Reducing intrapartum stillbirths
and intrapartum-related neonatal deaths.
Objective: To determine the prospective risk of stillbirth
, perinatal death and neonatal morbidities in twins.
neonatal mortality coincident with improved adherence to the rule to wait until 39 weeks of gestation before proceeding with an elective delivery, the increased number of stillbirths
was "unacceptable," said Dr.
In dichorionic pregnancies, the prospective weekly pooled risk of stillbirths
from expectant management and the risk of neonatal mortality from delivery were balanced at 37 weeks of gestation (risk difference, 1.
Perinatal mortality, comprising of stillbirths
and early neonatal deaths is one of the sensitive indices of the quality of prenatal, obstetric and early neonatal care available to women and newborns.
She said: "In the UK attention to preventing stillbirths
in the approach to term must be improved, this has been recognised and government initiatives are in place.
According to the investigators, their findings are encouraging, but also suggest that progress toward reducing the worldwide burden of stillbirth
is unlikely to meet targets such as the Every Newborn Action Plan goal of 12 or fewer stillbirths
per 1,000 births in all countries by 2030.
To determine the frequency of stillbirths
with reference to parity and gestational age in a tertiary care public hospital, Karachi.
Also highlighted in the Lancet series is the need to address stigma related to stillbirth
, the belief stillbirths
are not preventable and to improve bereavement care.
Pregnancy history was the strongest baseline risk factor for stillbirth
in an analysis of 614 stillbirths
and 1,816 live births in the SCRN's population-based, case-control study conducted between 2006 and 2008.
Yet, one study linked a policy in a large hospital group of avoiding such optional, or elective, deliveries before 39 weeks to an increase in stillbirths
in its patients.
After adjustment for maternal age, weight, parity, birth year, and smoking, stillbirths
were five times more likely among the untreated women than the treated women.
were also more common for First Nations women over 35 years of age, those with more than three babies, and those with a history of abortion, previous stillbirth
or neo-natal death.
Data gathered from 2000 to 2009 shows a connection between First Nations women with pre-existing diabetes and the risk of stillbirths
Globally, syphilis is the main cause for more than 460 000 stillbirths
annually (1, 2, 7).