Matches in SemOpenAlex for { <https://semopenalex.org/work/W2152650129> ?p ?o ?g. }
- W2152650129 endingPage "1463" @default.
- W2152650129 startingPage "1448" @default.
- W2152650129 abstract "Despite increasing attention and investment for maternal, neonatal, and child health, stillbirths remain invisible—not counted in the Millennium Development Goals, nor tracked by the UN, nor in the Global Burden of Disease metrics. At least 2·65 million stillbirths (uncertainty range 2·08 million to 3·79 million) were estimated worldwide in 2008 (≥1000 g birthweight or ≥28 weeks of gestation). 98% of stillbirths occur in low-income and middle-income countries, and numbers vary from 2·0 per 1000 total births in Finland to more than 40 per 1000 total births in Nigeria and Pakistan. Worldwide, 67% of stillbirths occur in rural families, 55% in rural sub-Saharan Africa and south Asia, where skilled birth attendance and caesarean sections are much lower than that for urban births. In total, an estimated 1·19 million (range 0·82 million to 1·97 million) intrapartum stillbirths occur yearly. Most intrapartum stillbirths are associated with obstetric emergencies, whereas antepartum stillbirths are associated with maternal infections and fetal growth restriction. National estimates of causes of stillbirths are scarce, and multiple (>35) classification systems impede international comparison. Immediate data improvements are feasible through household surveys and facility audit, and improvements in vital registration, including specific perinatal certificates and revised International Classification of Disease codes, are needed. A simple, programme-relevant stillbirth classification that can be used with verbal autopsy would provide a basis for comparable national estimates. A new focus on all deaths around the time of birth is crucial to inform programmatic investment. Despite increasing attention and investment for maternal, neonatal, and child health, stillbirths remain invisible—not counted in the Millennium Development Goals, nor tracked by the UN, nor in the Global Burden of Disease metrics. At least 2·65 million stillbirths (uncertainty range 2·08 million to 3·79 million) were estimated worldwide in 2008 (≥1000 g birthweight or ≥28 weeks of gestation). 98% of stillbirths occur in low-income and middle-income countries, and numbers vary from 2·0 per 1000 total births in Finland to more than 40 per 1000 total births in Nigeria and Pakistan. Worldwide, 67% of stillbirths occur in rural families, 55% in rural sub-Saharan Africa and south Asia, where skilled birth attendance and caesarean sections are much lower than that for urban births. In total, an estimated 1·19 million (range 0·82 million to 1·97 million) intrapartum stillbirths occur yearly. Most intrapartum stillbirths are associated with obstetric emergencies, whereas antepartum stillbirths are associated with maternal infections and fetal growth restriction. National estimates of causes of stillbirths are scarce, and multiple (>35) classification systems impede international comparison. Immediate data improvements are feasible through household surveys and facility audit, and improvements in vital registration, including specific perinatal certificates and revised International Classification of Disease codes, are needed. A simple, programme-relevant stillbirth classification that can be used with verbal autopsy would provide a basis for comparable national estimates. A new focus on all deaths around the time of birth is crucial to inform programmatic investment. Stillbirths: breaking the silence of a hidden griefA baby is born dead. A mother, who has waited many months to hold the child she has felt growing and taking form inside her, cradles a lifeless body. A father, who has been anticipating the joy of the birth and a future for his child, is faced with death. The extraordinary journey that they have all been on together through months of pregnancy comes to a shattering and heartbreaking end. Full-Text PDF Bringing stillbirths out of the shadowsThe grief of a stillbirth is unlike any other form of grief: the months of excitement and expectation, planning, eager questions, and the drama of labour—all magnifying the devastating incomprehension of giving birth to a baby bearing no signs of life. Thankfully such events are rare. Or are they? As the Series we launch today shows, almost 3 million stillbirths happen worldwide every year,1 which, even for a country with a developed health system such as the UK, means that 11 sets of parents every day will take home their newborn baby in a coffin. Full-Text PDF Stillbirths: the professional organisations' perspectiveThe International Federation of Gynecology and Obstetrics (FIGO), the International Paediatric Association (IPA), and the International Confederation of Midwives (ICM) are well aware of the often forgotten issue of stillbirth, and recognise it as one of the most common adverse pregnancy outcomes worldwide—with about 2·6 million or more stillbirths happening every year.1 The explanation for many of these deaths is straightforward and terrible: all too often a trained health worker is not available when an expectant mother or woman in labour faces a situation endangering her baby's life. Full-Text PDF Stillbirths: missing from the family and from family healthStillbirth is a devastating occurrence for families, and women bear the brunt of the consequences.1,2 Hopes and dreams are dashed, and expectant women might suddenly face scorn, isolation, and rejection. They can be pressured to become pregnant again soon, and hence face a shortened birth interval and an increased risk for themselves and for subsequent pregnancies. This cycle continues—unbroken and unvoiced—every day in homes and communities around the world, especially in poor families. Full-Text PDF Addressing the complexity of disparities in stillbirthsAlthough stillbirth is an issue in low-income countries because of many factors associated with poverty, such as access to basic obstetric care, it is also a public health priority in high-income countries. In the USA, the stillbirth rate is 6·2 per 1000 deliveries at 20 weeks' gestation or greater, affecting 25 894 fetuses in 2005;1 a number similar to the 28 384 infant deaths in 2005.2 A substantial component of the public health burden in high-income countries is disparity according to race and ethnic origin. Full-Text PDF Counting stillbirths: women's health and reproductive rightsMost of the world's 2·6 million stillbirths occur every year in low-income and middle-income countries. One of the most devastating myths that surrounds stillbirth is that women who are accustomed to high infant mortality and high rates of stillbirth somehow feel the individual loss of a wanted pregnancy less than women living in high-income countries.1,2 Women who have a stillbirth not only feel the loss of the pregnancy, but they also often bear an additional, if unwarranted, sense of responsibility or shame and, at times, blame from their husbands. Full-Text PDF" @default.
