Trends and risk factors of stillbirth in Taiwan 2006–2013: a population-based study

Sun, Chi-Chen; Chou, Hsu‐Huan; Chuang, Li-Lan

doi:10.1007/s00404-019-05090-3

Cited by 12 publications

(8 citation statements)

References 25 publications

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“…[37][38][39][40] Concurrent trends in Taiwan which may possibly be related to pediatric cancer risk include increasing maternal age, decreasing proportions of foreign-born mothers, and increasing prevalence of pregnancy anemia, diabetes mellitus and hypertension. 41 Our findings with regards to gestational factors are mostly in line with reports from other nations, with notable exceptions. In contrast to most other studies which have shown a null relation between ALL and low birth weight, we observed a decreased risk for birth weight <2,500 g. 3 Yet low birth weight and very low birth weight (<1,500 g) increased in Taiwan across the study period, at the same time that ALL incidence has been rising, 1 suggesting no causal relationship.…”

supporting

confidence: 91%

“…Yet the incidence of childhood hematopoietic, some CNS cancers, germ cell tumors, retinoblastoma and hepatoblastoma have continued to increase since 2002 . Concurrent trends in Taiwan which may possibly be related to pediatric cancer risk include increasing maternal age, decreasing proportions of foreign‐born mothers, and increasing prevalence of pregnancy anemia, diabetes mellitus and hypertension …”

Section: Commentsmentioning

confidence: 99%

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Gestational risk factors and childhood cancers: A cohort study in Taiwan

Heck

Lee

et al. 2020

Intl Journal of Cancer

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Gestational risk factors such as birth weight, gestational age and parity have been repeatedly found to be related to pediatric cancers, but few reports have emerged from Asian countries. Here we report on demographic and gestational factors in a Taiwanese cohort. Our study included all children born in Taiwan 2004-2014 for whom there was a birth record (n = 2,079,037), of which 1900 children had been diagnosed with cancer prior to age 12. We conducted multivariable hazard regression to examine associations between demographic and gestational factors with cancer. Greater parity (family with 2+ older children) was related to acute myeloid leukemia [Hazard ratio (HR) = 2.15, 95% confidence interval (CI): 1.31, 3.55), central nervous system tumors (

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supporting

confidence: 91%

Section: Commentsmentioning

confidence: 99%

Gestational risk factors and childhood cancers: A cohort study in Taiwan

Heck

Lee

et al. 2020

Intl Journal of Cancer

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“…Maternal complications of pregnancy, complications of labour and delivery as well as complications of the placenta, cord, and membranes were mentioned as the leading cause. The finding was congruent with studies conducted in Ethiopia [ 78 ], Uganda [ 79 , 80 ], Tanzania [ 81 ], India [ 33 ], Jordan [ 82 ], and Taiwan [ 83 ]. The plausible explanation for this might be related to uteroplacental hypoperfusion, which results in fetal distress during the intrapartum period leading to fetal death.…”

Section: Discussionsupporting

confidence: 85%

Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia

et al. 2023

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Introduction Ethiopia is one of the countries facing a very high burden of perinatal death in the world. Despite taking several measures to reduce the burden of stillbirth, the pace of decline was not that satisfactory. Although limited perinatal mortality studies were conducted at a national level, none of the studies stressed the timing of perinatal death. Thus, this study is aimed at determining the magnitude and risk factors that are associated with the timing of perinatal death in Ethiopia. Methods National perinatal death surveillance data were used in the study. A total of 3814 reviewed perinatal deaths were included in the study. Multilevel multinomial analysis was employed to examine factors associated with the timing of perinatal death in Ethiopia. The final model was reported through the adjusted relative risk ratio with its 95% Confidence Interval, and variables with a p-value less than 0.05 were declared statistically significant predictors of the timing of perinatal death. Finally, a multi-group analysis was carried out to observe inter-regional variation among selected predictors. Result Among the reviewed perinatal deaths, 62.8% occurred during the neonatal period followed by intrapartum stillbirth, unknown time of stillbirth, and antepartum stillbirth, each contributing 17.5%,14.3%, and 5.4% of perinatal deaths, respectively. Maternal age, place of delivery, maternal health condition, antennal visit, maternal education, cause of death (infection and congenital and chromosomal abnormalities), and delay to decide to seek care were individual-level factors significantly associated with the timing of perinatal death. While delay reaching a health facility, delay to receive optimal care health facility, type of health facility and type region were provincial-level factors correlated with the timing of perinatal death. A statistically significant inter-regional variation was observed due to infection and congenital anomalies in determining the timing of perinatal death Conclusion Six out of ten perinatal deaths occurred during the neonatal period, and the timing of perinatal death was determined by neonatal, maternal, and facility factors. As a way forward, a concerted effort is needed to improve the community awareness of institutional delivery and ANC visit. Moreover, strengthening the facility level readiness in availing quality service through all paths of the continuum of care with special attention to the lower-level facilities and selected poor-performing regions is mandatory.

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“…In Table 1, the prevalence of macrosomia (> 4000 g) and LGA (>90th percentile) is described for 57 individual country‐time period data points across 16 Asian countries (Bangladesh, 20 Cambodia, 17 Hong Kong, 22–24 India, 17,25–28,111 Indonesia, 20 Japan, 29–39 Korea, 40–47 Malaysia, 48,49 Nepal, 17 Pakistan, 50,51 Philippines, 17 Singapore, 52 Sri Lanka, 17 Taiwan, 53–60 Thailand, 17,61–63 and Vietnam 17,64–66 . In Table 2, the prevalence of macrosomia (> 4000 g) and LGA (>90th percentile) is described for 47 individual data points across China 7,9,17,67–99,112,124 …”

Section: Resultsmentioning

confidence: 99%

Macrosomia and large for gestational age in Asia: One size does not fit all

Harvey

Elburg

Beek

2021

J of Obstet and Gynaecol

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Macrosomia, usually defined as infant birth weight of ≥4000 g, does not consider gestational age, sex, or country/region‐specific differences in mean birth weight and maternal body weight. This issue is particularly relevant for Asia, where 60% of the world's population lives, due to variations in maternal size and birth weights across populations. Large for gestational age (LGA), defined as birth weight > 90th centile, is a more sensitive measure as it considers gestational age and sex, though it is dependent on the choice of growth charts. We aimed to review reporting of macrosomia and LGA in Asia. We reviewed the literature on prevalence and risk of macrosomia and LGA in Asia over the last 29 years. Prevalence of macrosomia ranged from 0.5% (India) to 13.9% (China) while prevalence of LGA ranged from 4.3% (Korea) to 22.1% (China), indicating substantial variation in prevalence within and between Asian countries. High pre‐pregnancy body mass index, excessive gestational weight gain, and impaired glucose tolerance conferred risk of macrosomia/LGA. Incidence of macrosomia and LGA varies substantially within and between Asian countries, as do the growth charts and definitions. The latter makes it impossible to make comparisons but suggests differences in intrauterine growth between populations. Reporting LGA, using standardized country/regional growth charts, would better capture the incidence of high birth weight and allow for comparison and identification of contributing factors. Better understanding of local drivers of excessive intrauterine growth could enable development of improved strategies for prevention and management of LGA.

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Trends and risk factors of stillbirth in Taiwan 2006–2013: a population-based study

Cited by 12 publications

References 25 publications

Gestational risk factors and childhood cancers: A cohort study in Taiwan

Gestational risk factors and childhood cancers: A cohort study in Taiwan

Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia

Macrosomia and large for gestational age in Asia: One size does not fit all

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