Abstract
(Abstracted from Lancet 2021;398:772–785) Stillbirths are a public health issue as well as an example of the inequality of care during pregnancy and birth. Groups such as the UN Global Strategy for Women's, Children's, and Adolescents' Health and the Every Newborn Action Plan aim to prevent stillbirths.
Highlights
Rate of stillbirth is regarded by the global health com munity as an important marker of a health system’s quality of care during pregnancy and childbirth,[1] but global monitoring of trends in stillbirth rate has been infrequent
Evidence before this study Before the release of estimates from the UN Inter-agency Group for Child Mortality Estimation, to our knowledge, the only global estimates of stillbirths were published by WHO and the Global Burden of Disease Study (GBD; latest estimates in 2017)
Stillbirth estimates from GBD 2017 were based on a space-time Gaussian process regression model for estimating the stillbirth rate to neonatal mortality rate ratio as a function of educational attainment of women of reproductive age, a non-linear function of the neonatal death rate, location random effects, and random effects for specific data source types nested within each location
Summary
Rate of stillbirth is regarded by the global health com munity as an important marker of a health system’s quality of care during pregnancy and childbirth,[1] but global monitoring of trends in stillbirth rate has been infrequent. Countries and the global health community have given notably less attention to this public health issue than to maternal and child mortality.[2] Stillbirths are missing as a www.thelancet.com Vol 398 August 28, 2021. The previous estimates from WHO for developed countries with high quality data were obtained from stillbirth rate data directly, and smoothed with Loess regression. Stillbirths are a major public health issue and a sensitive marker of the quality of care around pregnancy and birth. We estimated stillbirth rates and their trends for 195 countries from 2000 to 2019 and assessed progress over time
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