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

Pattinson, Robert, Kerber, Kate, Buchmann, Eckhart, Friberg, Ingrid K., Belizan, Maria, Lansky, Sonia, Weissman, Eva, Mathai, Matthews, Rudan, Igor, Walker, Neff, Lawn, Joy E., The Lancet's Stillbirths Series steering committee and Flenady, Vicki (2011) Stillbirths: how can health systems deliver for mothers and babies?. The Lancet, 377 9777: 1610-1623. doi:10.1016/S0140-6736(10)62306-9

Author Pattinson, Robert
Kerber, Kate
Buchmann, Eckhart
Friberg, Ingrid K.
Belizan, Maria
Lansky, Sonia
Weissman, Eva
Mathai, Matthews
Rudan, Igor
Walker, Neff
Lawn, Joy E.
The Lancet's Stillbirths Series steering committee
Flenady, Vicki
Title Stillbirths: how can health systems deliver for mothers and babies?
Journal name The Lancet   Check publisher's open access policy
ISSN 0140-6736
Publication date 2011-05-07
Sub-type Article (original research)
DOI 10.1016/S0140-6736(10)62306-9
Open Access Status Not yet assessed
Volume 377
Issue 9777
Start page 1610
End page 1623
Total pages 14
Place of publication London, United Kingdom
Publisher The Lancet Publishing Group
Language eng
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 effects and cost. In countries with high mortality rates, emergency obstetric care has the greatest effect on maternal and neonatal deaths, and on stillbirths. Syphilis detection and treatment is of moderate effect 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.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
School of Medicine Publications
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