HealthDay Reporter by Steven Reinberg
HealthDay Reporter - Thu 14 Apr, 11: 48 pm EST
(Wednesday, April 13, HealthDay News) - while the rate of stillbirths in the United States has fallen in recent decades, this tragic outcome is still a reality for too many couples, experts say.
As part of a series of studies published online April 14 in The Lancet, report researchers than a cause of death to the United States may be obesity, which can increase the risk of fetal loss.
Obese women are more likely to have diabetes and hypertension, and "these are two of the main causes of stillbirth," noted the principal author of a document, Dr. Robert l. Goldenberg, a Professor of obstetrics and Gynecology at Drexel University College of Medicine in Philadelphia. "But for reasons that are unclear, most high above hypertension, diabetes, obese women are still more likely to have a stillbirth [than thinner women]."
Limits the access of women to good obstetric care — - particularly for the poor or the mothers of the minority is another important factor. "My estimation is that if all women had access to good care, a third to half of stillbirths in the United States could be eliminated," said Goldenberg.
The stillbirth definition varies depending on the country. For United States, it is generally defined as loss fetal at least 20 weeks of gestation, whereas the World Health Organization defines as fetal death at 28 weeks or later.
Stillbirths are most common in rich countries less. In fact, all over the world the problem takes into account more 2.6 million of foetal deaths each year. Eighty Eighteen per cent occur in low-income countries, but rich countries, including the United States, also meet many stillbirths each year, researchers only.
"Stillbirth does not receive the attention it deserves, because it is a major result of pregnancy, which has been neglected," said Goldenberg. "In the United States there are approximately 27 000 stillbirths each year", he added. "It is also common a bad outcome as infant mortality, and it is much more common than babies infected with AIDS."
However, Goldenberg stillbirths are often not recorded in the infant mortality data, said. In addition, at the United States remains a large disparity in the number of stillbirths among white and black women, he said, with black women more at risk. Similar disparities exist also between urban women and rural and poor women and wealthy women.
"It is disadvantaged women who tend to be much more often stillbirths," Goldenberg said. "This is mainly due to access to care."
Dr. Cathy Spong, Chief Executive of pregnancy & perinatal to the U.S. National Institute of Child Health and human development and author of a newspaper seen accompanying editorial, said that the disparities observed in stillbirths are the same in other adverse pregnancy outcomes.
These disparities "not only works in the stillbirth, it occurs in preterm birth and infant mortality, also" said. "So, you look at conditions during pregnancy, and the bad things that can come to see you consistent disparity."
The good news is that, over the past 30 years, there has been a substantial reduction in stillbirths in the United States, said Goldenberg. He said "fifty years ago, the stillbirth rate was 50 per 1,000 births, to date, it is between three and six per 1,000,".
"We have very well, but there is still much to do." Goldenberg said. "This is primarily due to good obstetric care that most of the United States women", he said. "But women who do not have access to care in a timely manner have as much a fourfold risk of stillbirths increased."
According to Goldenberg, stillbirths occur generally die major "disasters" during childbirth. Include bleeding, seizures, prolonged work or the baby receives not enough oxygen. "Most of these conditions is easily fixed in a good hospital," he said. "Women who do not have access to hospitals are much more likely to have a birth yet."
In the other rich countries, such as the Norway, Sweden and the Denmark, stillbirth rates are about half the rate of the United States, said Goldenberg.
Goldenberg noted that a stillbirth may take a psychological balance on the mother and the family.
"Every woman who is pregnant has a vision and a hope of a live baby," he said. "When a stillbirth occurs women and the family are often devastated, but because in many places there is no recognition of death he is none of the normal types of mourning which would happen if you lost a direct child"said he.""
"Most women display the baby as a child of their who happened to be born is not dead letter, that there is not," said Goldenberg. The mother and the family should be encouraged to grieve for the loss of life and not hide, he said.
"When it is hidden women have a chance to work through it, said Goldenberg.
In addition to advice, many hospitals encourages mothers to infant and name him - to infant, Goldenberg said. "Family members are encouraged to recognize that it is a birth and death: he was a child,"he says. ".
In summary, Goldenberg listed three important messages about stillbirths: this is a result of pregnancy important which must be loaned attention to the; It is for the most part, avoidable, and "when it happens, is not fault the woman."
More information
For more information about stillbirths, visit the March of Dimes.
没有评论:
发表评论