hospital birth registry and maternal records were retrospectively reviewed to identify stillbirths during the study period. The simplified Cause of Death and Associated Conditions system was utilised to classify stillbirths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and fifty\u2010three stillbirths were identified, producing a stillbirth rate of 29 per 1000 births. Of stillbirths with known timing, 70 (66.7%) occurred antepartum and 35 (33.3%) intrapartum. Cause of death could not be ascertained in 62.7% of cases due to poor or missing records. Where identified, the three most commonly classified causes of death were intrapartum fetal asphyxia, maternal infection and maternal hypertensive disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the need for standardised recording and coding of perinatal deaths at <jats:styled-content style=\"fixed-case\">HNGV<\/jats:styled-content>. The high proportion of antenatal death transfers from community health centres demonstrates the need for community and hospital staff training to improve the quality of antenatal and intrapartum obstetric care. A prospective study of stillbirths is recommended to obtain reliable data on the determinants of stillbirths in Timor\u2010Leste. These data would inform evidence\u2010based interventions for the improvement of maternity and obstetric care in community and hospital settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12337","type":"journal-article","created":{"date-parts":[[2015,7,23]],"date-time":"2015-07-23T08:24:46Z","timestamp":1437639886000},"page":"331-336","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A retrospective review of stillbirths at the national hospital in Timor\u2010Leste"],"prefix":"10.1111","volume":"55","author":[{"given":"Alexa","family":"Wilkins","sequence":"first","affiliation":[{"name":"International Health Programme School of Nursing and Midwifery Curtin University Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaya","family":"Earnest","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences International Health Programme School of Nursing and Midwifery Curtin University Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth Anne","family":"Mccarthy","sequence":"additional","affiliation":[{"name":"Melbourne University Medical School University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Shub","sequence":"additional","affiliation":[{"name":"Melbourne University Medical School University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,23]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Timor Leste: Politics, History, and Culture","author":"Molnar AK","year":"2010"},{"key":"e_1_2_7_3_1","volume-title":"Timor\u2010Leste Demographic Health Survey 2009\u20132010","author":"National Statistics Directorate","year":"2010"},{"key":"e_1_2_7_4_1","volume-title":"World Health Statistics 2013","author":"World Health Organization","year":"2013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62187-3"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-S1-S2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62306-9"},{"key":"e_1_2_7_8_1","unstructured":"United Nations Children's Fund 2011"},{"key":"e_1_2_7_9_1","volume-title":"PSANZ Clinical Practice Guideline for Perinatal Mortality","author":"Flenady V","year":"2009"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-58"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62232-5"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-013-1232-y"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12209"},{"key":"e_1_2_7_14_1","volume-title":"Timor\u2010Leste Strategic Development Plan 2011\u20132030","author":"World Health Organization Country Office for Timor\u2010Leste","year":"2011"},{"key":"e_1_2_7_15_1","volume-title":"ICD\u201010: International Statistical Classification of Diseases and Related Health Problems \u2013 Instruction Manual","author":"World Health Organization","year":"2004"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-22"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-24"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-11-25"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2008.00961.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2011.01670.x"},{"key":"e_1_2_7_21_1","volume-title":"Pakistan Demographic and Health Surveys 2006\u201307","author":"National Institute of Population Studies and Macro International","year":"2008"},{"key":"e_1_2_7_22_1","volume-title":"Affairs UNDoEaS. 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