Suppementary table (online appendix) Table S1 – Inclusion criteria for stillbirths NOTE: lower inclusion criteria may be used in individual countries, but Euro-Peristat requests data starting at 22 weeks from all countries. Euro-Peristat also request data for stillbirths and terminations of pregnancy separately, but some countries, as noted, could not distinguish between spontaneous stillbirths and TOP. Country/coverage Belgium BE: Brussels BE: Flanders BE: Wallonia Czech Republic Denmark Germany Estonia Ireland Greece (2009) Spain France FR: regional register Italy Cyprus (2007) Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom UK: England and Wales UK: Scotland UK: Northern Ireland Iceland Norway Switzerland inclusion criteria for fetal deaths As requested for Euro-Peristat, if not criteria Yes TOPS included Yes – TOP included Yes– TOP included Yes– TOP included Yes 500+ grams Yes 500+ grams or 24+ weeks 24+ weeks 180 days Yes Yes Yes 22+ weeks perinatal register; 28+ weeks death register – TOP included Yes Yes Yes – TOP included legal 24 wks or 500g; fetal deaths and TOP at 22-23wks included Yes Yes – TOPs included 500+ grams 500+ grams 24+ weeks, voluntary data at 22-23 weeks Yes 500+ grams Yes Yes Yes 24+ weeks, TOP should be included 24* weeks; incomplete voluntary notification at 22-23 weeks, TOP should be included 24+ weeks Yes – TOP included Yes Yes 1 Supplementary table 2 (online appendix): Stillbirth risk ratios according to maternal education by country Country Austria Austria Austria BE: Brussels BE: Brussels BE: Brussels BE: Flanders BE: Flanders BE: Flanders BE: Wallonia BE: Wallonia BE: Wallonia Cyprus Cyprus Cyprus Czech Republic Czech Republic Czech Republic Denmark Denmark Denmark Estonia Estonia Estonia Finland Finland Finland France France France Hungary Hungary Hungary Italy Italy Italy Latvia Latvia Latvia Lithuania Lithuania Lithuania Luxembourg Luxembourg Luxembourg Malta Malta Malta Norway Maternal education Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Relative Risks 2.3 1.6 Reference 1.5 2.0 Reference 1.9 1.8 Reference 2.7 1.3 Reference 1.2 2.2 Reference 2.6 1.1 Reference 2.0 1.3 Reference 2.8 1.6 Reference -1.3 Reference 1.9 1.6 Reference 4.6 2.0 Reference 1.5 1.1 Reference 1.5 1.3 Reference 1.6 1.4 Reference 1.2 1.1 Reference -1.5 Reference 1.4 95% CI 1.6-3.3 1.1-2.1 0.7-3.5 1.0-4.0 1.2-2.9 1.3-2.4 1.5-4.8 0.8-2.4 0.3-5.2 1.0-5.0 1.8-3.8 0.8-1.5 1.4-2.8 1.0-1.8 1.4-5.6 0.8-2.9 -0.9-1.7 1.1-3.4 0.8-3.1 3.4-6.3 1.5-2.7 1.3-1.7 0.9-1.2 0.9-2.6 0.9-2.0 1.0-2.6 1.0-2.0 0.5-2.9 0.5-2.5 -0.4-5.6 1.0-2.1 2 Norway Norway Poland Poland Poland Portugal Portugal Portugal Slovenia* Slovenia* Slovenia* Spain Spain Spain Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary Primary and lower secondary Higher secondary Post-secondary 1.2 Reference 2.3 1.6 Reference 2.4 1.9 Reference 1.1 0.8 Reference 1.8 1.2 Reference 0.8-1.7 2.0-2.7 1.5-1.8 1.6-3.6 1.3-2.6 0.6-2.0 0.5-1.4 1.5-2.1 1.0-1.4 * Terminations of pregnancy removed for Slovenia NOTE: The Spearman rho for the RR of the lowest social category to the reference group with the proportion of missing data was: 0.02 (p=0.93). 