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Related Experiment Video

Updated: Jul 4, 2026

Murine Fetal Echocardiography

Murine Fetal Echocardiography

Published on: February 15, 2013

Long-term trends in fetal mortality: implications for developing countries.

¹Department of Geography, University of Liverpool, Liverpool L697ZT, England. riwoods@liv.ac.uk

Bulletin of the World Health Organization

|June 24, 2008

Summary

Defining and measuring stillbirths is challenging. This study analyzes trends in fetal mortality across developed and developing nations, highlighting data limitations and the role of birth attendants.

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Area of Science:

Perinatal epidemiology
Global health statistics

Background:

Accurate measurement of late-fetal mortality (stillbirths) is hindered by inconsistent definitions and registration practices globally.
Understanding long-term trends in fetal mortality is crucial for public health interventions, particularly in developing countries.

Purpose of the Study:

To analyze long-term trends in fetal mortality using data from 11 developed countries.
To identify challenges in defining and measuring stillbirths and assess the implications for developing countries.
To evaluate the limitations of existing estimation methods and survey data for global fetal mortality assessment.

Main Methods:

Analysis of long-term fetal mortality trends in 11 developed countries.
Examination of cross-sectional associations among 187 countries in the year 2000 to assess data limitations.
Comparison of the impact of skilled birth attendants on maternal and late-fetal mortality.

Main Results:

Identified significant variations in fetal mortality rates due to differing definitions and registration practices.
Observed a recent convergence in fetal mortality rates among developed countries.
Highlighted potential limitations of WHO estimation methods and survey data, particularly for developing countries.
Emphasized the crucial role of skilled birth attendants in reducing both maternal and late-fetal mortality, albeit with different magnitudes of effect.

Conclusions:

Standardizing the definition and measurement of stillbirths is essential for accurate global health monitoring.
Developing countries face unique challenges in data collection and estimation of fetal mortality.
Skilled birth attendants are vital for improving perinatal outcomes, necessitating targeted global health strategies.