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Fetal Circulation

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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
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The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation

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Stillbirth in Low-Resource Settings.

Hannah Blencowe¹, Lorena Suarez-Idueta¹, Kapila Jayaratne²

¹Department of Epidemiology and Population Health, Centre for Maternal Adolescent and Reproductive Health (MARCH), London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.

Clinics in Perinatology

|February 18, 2026

Summary

Globally, 1.9 million stillbirths occurred in 2023, primarily in low-income nations. Addressing preventable stillbirths requires improved healthcare access, socioeconomic factors, and data collection.

Keywords:

LMIC Maternal health Newborn health Perinatal mental health Stillbirth

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Area of Science:

Public Health
Global Health
Maternal Health

Background:

In 2023, 1.9 million late-gestation stillbirths occurred globally, with 87% in low- and middle-income countries.
Sub-Saharan Africa faces a disproportionately high burden, accounting for nearly half of all stillbirths.
While global stillbirth rates are declining, progress is inconsistent and stagnating in high-burden regions.

Purpose of the Study:

To highlight the global burden and regional disparities of stillbirths.
To identify the complex contributing factors to preventable stillbirths.
To advocate for urgent, intersectoral actions to end preventable stillbirths.

Main Methods:

Analysis of global stillbirth data for 2023.
Identification of key biomedical, societal, and health system factors contributing to stillbirths.
Review of existing strategies and gaps in care.

Main Results:

1.9 million late-gestation stillbirths in 2023, with a significant concentration in low- and middle-income countries.
Preventable stillbirths are driven by a combination of biomedical issues (hypertension, infection), social determinants (poverty, inequity), and health system deficiencies.
Gaps in timely, high-quality antenatal and intrapartum care are critical barriers.

Conclusions:

Ending preventable stillbirths necessitates a multifaceted approach.
Key interventions include closing data gaps, enhancing health systems (skilled birth attendance, emergency care), addressing social determinants, and improving bereavement support.
Urgent, intersectoral collaboration is crucial for substantial progress in stillbirth prevention.