3 Supplementary table 3 (online appendix): Stillbirth risk ratios according to maternal occupation by country Country BE: Brussels BE: Brussels BE: Brussels BE: Brussels BE: Flanders BE: Flanders BE: Flanders BE: Flanders BE: Wallonia BE: Wallonia BE: Wallonia BE: Wallonia Estonia Estonia Estonia Estonia Finland Finland Finland Finland France France France France Germany Germany Germany Germany Ireland Ireland Ireland Ireland Lithuania Lithuania Lithuania Lithuania Portugal Portugal Portugal Portugal Romania Romania Romania Romania Spain Spain Spain Spain Maternal occupation No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals Relative Risks 2.9 2.3 2.1 Reference 4.1 3.7 2.3 Reference 2.4 1.8 1.5 Reference 1.1 2.1 1.3 Reference 1.0 0.8 1.1 Reference 1.5 2.3 1.4 Reference 1.3 1.0 0.7 Reference 1.6 1.6 1.3 Reference 1.3 0.8 0.8 Reference 2.4 2.1 1.0 Reference 1.6 1.5 0.8 Reference 1.5 1.4 1.0 Reference 95% CI 0.7-11.7 0.5-10.7 0.5-8.6 1.7-10.3 1.5-9.3 0.9-5.6 0.8-7.6 0.5-6.3 0.5-4.7 0.3-4.0 0.8-5.1 0.7-2.6 0.6-2.0 0.4-1.6 0.7-1.8 0.6-3.7 1.0-5.3 0.6-3.2 1.0-1.8 0.8-1.4 0.5-1.0 1.2-2.2 1.0-2.6 1.0-1.7 0.8-1.9 0.4-1.6 0.5-1.2 1.5-3.8 1.3-3.4 0.6-1.6 0.2-11.5 0.2-11.5 0.1-5.4 1.3-1.8 1.2-1.7 0.8-1.2 NOTE: The Spearman rho for the RR of the lowest social category to the reference group with the proportion of missing data was: -0.45 (p=0.14). 4 Supplementary table 4: Stillbirth risk ratios according to paternal occupation by country Country Paternal occupation BE: Brussels BE: Brussels BE: Brussels BE: Brussels BE: Flanders BE: Flanders BE: Flanders BE: Flanders BE: Wallonia BE: Wallonia BE: Wallonia BE: Wallonia Estonia Estonia Estonia Estonia Finland Finland Finland Finland France France France France Ireland Ireland Ireland Ireland Portugal Portugal Portugal Portugal Spain Spain Spain Spain UK: England and Wales UK: England and Wales UK: England and Wales UK: England and Wales No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals No occupation or student Skilled/unskilled workers Technicians/clerical/service Managers/professionals Relative Risks 4.1 1.9 2.3 Reference 2.8 1.9 1.5 Reference 2.7 1.4 1.2 Reference -1.0 1.0 Reference -1.4 1.6 Reference 1.3 1.3 0.7 Reference 1.2 0.9 0.8 Reference 6.0 2.5 1.7 Reference 1.2 1.2 1.1 Reference -1.4 1.2 Reference 95% CI 1.8-9.8 0.8-4.8 1.0-5.3 1.5-5.5 1.1-3.1 0.9-2.5 1.3-5.9 0.7-2.8 0.6-2.5 -0.5-2.1 0.4-2.4 -0.8-2.4 0.9-2.8 0.4-4.1 0.7-2.5 0.3-1.3 0.7-1.9 0.7-1.3 0.6-1.2 3.2-11.2 1.4-4.2 1.0-3.1 0.8-2.0 1.1-1.5 0.9-1.3 -1.3-1.5 1.1-1.3 NOTE: The Spearman rho for the RR of the lowest social category to the reference group with the proportion of missing data was: -0.19 (p=0.68). 5