Stillbirths: Recall to action in high-income countries

Flenady, Vicki, Wojcieszek, Aleena M., Middleton, Philippa, Ellwood, David, Erwich, Jan Jaap, Coory, Michael, Khong, T. Yee, Silver, Robert M., Smith, Gordon C. S., Boyle, Frances M., Lawn, Joy E., Blencowe, Hannah, Hopkins Leisher, Susannah, Gross, Mechthild M., Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J., Joseph, K S, Zeitlin, Jennifer, Reinebrant, Hanna E., Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E. P., Storey, Claire, Sadler, Lynn, Petersen, Scott, Froen, J. Frederik and Goldenberg, Robert L. (2016) Stillbirths: Recall to action in high-income countries. The Lancet, 387 10019: 691-702. doi:10.1016/S0140-6736(15)01020-X

Author Flenady, Vicki
Wojcieszek, Aleena M.
Middleton, Philippa
Ellwood, David
Erwich, Jan Jaap
Coory, Michael
Khong, T. Yee
Silver, Robert M.
Smith, Gordon C. S.
Boyle, Frances M.
Lawn, Joy E.
Blencowe, Hannah
Hopkins Leisher, Susannah
Gross, Mechthild M.
Horey, Dell
Farrales, Lynn
Bloomfield, Frank
McCowan, Lesley
Brown, Stephanie J.
Joseph, K S
Zeitlin, Jennifer
Reinebrant, Hanna E.
Ravaldi, Claudia
Vannacci, Alfredo
Cassidy, Jillian
Cassidy, Paul
Farquhar, Cindy
Wallace, Euan
Siassakos, Dimitrios
Heazell, Alexander E. P.
Storey, Claire
Sadler, Lynn
Petersen, Scott
Froen, J. Frederik
Goldenberg, Robert L.
Title Stillbirths: Recall to action in high-income countries
Journal name The Lancet   Check publisher's open access policy
ISSN 1474-547X
Publication date 2016-02
Sub-type Article (original research)
DOI 10.1016/S0140-6736(15)01020-X
Volume 387
Issue 10019
Start page 691
End page 702
Total pages 12
Place of publication London, United Kingdom
Publisher Lancet Publishing Group
Collection year 2017
Language eng
Formatted abstract
Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20–30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

This is the fourth in a Series of five papers about ending preventable stillbirths
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
HERDC Pre-Audit
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 13 times in Thomson Reuters Web of Science Article | Citations
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