• Article

Stillbirths The Hidden Birth Asphyxia - US and Global Perspectives


Goldenberg, R. L., Harrison, M. S., & McClure, E. M. (2016). Stillbirths The Hidden Birth Asphyxia - US and Global Perspectives. Clinics in Perinatology, 43(3), 439-+. DOI: 10.1016/j.clp.2016.04.004, 10.1016/j.clp.2016.04.004


Stillbirths are among the most common pregnancy-related adverse outcomes but are more common in low-income and middle-income countries than in high-income countries. In high-income countries, most stillbirths occur early in the preterm period, whereas in low-income and middle-income countries, most occur in term or in late preterm births. In low-income and middle-income countries, conditions, such as prolonged or obstructed labor, placental abruption, preeclampsia/eclampsia, fetal growth restriction, fetal distress, breech and other abnormal presentations, and multiple births, are associated with stillbirth. In high-income countries, placental abnormalities are the most common associations. Globally, fetal asphyxia is likely the most common final pathway to stillbirth.