Stillbirths: Rates, risk factors, and acceleration towards 2030

Lawn, Joy E., Blencowe, Hannah, Waiswa, Peter, Amouzou, Agbessi, Mathers, Colin, Hogan, Dan, Flenady, Vicki, Froen, J. Frederik, Qureshi, Zeshan U., Calderwood, Claire, Shiekh, Suhail, Jassir, Fiorella Bianchi, You, Danzhen, McClure, Elizabeth M., Mathai, Matthews and Cousens, Simon (2016) Stillbirths: Rates, risk factors, and acceleration towards 2030. The Lancet, 387 10018: 587-603. doi:10.1016/S0140-6736(15)00837-5


Author Lawn, Joy E.
Blencowe, Hannah
Waiswa, Peter
Amouzou, Agbessi
Mathers, Colin
Hogan, Dan
Flenady, Vicki
Froen, J. Frederik
Qureshi, Zeshan U.
Calderwood, Claire
Shiekh, Suhail
Jassir, Fiorella Bianchi
You, Danzhen
McClure, Elizabeth M.
Mathai, Matthews
Cousens, Simon
Title Stillbirths: Rates, risk factors, and acceleration towards 2030
Journal name The Lancet   Check publisher's open access policy
ISSN 1474-547X
0140-6736
Publication date 2016-02-06
Sub-type Article (original research)
DOI 10.1016/S0140-6736(15)00837-5
Volume 387
Issue 10018
Start page 587
End page 603
Total pages 17
Place of publication London, United Kingdom
Publisher Lancet Publishing Group
Collection year 2017
Language eng
Formatted abstract
An estimated 2·6 million third trimester stillbirths occurred in 2015 (uncertainty range 2·4–3·0 million). The number of stillbirths has reduced more slowly than has maternal mortality or mortality in children younger than 5 years, which were explicitly targeted in the Millennium Development Goals. The Every Newborn Action Plan has the target of 12 or fewer stillbirths per 1000 births in every country by 2030. 94 mainly high-income countries and upper middle-income countries have already met this target, although with noticeable disparities. At least 56 countries, particularly in Africa and in areas aff ected by conflict, will have to more than double present progress to reach this target. Most (98%) stillbirths are in low-income and middle-income countries. Improved care at birth is essential to prevent 1·3 million (uncertainty range 1·2–1·6 million) intrapartum stillbirths, end preventable maternal and neonatal deaths, and improve child development. Estimates for stillbirth causation are impeded by various classification systems, but for 18 countries with reliable data, congenital abnormalities account for a median of only 7·4% of stillbirths. Many disorders associated with stillbirths are potentially modifiable and often coexist, such as maternal infections (population attributable fraction: malaria 8·0% and syphilis 7·7%), non-communicable diseases, nutrition and lifestyle factors (each about 10%), and maternal age older than 35 years (6·7%). Prolonged pregnancies contribute to 14·0% of stillbirths. Causal pathways for stillbirth frequently involve impaired placental function, either with fetal growth restriction or preterm labour, or both. Two-thirds of newborns have their births registered. However, less than 5% of neonatal deaths and even fewer stillbirths have death registration. Records and registrations of all births, stillbirths, neonatal, and maternal deaths in a health facility would substantially increase data availability. Improved data alone will not save lives but provide a way to target interventions to reach more than 7000 women every day worldwide who experience the reality of stillbirth.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

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