{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:08:56Z","timestamp":1777522136055,"version":"3.51.4"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2017-0274_s_999_w2aab3b7c56b1b6b1aab1c15b1Aa\">\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To estimate the incidence of stillbirth, explore the associated maternal and fetal factors and to evaluate the most appropriate classification of stillbirth for a multiethnic population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2017-0274_s_998_w2aab3b7c56b1b6b1aab1c15b2Aa\">\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>This is a retrospective population-based study of stillbirth in a large tertiary unit. Data of each stillbirth with a gestational age &gt;\/=24 weeks in the year 2015 were collected from electronic medical records and analyzed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2017-0274_s_997_w2aab3b7c56b1b6b1aab1c15b3Aa\">\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>The stillbirth rate for our multiethnic population is 7.81 per 1000 births. Maternal medical factors comprised 52.4% in which the rates of hypertensive disorders, diabetes and other medical disorders were 22.5%, 20.8% and 8.3%, respectively. The most common fetal factor was intrauterine growth restriction (IUGR) (22.5%) followed by congenital anomalies (21.6%). All cases were categorized using the Wigglesworth, Aberdeen, Tulip, ReCoDe and International Classification of Diseases-perinatal mortality (ICD-PM) classifications and the rates of unclassified stillbirths were 59.2%, 46.6%, 16.6%, 11.6% and 7.5%, respectively. An autopsy was performed in 9.1% of cases reflecting local religious and cultural sensitivities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2017-0274_s_996_w2aab3b7c56b1b6b1aab1c15b4Aa\">\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>This study highlighted the modifiable risk factors among the Middle Eastern population. The most appropriate classification was the ICD-PM. The low rates of autopsy prevented a detailed evaluation of stillbirths, therefore it is suggested that a minimally invasive autopsy [postmortem magnetic resonance imaging (MRI)] may improve the quality of care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2017-0274","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T22:16:29Z","timestamp":1513894589000},"page":"1022-1027","source":"Crossref","is-referenced-by-count":16,"title":["Risk factors and classification of stillbirth in a Middle Eastern population: a retrospective study"],"prefix":"10.1515","volume":"46","author":[{"given":"Mariam","family":"Kunjachen Maducolil","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Women\u2019s Hospital, Hamad Medical Corporation, PO BOX 3050 , Doha , Qatar , Tel.: +97433938513"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hafsa","family":"Abid","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Womens Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael Marian","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Womens Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambreen Qayyum","family":"Chughtai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Womens Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjumand Muhammad","family":"Afzal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Womens Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huda Abdullah Hussain","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Womens Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen W.","family":"Lindow","sequence":"additional","affiliation":[{"name":"Division Chief Obstetrics, Sidra Medical and Research Center, Weill Cornell Medical College \u2013 Qatar , Doha , Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2017,12,21]]},"reference":[{"key":"2021021320254030462_j_jpm-2017-0274_ref_001_w2aab3b7c56b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"Smith GC, Fretts RC. 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