Stillbirth outcome capture and classification in population-based surveys: EN-INDEPTH study

Table 5 Antepartum and intrapartum stillbirth assessment for late gestation stillbirths in EN-INDEPTH survey (n = 846)

Study site	Overall number of stillbirths^a	Fetal movement questions n (%)			Fetal auscultation questions^b n (%)			Skin maceration questions^d n (%)			% of late gestation stillbirths that are categorised as intrapartum by question
		Did not stop moving before start of labour	Stopped moving before start of labour	Don’t know	Fetal heart sounds heard during labour	Auscultated but no fetal heart sounds	Not known if fetal heart sounds present in labour^c	No maceration	Yes maceration	Don’t know	Fetal Movement questions	Fetal heart sounds questions	Skin appearance questions
Overall	846	33.5	58.6	7.9	8.5	26.1	65.4	67.5	13.7	18.8	36.3	24.6	83.1
Bandim	159	22.0	66.0	11.9	4.4	23.9	71.7	45.3	18.9	35.8	25.0	15.6	70.6
Dabat	71	49.3	43.7	7.0	5.6	12.7	81.7	63.4	7.0	29.6	53.0	30.8	90.0
IgangaMayuge	92	34.8	46.7	18.5	16.3	22.8	60.9	63.0	15.2	21.7	42.7	41.7	80.6
Matlab	287	32.4	62.7	4.9	8.0	22.3	69.7	86.4	10.1	3.5	34.1	26.4	89.5
Kintampo	237	37.1	57.8	5.1	9.7	37.6	52.7	62.4	16.0	21.5	39.1	20.5	79.6

^aStillbirth timing questions only asked to subset of women (identified on FBH+/FBH as having a stillbirth and responded that their baby was ‘born dead’ on additional questions. No missing data
^bAssuming that report of no heartbeat during labour is an antepartum death, and report of heartbeat during labour followed by a birth of a stillborn baby is an intrapartum death. Note limitation that if auscultation occurs only after an intrapartum death, the absence of a fetal heart during labour will be recorded whereas the baby may have been alive at the start of labour
^cNot reported if fetal auscultation took place or reported auscultation but did not know if fetal heart sounds were heard
^dPresence of skin maceration is used as a proxy for antepartum stillbirth. Absence of skin maceration (fresh skin appearance) is a proxy of IPSB

ISSN: 1478-7954