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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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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. |
format | Online Article Text |
id | pubmed-10410959 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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