{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:31:15Z","timestamp":1781195475081,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1116640"],"award-info":[{"award-number":["1116640"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015471","name":"Mater Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015471","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Globally, a stillbirth occurs every 17\u2009seconds totalling almost 2\u2009million every year. The global standard for reporting stillbirths is the stillbirth rate. While a critical and accessible summary statistic, it masks gestational age\u2010specific trends.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to summarise and critique stillbirth trends and document gestational age\u2010specific rates and risk calculations according to three published methodologies: gestational age\u2010specific stillbirth rate (GS\u2010SBR), foetus\u2010at\u2010risk (FAR) stillbirth rate, and continuity corrected foetus\u2010at\u2010risk (ccFAR) stillbirth rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional analysis of all births from the National Perinatal Data Collection in Australia (1998\u20132018). Stillbirth was defined as the birth of a baby with no sign of life from 20\u2009weeks of gestation or weighing 400\u2009grams at birth. Three statistical measures were applied reflecting alternate denominators: the GS\u2010SBR measure used the number of births in a given week, the FAR used the number of foetuses in utero at the start of a week, and the ccFAR used the number of foetuses at the midpoint of the week.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In Australia from 1998 to 2018, there were 39,576 stillbirths among 5.9\u2009million births, an overall stillbirth rate of 6.7 per 1000 births. For each week of gestation (20\u201341+), the average GS\u2010SBR varied from 1.0 to 790.0 stillbirths per 1000 births; FAR varied from 0.1 to 1.2 stillbirths per 1000 FAR; and ccFAR varied from 0.1 to 2.4 stillbirths per 1000 ongoing pregnancies. The three stillbirth rate calculations showed distinct trends during pregnancy, and only FAR and ccFAR reflected increased stillbirth risk as gestation advances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When calculating gestational\u2010age\u2010specific stillbirth rates, the FAR or ccFAR approaches provide the most accurate representation of the probability of stillbirth throughout pregnancy and better enable clinicians to act on risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.13148","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T07:10:49Z","timestamp":1733382649000},"page":"198-204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Gestational Age\u2010Specific Stillbirth Rates: Are We Using the\u00a0Right Denominator?"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5536-9468","authenticated-orcid":false,"given":"Jessica","family":"Sexton","sequence":"first","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8099-6087","authenticated-orcid":false,"given":"Aleena M.","family":"Wojcieszek","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina M.","family":"Chambers","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Coory","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Andrews","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Al\u2010Gharibeh","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"},{"name":"School of Nursing, Midwifery and Social Work The University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ellwood","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"},{"name":"School of Medicine and Dentistry Griffith University, and Gold Coast University Hospital  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"NHMRC Centre of Research Excellence in Stillbirth Mater Research Institute \u2013 The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Never Forgotten: The Situation of Stillbirth Around the Globe. 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