{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T10:55:19Z","timestamp":1782125719609,"version":"3.54.5"},"reference-count":37,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"The National Health and Medical Research Council of Australia","award":["1136418"],"award-info":[{"award-number":["1136418"]}]},{"name":"The National Health and Medical Research Council of Australia","award":["1176922"],"award-info":[{"award-number":["1176922"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,12,15]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Stillbirth is a major global health issue, which disproportionately affects families living in low-income and middle-income countries. The Solomon Islands is a Pacific nation with poor perinatal outcomes, however research investigating stillbirth is lacking. Thus, we aimed to investigate the incidence and cause of stillbirth occurring at the National Referral Hospital, Solomon Islands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study from January 2017 to December 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>At the only tertiary referral hospital in the Solomon Islands, on the main island of Guadalcanal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All births occurring in the hospital during the study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Number of, causes and risk factors for stillbirths (fetal deaths before birth at \u226520 estimated gestational weeks, or \u2265500\u2009g in birth weight).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over 2\u2009years 341 stillbirths and 11\u2009056 total births were recorded, giving an institutional incidence of 31 stillbirths per 1000 births. Of the cases with a recorded cause of death, 72% were deemed preventable. Most stillbirths occurred antenatally and 62% at preterm gestations (&lt;37 weeks). 59% had a birth weight below 2500 g and preventable maternal conditions were present in 42% of the cases. 46% of the cases were caused by an acute intrapartum event, and among these 92% did not receive intrapartum monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stillbirth affects 31 in every 1000 births at the National Referral Hospital in the Solomon Islands and many cases are preventable. Our findings highlight the urgent need for increased focus on perinatal deaths in the Solomon Islands with universal classification and targeted training, improved quality of obstetrical care and community awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-066237","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T10:10:51Z","timestamp":1672395051000},"page":"e066237","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence and causes of stillbirth in the only tertiary referral hospital in the Solomon Islands: a hospital-based retrospective cohort study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0780-519X","authenticated-orcid":false,"given":"Manarangi Sajini","family":"De Silva","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, The University of Melbourne Melbourne Medical School, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leeanne","family":"Panisi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenin","family":"Manubuasa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Honimae","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Taragwanu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, National Referral Hospital, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Burggraaf","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Office of the WHO Representative in Solomon Islands, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divinal","family":"Ogaoga","sequence":"additional","affiliation":[{"name":"Ministry of Health of Solomon Islands, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthea Clare","family":"Lindquist","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9075-4655","authenticated-orcid":false,"given":"Susan P","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxanne","family":"Hastie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"2025121403060484000_12.12.e066237.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62310-0"},{"key":"2025121403060484000_12.12.e066237.2","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1016\/S2214-109X(15)00275-2","article-title":"National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis","volume":"4","author":"Blencowe","year":"2016","journal-title":"Lancet Glob Health"},{"key":"2025121403060484000_12.12.e066237.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"2025121403060484000_12.12.e066237.4","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/inthealth\/ihz015","article-title":"Stillbirth in low- and middle-income countries: addressing the 'silent epidemic'","volume":"11","author":"Aminu","year":"2019","journal-title":"Int Health"},{"key":"2025121403060484000_12.12.e066237.5","doi-asserted-by":"crossref","DOI":"10.1186\/1742-4755-12-S2-S7","article-title":"Stillbirth rates in low-middle income countries 2010 - 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