Stillbirths : how can health systems deliver for mothers and babies?

Show simple item record Pattinson, Robert Clive Kerber, Kate J. Buchmann, Eckhart Friberg, Ingrid K. Belizan, Maria Lansky, Sonia Weissman, Eva Mathai, Matthews Rudan, Igor Walker, Neff Lawn, Joy E.
dc.contributor.other Pattinson, Bob 2011-04-21T06:58:01Z 2011-04-21T06:58:01Z 2011-04
dc.description.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. en_US
dc.description.sponsorship Some technical work and travel for this report during 2010 were funded through a grant for The Lancet’s Series from the Bill & Melinda Gates Foundation to the International Stillbirth Alliance secretariat. JEL and KK are funded by the Bill & Melinda Gates Foundation through Saving Newborn Lives/Save the Children. Some meetings and travel were partially funded by the Global Alliance to Prevent Prematurity and Stillbirth and the Partnership for Maternal, Newborn and Child Health. en_US
dc.identifier.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 en_US
dc.identifier.issn 0140-6736
dc.identifier.other 10.1016/S0140-6736(10)62306-9
dc.language.iso en en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Stillbirths 4
dc.rights © 2011 Elsevier. All rights reserved. en_US
dc.subject Stillbirths en_US
dc.subject Mothers and babies en_US
dc.title Stillbirths : how can health systems deliver for mothers and babies? en_US
dc.type Postprint Article en_US

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