Stillbirths: An unnecessary, unspeakable tragedy — UN report

#UN; #StillBirth; #WomenHealth; #Tragedy; #UNICEF

©UNICEF/UNI32026/Pirozzi

Kadiatu Sama, who has had no prenatal care and whose child was stillborn, is comforted by a woman nurse in the maternity ward of the government hospital in Sierra Leone.

A stillborn baby is delivered every 16 seconds, which translates into nearly two million infants over the course of a year that never took their first breath, according to a new UN report published on Thursday.

A Neglected Tragedy: The Global Burden of Stillbirths, released by the UN Children’s Fund (UNICEF), the World Health Organization (WHO), the World Bank, and the UN Department of Economic and Social Affairs (DESA), reveals that 84 percent of these grievous episodes occur in low and lower-middle-income countries.

The first-ever joint global estimates also point out that stillbirths remain a challenge for high-income countries, where a mother’s level of education is one of the greatest drivers of inequity, and ethnic minorities may lack access to sufficient quality health care.

“Losing a child at birth or during pregnancy is a devastating tragedy for a family, one that is often endured quietly, yet all too frequently, around the world”, lamented UNICEF Executive Director Henrietta Fore.

A majority of stillbirths could have been prevented — UNICEF chief

COVID factor

And the report attests that the COVID-19 pandemic will likely lead a further rise.

A pandemic-induced 50 percent reduction in health services, could cause nearly 200,000 additional stillbirths over a 12-month period in 117 low and middle-income countries, according to modeling done for the report by the Johns Hopkins Bloomberg School of Public Health.

Muhammad Ali Pate, Global Director for Health, Nutrition, and Population at the World Bank, and Director of the Global Financing Facility for Women, Children, and Adolescents spelled out: “COVID-19 has triggered a devastating secondary health crisis for women, children, and adolescents due to disruptions in life-saving health services”.

Poor quality of pregnancy and delivery care; a lack of antenatal and intrapartum services and weak nursing and midwifery workforces are responsible for most of these occurrences, says A Neglected Tragedy.

“Beyond the loss of life, the psychological and financial costs for women, families, and societies are severe and long-lasting”, Ms. Fore affirmed, adding that “a majority of stillbirths could have been prevented with high-quality monitoring, proper antenatal care, and a skilled birth attendant”.

Socioeconomic link

But even before the pandemic, few women in low and middle-income countries received timely, high-quality care to prevent stillbirths, the report shows — with coverage ranging from less than two percent to a high of only 50 percent in eight important maternal health interventions, including C-sections, malaria prevention and pregnancy hypertension management.

“Welcoming a baby into the world should be a time of great joy, but every day thousands of parents experience unbearable sadness because their babies are stillborn”, said WHO Director-General Tedros Adhanom Ghebreyesus.

Sound investment needed

Despite advances in health services from 2000 to 2019, the annual stillbirth reduction rate was just 2.3 percent, compared to a 2.9 percent reduction in neonatal mortality, and 4.3 percent in mortality among children aged one to 59 months, according to the report.

However, the study maintains that with sound policy, programs, and investment, progress is possible.

“The tragedy of stillbirth shows how vital it is to reinforce and maintain essential health services, and how critical it is to increase investment in nurses and midwives”, the WHO chief upheld.

Because pregnant women need continued access to quality care, throughout their pregnancy and during childbirth, Dr. Pate stressed, “we are supporting countries in strengthening their health systems to prevent stillbirths and ensure that every pregnant woman can access quality health care services”.

© UNICEF/Loulou d’Aki

A woman who gave birth to a stillborn baby girl recovers in the maternity ward of Al-Shifa Hospital in Gaza. (file)

First published in the UN

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