|Title:||Stillbirths : recall to action in high-income countries|
|Authors :||Flenady, Vicki|
Wojcieszek, Aleena M.
Jaap Erwich, Jan
Khong, T Yee
Silver, Robert M.
Smith, Gordon C. S.
Boyle, Frances M.
Law, Joy E.
Hopkins Leisher, Susannah
Gross, Mechthild Maria
Brown, Stephanie J.
Joseph, K. S.
Reinebrant, Hanna E.
Heazell, Alexander E. P.
Frøen, J. Frederik
Goldenberg, Robert L.
|Published in :||The Lancet|
|Publisher / Ed. Institution :||The Lancet Publishing Group|
|License (according to publishing contract) :||Licence according to publishing contract|
|Series :||The Lancet's Stillbirth Series. Ending preventable stillbirth|
|Type of review:||Peer review (Publication)|
|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.|
|Organisational Unit:||Institute of Midwifery (IHB)|
|Publication type:||Article in scientific Journal|
|Appears in Collections:||Publikationen Gesundheit|
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