Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Stillbirths : recall to action in high-income countries
Authors: Flenady, Vicki
Wojcieszek, Aleena M.
Middleton, Philippa
Ellwood, David
Jaap Erwich, Jan
Coory, Michael
Khong, T Yee
Silver, Robert M.
Smith, Gordon C. S.
Boyle, Frances M.
Law, Joy E.
Blencowe, Hannah
Hopkins Leisher, Susannah
Gross, Mechthild Maria
Horey, Dell
Farrales, Lynn
Bloomfield, Frank
McCowan, Lesley
Brown, Stephanie J.
Joseph, K. S.
Zeitlin, Jennifer
Reinebrant, Hanna E.
Ravaldi, Claudia
Vannacci, Alfredo
Cassidy, Jillian
Cassidy, Paul
Farquhar, Cindy
Wallace, Euan
Siassakos, Dimitrios
Heazell, Alexander E. P.
Storey, Claire
Sadler, Lynn
Petersen, Scott
Frøen, J. Frederik
Goldenberg, Robert L.
DOI: 10.1016/S0140-6736(15)01020-X
Published in: The Lancet
Volume(Issue): 387
Issue: 10019
Pages: 691
Pages to: 702
Issue Date: 2016
Series: The Lancet's Stillbirth Series. Ending preventable stillbirth
Series volume: 4
Publisher / Ed. Institution: Elsevier
ISSN: 0140-6736
Language: English
Subject (DDC): 618: Gynecology, obstetrics and midwifery
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.
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Appears in Collections:Publikationen Gesundheit

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