{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T08:58:56Z","timestamp":1785401936265,"version":"3.56.0"},"reference-count":19,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Stillbirths are a global public health challenge, predominantly affecting low- and middle-income countries. The causes of most stillbirths are preventable.\n\nObjectives:\u00a0this study reviewed perinatal clinical audit data from Kgapane Hospital over a 4-year period with a special focus on the factors associated with stillbirths.\n\nMethods:\u00a0File audits were done for all stillbirths occurring at Kgapane Hospital and its catchment area from 2018 to 2021. The data from these audits were analysed to identify factors associated with stillbirths.\n\nResults:\u00a0A total of 392 stillbirths occurred during the study period at Kgapane Hospital and its surrounding clinics, resulting in a stillborn rate of 19.06\/1000 births. Of the 392 stillbirths recorded, audits were conducted on 354 of the maternal case records. The five most common causes of stillbirths identified were: hypertensive disorders in pregnancy (HDP) (29.7%), intrauterine growth restriction without HDP (11.6%), birth asphyxia (7.1%), premature labour (&lt; 1000 g) (6.5%) and maternal infections (5.9%) including HIV with unsuppressed VL, intrauterine infection, coronavirus disease (COVID) and syphilis. Modifiable factors that can form the basis of improvement strategies should include training, timeous referral, plus improved resources and staffing.\n\nConclusion:\u00a0Understanding the causes of stillbirths can guide improvement strategies to reduce this heart-breaking complication of pregnancy.\n\nContribution:\u00a0Family physicians working in rural hospitals are also responsible for perinatal care. Understanding the factors associated with stillbirths will guide them to develop improvement strategies to reduce these preventable deaths.<\/jats:p>","DOI":"10.4102\/safp.v66i1.5863","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T18:05:23Z","timestamp":1713377123000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Causes of stillbirths at Kgapane hospital, Limpopo province"],"prefix":"10.4102","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2964-7065","authenticated-orcid":false,"given":"Gert J.O.","family":"Marincowitz","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017p87168","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Limpopo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-9800","authenticated-orcid":false,"given":"Clara","family":"Marincowitz","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05bk57929","id-type":"ROR","asserted-by":"publisher"}],"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,4,17]]},"reference":[{"key":"ref0","unstructured":"United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME). A neglected tragedy. The global burden of stillbirths. New York, NY: United Nations Children\u2019s Fund; 2020."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Hug L, You D, Blencowe H, et al. Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: A systematic assessment. Lancet. 2021;398(10302):772\u2013785. https:\/\/doi.org\/10.1016\/S0140-6736(21)01112-0","DOI":"10.1016\/S0140-6736(21)01112-0"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Tiruneh D, Assefa N, Mengiste B. Perinatal mortality and its determinants in sub Saharan African countries: Systematic review and meta-analysis. Matern Health Neonatol Perinatol. 2021;7:1. https:\/\/doi.org\/10.1186\/s40748-020-00120-4","DOI":"10.1186\/s40748-020-00120-4"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Kiguli J, Munabi IG, Ssegujja E, et al. Stillbirths in sub-Saharan Africa: Unspoken grief. 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