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Stillbirth: prevention and supportive bereavement care

Around half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This rev...

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Autores principales: Atkins, Bethany, Kindinger, Lindsay, Mahindra, Muhammad Pradhiki, Moatti, Zoe, Siassakos, Dimitrios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410959/
https://www.ncbi.nlm.nih.gov/pubmed/37564829
http://dx.doi.org/10.1136/bmjmed-2022-000262
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author Atkins, Bethany
Kindinger, Lindsay
Mahindra, Muhammad Pradhiki
Moatti, Zoe
Siassakos, Dimitrios
author_facet Atkins, Bethany
Kindinger, Lindsay
Mahindra, Muhammad Pradhiki
Moatti, Zoe
Siassakos, Dimitrios
author_sort Atkins, Bethany
collection PubMed
description Around half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This review focuses on specific aspects of care: glucose metabolism, targeted aspirin prophylaxis, clotting and immune disorders, sleep positions, fetal movement monitoring, and preconception and interconception health. In the past few years, covid-19 infection during pregnancy has emerged as a risk factor for stillbirth, particularly among women who were not vaccinated. Alongside prevention, efforts to address stillbirth must include provision of high quality, supportive, and compassionate bereavement care to improve parents’ wellbeing. A growing body of evidence suggests beneficial effects for parents who received supportive care and were offered choices such as mode of birth and the option to see and hold their baby. Staff need support to be able to care for parents effectively, yet, studies consistently highlight the scarcity of specific bereavement care training for healthcare providers. Action is urgently needed and is possible. Action must be taken with the evidence available now, in healthcare settings with high or low resources, to reduce stillbirths and improve training and care.
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spelling pubmed-104109592023-08-10 Stillbirth: prevention and supportive bereavement care Atkins, Bethany Kindinger, Lindsay Mahindra, Muhammad Pradhiki Moatti, Zoe Siassakos, Dimitrios BMJ Med Specialist Review Around half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This review focuses on specific aspects of care: glucose metabolism, targeted aspirin prophylaxis, clotting and immune disorders, sleep positions, fetal movement monitoring, and preconception and interconception health. In the past few years, covid-19 infection during pregnancy has emerged as a risk factor for stillbirth, particularly among women who were not vaccinated. Alongside prevention, efforts to address stillbirth must include provision of high quality, supportive, and compassionate bereavement care to improve parents’ wellbeing. A growing body of evidence suggests beneficial effects for parents who received supportive care and were offered choices such as mode of birth and the option to see and hold their baby. Staff need support to be able to care for parents effectively, yet, studies consistently highlight the scarcity of specific bereavement care training for healthcare providers. Action is urgently needed and is possible. Action must be taken with the evidence available now, in healthcare settings with high or low resources, to reduce stillbirths and improve training and care. BMJ Publishing Group 2023-06-27 /pmc/articles/PMC10410959/ /pubmed/37564829 http://dx.doi.org/10.1136/bmjmed-2022-000262 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Specialist Review
Atkins, Bethany
Kindinger, Lindsay
Mahindra, Muhammad Pradhiki
Moatti, Zoe
Siassakos, Dimitrios
Stillbirth: prevention and supportive bereavement care
title Stillbirth: prevention and supportive bereavement care
title_full Stillbirth: prevention and supportive bereavement care
title_fullStr Stillbirth: prevention and supportive bereavement care
title_full_unstemmed Stillbirth: prevention and supportive bereavement care
title_short Stillbirth: prevention and supportive bereavement care
title_sort stillbirth: prevention and supportive bereavement care
topic Specialist Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410959/
https://www.ncbi.nlm.nih.gov/pubmed/37564829
http://dx.doi.org/10.1136/bmjmed-2022-000262
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