Volume 44 Issue 9
Sep.  2023
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Huaping WANG, Dingyun YOU, Yanhong YANG, Bowen CHEN, Yue HUAN, Rui LIAO. A Meta Analysis of the Incidence of Stillbirth in Pregnant and Postpartum Women in China from 1994 to 2020[J]. Journal of Kunming Medical University, 2023, 44(9): 15-24. doi: 10.12259/j.issn.2095-610X.S20230907
Citation: Huaping WANG, Dingyun YOU, Yanhong YANG, Bowen CHEN, Yue HUAN, Rui LIAO. A Meta Analysis of the Incidence of Stillbirth in Pregnant and Postpartum Women in China from 1994 to 2020[J]. Journal of Kunming Medical University, 2023, 44(9): 15-24. doi: 10.12259/j.issn.2095-610X.S20230907

A Meta Analysis of the Incidence of Stillbirth in Pregnant and Postpartum Women in China from 1994 to 2020

doi: 10.12259/j.issn.2095-610X.S20230907
  • Received Date: 2023-06-13
  • Publish Date: 2023-09-25
  •   Objective   To systematically analyse and describe the overall stillbirth rate in different regions of the Chinese mainland from 1994 to 2020 so as to provide the basis for further reducing the stillbirth rate and formulating perinatal management strategies suitable for different regions.   Methods   Databases including PubMed, Cochrane library, Web of Science, EMBASE, SinoMed, CNKI, VIP and WanFang Data were electronically searched to collect the cohort and cross-sectional studies on the stillbirth rate among the pregnant females in the Chinese mainland from building date to April30, 2022.   Results   A total of 200 literatures were included, with a total sample size of 22, 455, 289 cases in the study. Results of meta-analysis showed that the overall stillbirth rate among the pregnant females in the Chinese mainland was 6‰[95%CI (6‰, 7‰)]. Subgroup analysis showed that there were differences in the stillbirth rates between the different regions (χ2 = 392.00, P < 0.001), and that stillbirth rate among the pregnant females in western China was the highest 9‰[95% CI (8‰, 9‰)], followed by the central region with 8‰[95%CI (6‰, 9‰)], and the eastern and northeastern regions with 6‰[95%CI (6‰, 6‰), (5‰, 7‰)]. There were differences in the stillbirth rate in the first 10 years (1994-2005) , the second 10 years (2006-2016) and the past three years (2017-2020) in the Chinese mainland (χ2 = 113.00, P < 0.001). The stillbirth rate in 1994-2005 was 8‰ [95% CI (7‰, 8‰)], which was higher than that in 2006-2016 (6‰, [95%CI (5‰, 6‰)]). The stillbirth rate in the last three years (2017-2020) was the lowest 5‰, [95%CI (4‰, 6‰)]).   Conclusion   The stillbirth rate of the pregnant women in China’s mainland is 6‰ while the rate in western China is higher at 9‰. The stillbirth rate is on the decline between 1994 and 2020.
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