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stillbirth differences according to regions of origin an analysis of the german perinatal database, 2004-2007原产地死胎根据地区差异的分析德国围产期数据库,2004 - 2007
Reeske et al. BMC Pregnancy and Childbirth 2011, 11:63
/1471-2393/11/63
RESEARCH ARTICLE Open Access
Stillbirth differences according to regions of
origin: an analysis of the German perinatal
database, 2004-2007
1,2* 3 1 1,2
Anna Reeske , Marcus Kutschmann , Oliver Razum and Jacob Spallek
Abstract
Background: Stillbirth is a sensitive indicator for access to, and quality of health care and social services in a
society. If a particular population group e.g. migrants experiences higher rates of stillbirth, this might be an
indication of social deprivation or barriers to health care. This study examines differences in risk of stillbirth for
women of different regions of origin compared to women from Germany in order to identify high risk groups/
target groups for prevention strategies.
Methods: We used the BQS dataset routinely compiled to examine perinatal outcomes in Germany nationwide.
Participation of hospitals and completeness of data has been about 98% in recent years. Data on all live births and
stillbirths were obtained for the period 2004 to 2007 (N = 2,670,048). We calculated crude and stratified mortality
rates as well as corresponding relative mortality risks.
Results: A significantly elevated stillbirth rate was found for women from the Middle East and North Africa (incl.
Turkey) (RR 1.34, CI 1.22-1.55). The risk was slightly attenuated for low SES. An elevated risk was also found for
women from Asia (RR 1.18, CI 1.02-1.65) and from Mediterranean countries (RR 1.14, CI 0.93-1.28). No considerable
differences either in use and timing of antenatal care or preterm birth and low birthweight were observed
between migrant and non-migrant women. After stratification for light for gestational age, the relativ
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