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Stillbirths: recall to action in high-income countries.
- Source :
-
Lancet (London, England) [Lancet] 2016 Feb 13; Vol. 387 (10019), pp. 691-702. Date of Electronic Publication: 2016 Jan 19. - Publication Year :
- 2016
-
Abstract
- Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19,439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.<br /> (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Subjects :
- Attitude to Health
Data Accuracy
Delivery of Health Care standards
Female
Gestational Age
Global Health statistics & numerical data
Health Policy
Healthcare Disparities statistics & numerical data
Hospice Care standards
Humans
Income
International Cooperation
Perinatal Mortality
Postnatal Care standards
Practice Guidelines as Topic
Pregnancy
Prenatal Care standards
Risk Factors
Stereotyping
Stillbirth psychology
Developed Countries statistics & numerical data
Stillbirth epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1474-547X
- Volume :
- 387
- Issue :
- 10019
- Database :
- MEDLINE
- Journal :
- Lancet (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 26794070
- Full Text :
- https://doi.org/10.1016/S0140-6736(15)01020-X