Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity.
Stillbirth rates have stalled or increased in some European countries during the last decade. We investigate to what extent time-trends and between-country differences in stillbirth rates are explained by the changing prevalence of advanced maternal age and teenage pregnancies or multiple births. We...
| Publicado en: | European Journal of Public Health Vol. 35; no. 2; pp. 319 - 328 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184271033&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184271033 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Apr2025 vid: 35 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 184271033 184271033 184271033 10.1093/eurpub/ckae214 184271033 ppf: 319 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity. aug: au: Kniffka, Maxi S Schöley, Jonas Lee, Susie Bertens, Loes C M Been, Jasper V Gunnarsdóttir, Jóhanna Network, The Euro-Peristat affil: Max Planck Institute for Demographic Research, Social Demography, Rostock, Germany sug: subj: Perinatal Death Trends Maternal Age Perinatal Death Epidemiology Multiple Birth Offspring Europe Pregnancy in Adolescence Pregnancy Female Perinatal Death Prevention and Control Human Netherlands Mediterranean Islands Belgium Ireland Comparative Studies Funding Source Female ab: Stillbirth rates have stalled or increased in some European countries during the last decade. We investigate to what extent time-trends and between-country differences in stillbirth rates are explained by the changing prevalence of advanced maternal age and teenage pregnancies or multiple births. We analysed data on stillbirths and live births by maternal age and multiplicity from 2010 to 2021 in 25 European countries using Kitagawa decomposition to separate rate differences into compositional and rate components. Rates significantly decreased in six countries, but increased in two. Changes in maternal age structure reduced national stillbirth rates by a maximum of 0.04 per 1000 in the Netherlands and increased rates by up to 0.85 in Cyprus. Changes in the prevalence of multiple births decreased rates by up to 0.19 in the Netherlands and increased rates by up to 0.01 across multiple countries. Maternal age differences explained between 0.11 of the below-European average stillbirth rate in Belgium and 0.13 of the above-average rate in Ireland. Excluding Cyprus, differences in multiple births explained between 0.05 of the below-average rate in Malta and 0.03 of the above-average rate in Ireland. For most countries, the increase in advanced-age pregnancies contributed to rising stillbirth rates over time, while reductions in multiples led to decreases in rates. However, large parts of the trends remain unexplained by those factors. By 2021, neither factor explained the differences between countries, due to increased compositional uniformity and declining stillbirth risk for advanced maternal age. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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