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Stillbirth in developing countries.

E M McClure1, M Nalubamba-Phiri, R L Goldenberg

  • 1Statistics and Epidemiology, RTI International, Research Triangle Park, NC, USA. mcclure@rti.org

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|May 30, 2006
PubMed
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Millions of stillbirths occur annually in developing nations, with rates ten times higher than elsewhere. Improving obstetric care, particularly during labor, is crucial to significantly reduce these tragic outcomes.

Area of Science:

  • Public Health
  • Obstetrics
  • Global Health

Background:

  • Stillbirths represent a significant global health challenge, disproportionately affecting developing countries.
  • Reliable data on stillbirth rates and causes are scarce due to under-reporting, especially for home births.

Purpose of the Study:

  • To systematically review the existing literature on stillbirths in developing countries.
  • To highlight the research, programmatic, and policy gaps concerning stillbirths in these regions.

Main Methods:

  • A comprehensive review of English-language literature was conducted.
  • Articles published between 1975 and 2005 focusing on stillbirths in developing countries were included.

Main Results:

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  • An estimated 4 million stillbirths occur annually, with the majority in developing countries.
  • Rates in developing nations are approximately ten times higher than in developed countries.
  • Prolonged/obstructed labor, preeclampsia, and infections are primary causes, often due to inadequate treatment.

    • Conclusions:

    • Stillbirths in developing countries remain under-researched and lack adequate attention.
    • Enhanced access to quality obstetric care, especially during labor, is essential for reducing stillbirth rates.