Stillbirths rates risk factors and acceleration towards 2030 book

Jan 18, 2018 the stillbirth rate is an indicator of quality of care during pregnancy and delivery. Parents experiences about support following stillbirth and. In addition, obesity, smoking, infections and blood concentration, as well as medical disorders of mothers were reported to be independent risk factors for stillbirths. Professor vicki flenady is the director of the centre of research excellence in stillbirth stillbirth cre, based at mater research the university of queensland. Air pollution exposure during pregnancy and spontaneous. Vol 387 february 6, 2016 587 ending preventable stillbirths 2 stillbirths. A mother sleeping on her back after 28 weeks of pregnancy may be a risk factor for stillbirth. Jan 24, 20 objective to assess the main risk factors associated with stillbirth in a multiethnic english maternity population. Association between stillbirth and risk factors known at. Pregnancy loss, including spontaneous abortion miscarriage and stillbirth, is the most severe adverse pregnancy outcome. Trend of stillbirth rates and the associated risk factors in. Appropriate preconception care and quality antenatal.

Overall, greater obesity was linked with greater risk of stillbirth, with a 10unit increase in body mass index equivalent to a 1. Factors associated with insecticidetreated net usage. Rates, risk factors, and acceleration towards 2030. The objective of this study was to explore the risk factors for stillbirths, particularly those related to a health system.

Objective to assess the main risk factors associated with stillbirth in a multiethnic english maternity population. Tracking facilitybased perinatal deaths in tanzania. In 2015, an estimated 26 million babies uncertainty range 2430 million died before birth during the last trimester of pregnancy. Placental pathologies and infection associated with preterm birth are linked to a substantial proportion of stillbirths. The risk was not increased with going to sleep on the right side and. The conditions that cause fetal asphyxia also contribute to neonatal mortality through birth. At 16 stillbirths per 1,000, ut betters national average. Aug 09, 2017 five lancet papers addressing various aspects. Once the fetus has died, the mother may or may not have contractions and undergo childbirth or in some cases, a caesarean section. Good quality care is supported by a functional heath system.

Factors influencing itn usage in malawi were assessed through interviews with 16, wocba 1549 years across 850 communities who participated in the 20152016 malawi demographic health survey. Evaluation of maternal health service indicators in urban. Inductive analysis was used to find themes based on the data. Most common causes, risk factors for stillbirth sciencedaily. Parents experiences about support following stillbirth. The stillbirth rate for our multiethnic population is 7. Population 92 218 normally formed singletons including 389 stillbirths from 24 weeks of gestation, delivered during 200911. Maternal going to sleep position and late stillbirth. She is a nationally and internationally renowned clinical perinatal epidemiologist with specific expertise in stillbirth. Twentyone semistructured interviews were carried out. An estimated 26 million third trimester stillbirths occurred in 2015 uncertainty range 2430 million. Adverse pregnancy outcomes among women presenting at. Ijerph free fulltext perinatal mortality in south asia.

Finland and singapore have the lowest stillbirth rates, two per 1,000. Froen jf, friberg ik, lorne je, et al, stillbirths, progress and unfinished business, lancet 2016, vol 387, pp 574 to 586, published online 18 january 2016 lore je, blencowe h, waiswa p, et al, stillbirths. Multiple factors have been associated with stillbirths including maternal age, noncommunicable diseases, and in. Rates of intrapartum stillbirths are a measure of the quality of care during labor. Pdf rate and risk factors of stillbirth in pakistan. A stillbirth can result in the feeling of guilt or grief in the mother. Mar 22, 2018 newborn deaths comprise nearly half of under5 deaths in ghana, despite the fact that skilled birth attendants sbas are present at 68% of births, which implies that evidencebased care during labor, birth and the immediate postnatal period may be deficient. Trend of stillbirth rates and the associated risk factors.

In 2015, an estimated 26 million babies uncertainty range 2430 million. Studies identify stillbirth risk factors, causes cbs news. Most large studies of risk factors for stillbirth use vital statistics with limited data. Multiple factors have been associated with stillbirths in. The every newborn action plan enap targets national stillbirth rates sbrs of 12 or fewer stillbirths per births by 2030. A stillbirth can result in the feeling of guilt in the mother. We assessed the effect of a lowdose, highfrequency ldhf training approach on longterm evidencebased skill retention among sbas and.

The united states ranks 17th out of 193 countries, with three. The elevated risk in the black race may be attributed to higher rates of diabetes and preeclampsia, prom and decolmentation compared to white women. Criteria for assigning cause of death for stillbirths and neonatal. This study aimed to identify factors at individual and community level influencing insecticidetreated net itn usage among groups of women of childbearing age wocba in malawi. Mcclure em, mathai m, cousens s, for the lancet ending preventable stillbirths series study group with the lancet stillbirth epidemiology investigator group 2016. This was a qualitative study based on gadamers hermeneutic phenomenology. A novel contribution of this study to causal inference on the topic is the approach. Figure 1 regional variation in population attributable risk of stillbirth for factors with adequate risk data and appropriate prevalence data, from lawn et al, stillbirths. In tanzania 51,000 newborn deaths and 43,000 stillbirths occur every year. Adverse pregnancy outcomes were analyzed in relation to multiple factors such as, maternal age, gravidity, number of anc visits, malaria prevention spiptp and itn, known risk factors and delivery mode. Maternal obesity increases risk for stillbirth stanford. Ghana statistical service gss, ghana health service ghs, and icf international. Effect of group versus individual antenatal care on uptake of. Risk factors include a mothers age over 35, smoking, drug use, use of assisted reproductive technology, and first pregnancy.

