{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:27:06Z","timestamp":1790602026215,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T00:00:00Z","timestamp":1478476800000},"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":[[2017,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Accurate determination of causes of stillbirth is critical to effective prevention. Autopsy remains the gold standard investigation for stillbirth; however, with low autopsy rates many stillbirths are likely to be \u2018unexplored\u2019 rather than \u2018unexplained\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine factors associated with autopsy following stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Routinely collected population\u2010based data on all singleton stillbirths of at least 400\u00a0g birthweight or 20\u00a0weeks gestation in Queensland between July 2000 and December 2011 were examined. Adjusted odds ratios (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 99% <jats:styled-content style=\"fixed-case\">CI)<\/jats:styled-content> were calculated accounting for sociodemographic, pregnancy and medical factors. Of interest was initially unexplained stillbirth on the death certificate; analysis was stratified by gestational age group (&lt;24, 24\u201327, 28\u201336 and \u226537\u00a0weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 3842 singleton stillbirths included in these analyses, 1356 (35.3%) had an autopsy performed. Initially unexplained stillbirth was associated with decreased odds of autopsy at late gestation (28\u201336\u00a0weeks, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.63 (99% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.42\u20100.93); \u226537\u00a0weeks, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.53 (99% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.35\u20100.81)) as was intrapartum stillbirth (&lt;24\u00a0weeks, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.63 (99% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.43\u20100.94); 28\u201336\u00a0weeks, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.37 (99% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.14\u20130.98)). Congenital abnormality (&lt;24\u00a0weeks, \u226537\u00a0weeks), small\u2010for\u2010gestational age (&lt;24\u00a0weeks), and primigravidity (\u226537\u00a0weeks) were associated with increased odds of autopsy following stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pregnancy factors are associated with stillbirth autopsy. These findings have implications for development of appropriate information for parents and education of clinical staff. Further research is needed into factors influencing autopsy following stillbirth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12563","type":"journal-article","created":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T10:40:24Z","timestamp":1478515224000},"page":"33-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Predictors of autopsy following stillbirth in Queensland, Australia: A population\u2010based study"],"prefix":"10.1111","volume":"57","author":[{"given":"Ibinabo","family":"Ibiebele","sequence":"first","affiliation":[{"name":"Mater Research Institute\u2010University of Queensland  Brisbane Queensland Australia"},{"name":"School of Public Health University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances M.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010University of Queensland  Brisbane Queensland Australia"},{"name":"School of Public Health University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dell","family":"Horey","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Public Health La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Lourie","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010University of Queensland  Brisbane Queensland Australia"},{"name":"Translational Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Wilson","sequence":"additional","affiliation":[{"name":"Mater Mothers\u2019 Hospital Mater Health Services  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Coory","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010University of Queensland  Brisbane Queensland Australia"},{"name":"School of Public Health University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"HilderL LiZ ZekiR SullivanAE.Stillbirths in Australia 1991\u20132009. Perinatal Statistics Series No. 29. Cat. no. PER 63. Canberra: AIHW National Perinatal Epidemiology and Statistics Unit 2014."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01020-X"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13047"},{"key":"e_1_2_7_5_1","unstructured":"FlenadyF KingJ CharlesAet\u00a0al.Clinical practice guideline for perinatal mortality. Version 2.2 April 2009.www.psanz.com.au. Brisbane 2009."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2007.07.003"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2007.00116.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1823"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2014.10.008"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2010.07.022"},{"key":"e_1_2_7_11_1","unstructured":"Royal College of Pathologists.Guidelines on autopsy practice: Report of a working group of the Royal College of Pathologists 2002. [Accessed 25 February 2016.] Available from URL:http:\/\/www.rcpath.org\/NR\/rdonlyres\/412AEB13-F5B8-4C6B-A087-2833223C7A4D\/0\/main_document.pdf2004."},{"key":"e_1_2_7_12_1","unstructured":"LiZ ZekiR HilderL SullivanAE.Australia's mothers and babies 2011. Perinatal statistics series no. 28. Cat. no. Per 59.Canberra:AIHW National Perinatal Epidemiology and Statistics Unit 2013."},{"key":"e_1_2_7_13_1","unstructured":"Australian Bureau of Statistics.An Introduction to Socio\u2010Economic Indexes for Areas (SEIFA) 2006. ABS Cat. No. 2039.0.Canberra:ABS 2008."},{"key":"e_1_2_7_14_1","unstructured":"Australian Bureau of Statistics.Statistical Geography Volume 1 \u2013 Australian Standard Geographical Classification (ASGC). ABS Cat. No. 1216.0.Canberra:ABS 2006."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03357.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62232-5"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6973.155"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12305"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0943-7"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31819e9ee2"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2003.11.004"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.11.041"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.01.045"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.02.002"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.48.11.998"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10024-001-0263-3"},{"key":"e_1_2_7_28_1","doi-asserted-by":"crossref","first-page":"706","DOI":"10.5858\/2002-126-0706-DIPDOP","article-title":"Discrepancy in pathologic diagnosis of placental lesions","volume":"126","author":"Sun CC","year":"2002","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1317-4"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12563","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T16:33:17Z","timestamp":1695486797000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,7]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1111\/ajo.12563"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12563","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,7]]},"assertion":[{"value":"2016-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-10-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-11-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}