Cited by 356Global Maternal and Child HealthMaternal and Neonatal HealthcareMaternal and fetal healthcare

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Stillbirths: why they matter

Frøen, J Frederik, Cacciatore, Joanne, McClure, Elizabeth M, Kuti, Oluwafemi, Jokhio, Abdul Hakeem, Islam, Monir, Shiffman, Jeremy·2011·The Lancet

DOI 10.1016/s0140-6736(10)62232-5

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Abstract

In this first paper of The Lancet's Stillbirths Series we explore the present status of stillbirths in the world-from global health policy to a survey of community perceptions in 135 countries. Our findings highlight the need for a strong call for action. In times of global focus on motherhood, the mother's own aspiration of a liveborn baby is not recognised on the world's health agenda. Millions of deaths are not counted; stillbirths are not in the Global Burden of Disease, nor in disability-adjusted life-years lost, and they are not part of the UN Millennium Development Goals. The grief of mothers might be aggravated by social stigma, blame, and marginalisation in regions where most deaths occur. Most stillborn babies are disposed of without any recognition or ritual, such as naming, funeral rites, or the mother holding or dressing the baby. Beliefs in the mother's sins and evil spirits as causes of stillbirth are rife, and stillbirth is widely believed to be a natural selection of babies never meant to live. Stillbirth prevention is closely linked with prevention of maternal and neonatal deaths. Knowledge of causes and feasible solutions for prevention is key to health professionals' priorities, to which this Stillbirths Series paper aims to contribute.

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Authors: Frøen, J. F., Cacciatore, J., McClure, E. M., Kuti, O., Jokhio, A. H., Islam, M., & Shiffman, J.
Affiliations: Norwegian Institute of Public Health (NO)
Arizona State University (US)
University of North Carolina at Chapel Hill (US)
Obafemi Awolowo University (NG)
Aga Khan University (PK)
World Health Organization Regional Office for South-East Asia (IN)
American University (US)
Corresponding author: Frøen, J Frederik
ORCID: Frøen, J Frederik
Cacciatore, Joanne
McClure, Elizabeth M
Shiffman, Jeremy
Venue: The Lancet
Publisher: Elsevier BV
Published: 2011-04
Volume: 377
Issue: 9774
Pages: 1353-1366
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(10)62232-5
OpenAlex: W2094312322
Cited by: 356
References: 68
Citations by year: 2026: 5 · 2025: 10 · 2024: 20 · 2023: 17 · 2022: 20 · 2021: 31 · 2020: 22 · 2019: 28 · 2018: 23 · 2017: 19 · 2016: 31 · 2015: 30 · 2014: 36 · 2013: 29 · 2012: 21
FWCI: 4.74
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Funders: Bill and Melinda Gates Foundation
Norwegian Institute of Public Health
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
Keywords: stillbirth, stillbirth prevention, global health policy, maternal mortality, neonatal mortality, global burden of disease, Millennium Development Goals, maternal grief, social stigma, causes of stillbirth
MeSH terms: Adult, Attitude of Health Personnel, Culture, Female, Grief, Humans, Male, Pregnancy, Socioeconomic Factors, Global Health, Stillbirth

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