Perinatal loss is a traumatic and painful experience for parents, with biological, psychological, social, and spiritual implications. Rates, risk factors, and acceleration towards 2030, included multiple centres like the centre for maternal, adolescent, reproductive and child health, london. Logistic regression analysis on the determinants of. The objective of this analysis was to determine whether.

Information on cases stillbirths were obtained from. Rates, risk factors, and acceleration towards 2030 an estimated 26 million third trimester stillbirths occurred in 2015. Jan 29, 2020 every year, malaria in pregnancy contributes to approximately 20% of stillbirths in subsaharan africa and 10,000 maternal deaths globally. Although, bangladesh remained one of the top ten countries in the world for high maternal deaths, early 2015 progress towards mdg5 was on track and maternal mortality rate was reduced from 322 to 194 per 100,000 live births in a decade 20012010. To estimate the incidence of stillbirth, explore the associated maternal and fetal factors and to evaluate the most appropriate classification of stillbirth for a multiethnic population. Stillbirth is often defined as fetal death after 24 weeks of gestation, but a fetus greater than any combination of 16, 20, 22, 24, or 28 weeks gestational age and 350 g, 400 g, 500 g, or g birth weight may be considered stillborn depending on local law. Every year, malaria in pregnancy contributes to approximately 20% of stillbirths in subsaharan africa and 10,000 maternal deaths globally. This is a retrospective populationbased study of stillbirth in a large tertiary unit. Stillbirth is typically defined as fetal death at or after 20 to 28 weeks of pregnancy depending. Prepregnancy risk factors for stillbirth that have been found to be more frequent among african americans include young maternal age and multiple. Mcclure em, mathai m, cousens s, for the lancet ending preventable stillbirths. Most eligible pregnant women do not receive the minimum three recommended doses of intermittent preventive treatment with sulfadoxinepyrimethamine iptpsp. Stillbirth is typically defined as fetal death at or after 20 to 28 weeks of pregnancy depending on the source.

National population commission npc nigeria and icf international. Risk factors include a mothers age over 35, smoking, drug use, use of assisted. Effect of group versus individual antenatal care on uptake. In developed countries stillbirth is one of the few potentially avoidable maternal and child health complications that have not declined in recent decades. Abstractthe developing fetus is particularly susceptible to environmental pollutants, and evidence has shown adverse effects of air pollutants on pregnancy and birth outcomes. She developed the epidemiological evidence for the worldwide policy and programming that looks to reduce neonatal deaths and stillbirths and works on largescale. The number of stillbirths has reduced more slowly than has maternal mortality or mortality in children younger than 5 years, which were explicitly targeted in the millennium development goals. Stillbirth stillbirth rate referral hospitals caesarean section nigerian women. However, 95% of these deaths occurred in lmics with the largest numbers reported in south asia and subsaharan africa 9,10. Challenging the assumption that interpregnancy interval causes.

Sep 15, 2016 lawn je, blencowe h, waiswa p, the lancet ending preventable stillbirths series study group with the lancet stillbirth epidemiology investigator group, et al. Two studies by the stillbirth collaborative research network have. Medline, cinahl, embase, psycinfo, and scopus were searched for published studies which reported factors associated with perinatal mortality in south asia from 1 january 2000 to 20 march 2018. Resource centres publications 1 30 indepth policy lessons. Dec 14, 2011 studies identify stillbirth risk factors, causes december 14, 2011 6. Joy e lawn, hannah blencowe, peter waiswa, agbessi amouzou, colin mathers. A multivariable model was developed using a hierarchical approach with factors that had different distribution in cases and controls in bivariate analyses p maurice blackburn lawyers. Stillbirth is typically defined as fetal death at or after 20 to 28 weeks of pregnancy. Globally, the number of perinatal deaths decreased from 5. A continuous influx of poor people to urban slums poses a challenge to bangladeshs health system as it has failed to tackle maternal morbidity and mortality. But the increase in risk wasnt equal across all groups of women, or all stages of pregnancy. Objective to determine the relation between stillbirths and risk factors that could be ascertained at the start of pregnancy, particularly the contribution of these factors to racial disparities. Dec 14, 2011 most common causes, risk factors for stillbirth date. Progress in the reduction of stillbirths and meeting 2030 targets.

Stillbirth may be suspected when no fetal movement is felt. Pakistan and nigeria have the highest, at 46 and 42 per 1,000. We estimate sbrs and numbers for 195 countries, including trends. Joy elizabeth lawn frcpch fmedsci is a professor of maternal, reproductive and child health. In addition, obesity, smoking, infections and blood concentration, as well as medical disorders of mothers were. This casecontrol study was conducted in two districts of bihar, india. Worldwide prevention of most stillbirths is possible with improved health systems. Lancet stillbirths in highincome countries investigator group. The every newborn action plan has the target of 12 or fewer stillbirths per births in. Studies identify stillbirth risk factors, causes december 14, 2011 6.

The objective of this analysis was to determine whether women randomized to group antenatal. Findings in stillbirths associated with placental disease. Twentyone parents mothers and 8 fathers from 6 families. Most common causes, risk factors for stillbirth date. Prevalence and determinants of stillbirth in nigerian referral. The main risk factors for these 3 adverse pregnancy outcomes included low gravidity primigravid women and young age. Approximately twothirds of these deaths could be potentially prevented with improvements in intrapartum and neonatal care. Je lawn, h blencowe, p waiswa, a amouzou, c mathers, d hogan. Prevalence and determinants of stillbirth in nigerian. Accelerating newborn survival in ghana through a lowdose. Data of each stillbirth with a gestational age 24 weeks in the year 2015 were collected. Despite the substantial global progress in improving child survival, perinatal mortality remains an urgent public health concern and progress made has been slower.