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Stillbirths in India: Current Status, Challenges, and the Way Forward.

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Indian Journal of Pediatrics
|August 21, 2023
PubMed
Summary

Stillbirth remains a significant public health issue in India despite progress. Addressing stillbirths requires standardized definitions, state-specific interventions, and improved bereavement care within the primary healthcare system.

Keywords:
INAPIndiaInequitiesMPDSRPrimary healthcareStillbirths

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Area of Science:

  • Public Health
  • Reproductive Health
  • Maternal Health

Background:

  • Stillbirth poses significant financial, physical, mental, and psychosocial challenges.
  • India has achieved progress in stillbirth reduction, but the absolute numbers remain high.
  • Substantial inequities exist in stillbirth rates across Indian states.

Purpose of the Study:

  • To present the national and state-level burden of stillbirths in India.
  • To discuss the magnitude, risk factors, causes, and inequities associated with stillbirths.
  • To suggest additional approaches for the reduction of preventable stillbirths.

Main Methods:

  • Analysis of national and state-level stillbirth data.
  • Review of risk factors, causes, and inequities.
  • Proposal of institutional and healthcare system-based interventions.

Main Results:

  • Significant burden of stillbirths at national and state levels.
  • Identification of key risk factors and causes contributing to stillbirths.
  • Variability in stillbirth rates across different Indian states.

Conclusions:

  • Need for institutional mechanisms for timely stillbirth registration and standardized cause documentation.
  • Requirement for state-specific interventions and stillbirth audits for quality improvement.
  • Importance of training healthcare providers in bereavement support and integrating interventions into primary healthcare.