WEKO3
アイテム
Trends in the causes of stillbirths over 20 years in Southern Japan
http://hdl.handle.net/10458/0002001509
http://hdl.handle.net/10458/00020015091412aa9e-c4b9-48e6-9aa1-8becb6e26359
| 名前 / ファイル | ライセンス | アクション |
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||||||
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| 公開日 | 2025-07-21 | |||||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||||
| タイトル | Trends in the causes of stillbirths over 20 years in Southern Japan | |||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Asphyxia | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Chorioamnionitis | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Congenital defects | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Fetal growth restriction | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Placental abruption | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Stillbirth | |||||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||||
| キーワード | Umbilical cord | |||||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||||
| 著者 |
Kino, Emi
× Kino, Emi
× Maki, Yohei
× 山田, 直史× 児玉, 由紀
WEKO
24698
× 桂木, 真司
WEKO
34852
× 鮫島, 浩
WEKO
7804
× 池ノ上, 克 |
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| 抄録 | ||||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||||
| 内容記述 | Background This study aimed to determine the temporal trend in the causes of stillbirths over a period of two decades using a regional perinatal database in order to facilitate the development of perinatal strategies to prevent stillbirths in Japan. Methods This was a population-based retrospective study. Cases of perinatal death and neurological damage were reported by perinatal centers and primary birth clinics, followed by their peer review and audit, and final registration in the database. Data for stillbirths, defined as fetal death at ≥ 22 weeks of gestation between January 1, 2001, and December 31, 2020, were extracted from the database. Causes of stillbirths were reclassified according to the ReCoDe system. Temporal trends in the causes of stillbirths per 1,000 births and proportion of the causes were evaluated using the Cochran-Armitage test. Results Over the 20 years, in the study region, a total of 205,025 were delivered at ≥ 22 weeks of gestation, and 569 were stillborn (2.8 per 1,000 births). The most common cause of stillbirth was “no relevant condition identified” in 39.5% cases, followed by “abruption” in 12.3%, “lethal congenital anomaly” in 9.5%, and “umbilical cord, other” in 5.8%. The trends in stillbirths caused by “fetal growth restriction,” “abruption,” “asphyxia,” and “no relevant condition identified” significantly decreased. However, no change in trend due to “lethal congenital anomaly” was seen. The stillbirth trend caused by “cord, other” significantly increased. The proportion of stillbirths related to unidentified causes remained unchanged. Conclusions Over the 20-year period, the rate of stillbirths caused by abruption, fetal growth restriction, and asphyxia, which can be reduced by early detection and intervention, decreased. The incidence of stillbirths caused by cord constriction increased. Investigations to prevent cord-accident stillbirths would be required to further reduce stillbirths in the study region. Establishment of algorithms that allow the identification of the causes of stillbirths would be crucial to reduce instances of stillbirths due to unidentified causes. |
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| 言語 | en | |||||||||||||||||||||||||||
| 書誌情報 |
en : BMC Pregnancy and Childbirth 巻 25, p. 654, 発行日 2025-06-04 |
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| 出版者 | ||||||||||||||||||||||||||||
| 出版者 | Springer Science and Business Media LLC | |||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||||||||||
| 収録物識別子 | 14712393 | |||||||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1186/s12884-025-07794-8 | |||||||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||||||
