Stillbirths : how can health systems deliver for mothers and babies?
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Date
Authors
Pattinson, Robert Clive
Kerber, Kate J.
Buchmann, Eckhart
Friberg, Ingrid K.
Belizan, Maria
Lansky, Sonia
Weissman, Eva
Mathai, Matthews
Rudan, Igor
Walker, Neff
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
The causes of stillbirths are inseparable from the causes of maternal and neonatal deaths. This report focuses on prevention
of stillbirths by scale-up of care for mothers and babies at the health-system level, with consideration for eff ects and cost.
In countries with high mortality rates, emergency obstetric care has the greatest eff ect on maternal and neonatal deaths,
and on stillbirths. Syphilis detection and treatment is of moderate eff ect but of lower cost and is highly feasible. Advanced
antenatal care, including induction for post-term pregnancies, and detection and management of hypertensive disease,
fetal growth restriction, and gestational diabetes, will further reduce mortality, but at higher cost. These interventions are
best packaged and provided through linked service delivery methods tailored to suit existing health-care systems. If
99% coverage is reached in 68 priority countries by 2015, up to 1·1 million (45%) third-trimester stillbirths,
201 000 (54%) maternal deaths, and 1·4 million (43%) neonatal deaths could be saved per year at an additional total cost of
US$10·9 billion or $2·32 per person, which is in the range of $0·96–2·32 for other ingredients-based intervention
packages with only recurrent costs.
Description
Keywords
Stillbirths, Mothers and babies
Sustainable Development Goals
Citation
Pattinson, R., et al., Stillbirths : how can health systems deliver for mothers and babies?. Lancet, (2011), DOI:10.1016/S0140-6736(10)62306-9