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Stillbirth, the death of a baby before birth, is a major global health problem with 2.6 million babies stillborn each year.1 For bereaved mothers and families, stillbirth is associated with adverse economic, psychosocial and social consequences.2 Reductions in stillbirth rates are lagging behind improvements in the rates of infant and neonatal mortality. One approach to reduce stillbirths is to identify pregnancies at increased risk of stillbirth; this can help to prevent stillbirths by directing additional antenatal care and intervention to those most likely to benefit.
Lamont and colleagues systematically reviewed published literature to identify observational studies restricted to high-income countries that investigated the risk of stillbirth in pregnancies after …
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