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We therefore recommend using the second/third BPM for standardized OBPM. Trial registration Registered on clinicaltrials.gov (NCT0255203. To understand the complexities surrounding unexplained stillbirth for the development and implementation of culturally acceptable interventions to underpin care in Tanzania and Zambia. Mixed-methods study. Tertiary, secondary and primary care facilities in Mansa, Zambia, and Mwanza, Tanzania. Quantitative 1997 women giving birth at two tertiary care facilities (one in each country). Qualitative 48 w