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Träfflista för sökning "WFRF:(Alexander M) srt2:(2015-2019);lar1:(shh)"

Search: WFRF:(Alexander M) > (2015-2019) > Sophiahemmet University College

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1.
  • Flenady, Vicki, et al. (author)
  • Stillbirths : recall to action in high-income countries.
  • 2016
  • In: The Lancet. - 0140-6736 .- 1474-547X. ; 387:10019, s. 691-702
  • Journal article (peer-reviewed)abstract
    • Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19,439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.
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2.
  • Heazell, Alexander E P, et al. (author)
  • Stillbirths : economic and psychosocial consequences.
  • 2016
  • In: The Lancet. - 0140-6736 .- 1474-547X. ; 387:10018, s. 604-16
  • Journal article (peer-reviewed)abstract
    • Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative effects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to prevent stillbirths and reduce associated morbidity.
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