{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:06:25Z","timestamp":1777907185979,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,8,8]],"date-time":"2018-08-08T00:00:00Z","timestamp":1533686400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>A global concern is to end preventable stillbirths by the year 2030. The objective of this study was to document the stillbirth rate and causes of stillbirths in a low-resource setting. This was a retrospective descriptive study carried out at Mpilo Central Hospital, a tertiary teaching referral government hospital in Bulawayo, Zimbabwe during the period January to December 2016. There were 8801 live births and 268 stillbirths (rate: 30.5\/1000). The majority(81.3%) were macerated. Pre-term labour, pre-eclampsia, eclampsia and abruptio placenta accounted for 51.1%. In 29.9%, the cause could not be identified. A high proportion of macerated stillbirths were unexplained; hence this calls for a renewed focus on community-based approaches to reduce delays in seeking care. Investment in robust diagnostic means and further training of healthcare workers to improve case definition are both urgently required.<\/jats:p>","DOI":"10.1177\/0049475518789030","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T02:25:58Z","timestamp":1533781558000},"page":"310-313","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Stillbirth rate and causes in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe"],"prefix":"10.1177","volume":"48","author":[{"given":"Solwayo","family":"Ngwenya","sequence":"first","affiliation":[{"name":"Consultant Obstetrician and Gynaecologist, Head of Department of Obstetrics & Gynaecology, Clinical Director, Mpilo Central Hospital, Mzilikazi, Zimbabwe"},{"name":"Founder and Chief Executive Officer, Royal Women\u2019s Clinic, Hillside, Zimbabwe"},{"name":"Part-Lecturer, National University of Science and Technology, Medical School, Bulawayo, Matabeleland, Zimbabwe"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,8,8]]},"reference":[{"key":"bibr1-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1061-2"},{"key":"bibr2-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12995"},{"key":"bibr3-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62269-6"},{"key":"bibr4-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-12-S2-S7"},{"key":"bibr5-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-S1-S6"},{"key":"bibr6-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01020-X"},{"key":"bibr7-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2010.09.009"},{"key":"bibr8-0049475518789030","unstructured":"ZIMDAT. Census Report 2012. Available at: www.zimstat.co.zw."},{"key":"bibr9-0049475518789030","first-page":"30","volume":"56","author":"Ferusa SA","year":"2010","journal-title":"Cent Afr J Med"},{"key":"bibr10-0049475518789030","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.961416"},{"key":"bibr11-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-139"},{"key":"bibr12-0049475518789030","unstructured":"Munjanja S.\n                      Zimbabwe Maternal and Perinatal Mortality Study\n                      . Harare: Ministry of Health and Child Welfare Zimbabwe\/Unicef, 2007."},{"key":"bibr13-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003942"},{"key":"bibr14-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-017-2567-z"},{"key":"bibr15-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.01.012"},{"key":"bibr16-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.01.011"},{"key":"bibr17-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0472-9"},{"key":"bibr18-0049475518789030","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1186\/1471-2393-9-S1-S7","volume":"9","author":"Bhutta ZA","year":"2009","journal-title":"BMC Pregnancy Childbirth"},{"key":"bibr19-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/12.3.183"},{"key":"bibr20-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-280"},{"key":"bibr21-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60564-4"},{"key":"bibr22-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-15-S2-S9"},{"key":"bibr23-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.07.004"},{"key":"bibr24-0049475518789030","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00954-X"},{"key":"bibr25-0049475518789030","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.14.145532"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475518789030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475518789030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475518789030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:31:07Z","timestamp":1777642267000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475518789030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,8]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1177\/0049475518789030"],"URL":"https:\/\/doi.org\/10.1177\/0049475518789030","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,8]]}}}