- W2152650129 created "2016-06-24" @default.
- W2152650129 creator A5005449207 @default.
- W2152650129 creator A5031445148 @default.
- W2152650129 creator A5045974304 @default.
- W2152650129 creator A5046711282 @default.
- W2152650129 creator A5046722768 @default.
- W2152650129 creator A5051517046 @default.
- W2152650129 creator A5054761968 @default.
- W2152650129 creator A5060367530 @default.
- W2152650129 creator A5071434824 @default.
- W2152650129 date "2011-04-01" @default.
- W2152650129 modified "2023-10-01" @default.
- W2152650129 title "Stillbirths: Where? When? Why? How to make the data count?" @default.
- W2152650129 cites W1532182682 @default.
- W2152650129 cites W1582300560 @default.
- W2152650129 cites W1844917530 @default.
- W2152650129 cites W1976710342 @default.
- W2152650129 cites W1977931175 @default.
- W2152650129 cites W1983040561 @default.
- W2152650129 cites W1986917908 @default.
- W2152650129 cites W1987025848 @default.
- W2152650129 cites W1989295878 @default.
- W2152650129 cites W1992155715 @default.
- W2152650129 cites W1994502124 @default.
- W2152650129 cites W1995240958 @default.
- W2152650129 cites W1999616703 @default.
- W2152650129 cites W2013493426 @default.
- W2152650129 cites W2015379124 @default.
- W2152650129 cites W2017904849 @default.
- W2152650129 cites W2018709379 @default.
- W2152650129 cites W2019091990 @default.
- W2152650129 cites W2020024043 @default.
- W2152650129 cites W2021532182 @default.
- W2152650129 cites W2028048934 @default.
- W2152650129 cites W2030041438 @default.
- W2152650129 cites W2033148895 @default.
- W2152650129 cites W2036160739 @default.
- W2152650129 cites W2037394328 @default.
- W2152650129 cites W2044433372 @default.
- W2152650129 cites W2044894875 @default.
- W2152650129 cites W2055692145 @default.
- W2152650129 cites W2056968044 @default.
- W2152650129 cites W2061679626 @default.
- W2152650129 cites W2065739722 @default.
- W2152650129 cites W2067813332 @default.
- W2152650129 cites W2068241434 @default.
- W2152650129 cites W2074583361 @default.
- W2152650129 cites W2077027884 @default.
- W2152650129 cites W2084262915 @default.
- W2152650129 cites W2088292812 @default.
- W2152650129 cites W2088612047 @default.
- W2152650129 cites W2089369064 @default.
- W2152650129 cites W2094312322 @default.
- W2152650129 cites W2106181682 @default.
- W2152650129 cites W2112882073 @default.
- W2152650129 cites W2113726274 @default.
- W2152650129 cites W2115147128 @default.
- W2152650129 cites W2115748088 @default.
- W2152650129 cites W2115812212 @default.
- W2152650129 cites W2117462698 @default.
- W2152650129 cites W2120800931 @default.
- W2152650129 cites W2122232621 @default.
- W2152650129 cites W2122498244 @default.
- W2152650129 cites W2123806126 @default.
- W2152650129 cites W2123950509 @default.
- W2152650129 cites W2126574966 @default.
- W2152650129 cites W2126861008 @default.
- W2152650129 cites W2128592628 @default.
- W2152650129 cites W2130122312 @default.
- W2152650129 cites W2132102990 @default.
- W2152650129 cites W2133665572 @default.
- W2152650129 cites W2133669180 @default.
- W2152650129 cites W2133911610 @default.
- W2152650129 cites W2139790003 @default.
- W2152650129 cites W2141959107 @default.
- W2152650129 cites W2145817447 @default.
- W2152650129 cites W2148777342 @default.
- W2152650129 cites W2158395153 @default.
- W2152650129 cites W2160851919 @default.
- W2152650129 cites W2162334426 @default.
- W2152650129 cites W2162790442 @default.
- W2152650129 cites W2163846623 @default.
- W2152650129 cites W2166277392 @default.
- W2152650129 cites W2171775743 @default.
- W2152650129 cites W2171995603 @default.
- W2152650129 cites W2274105410 @default.
- W2152650129 cites W2946173054 @default.
- W2152650129 cites W4210981432 @default.
- W2152650129 cites W4230725785 @default.
- W2152650129 cites W4248980081 @default.
- W2152650129 doi "https://doi.org/10.1016/s0140-6736(10)62187-3" @default.
- W2152650129 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21496911" @default.
- W2152650129 hasPublicationYear "2011" @default.
- W2152650129 type Work @default.
- W2152650129 sameAs 2152650129 @default.
- W2152650129 citedByCount "627" @default.
- W2152650129 countsByYear W21526501292012 @default.