Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Lancet. 2011 Apr 16;377(9774):1353-66. doi: 10.1016/S0140-6736(10)62232-5.
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.
在《柳叶刀》系列论文的第一篇中，我们探讨了全球的死产现状——从全球卫生政策到对 135 个国家的社区认知调查。我们的研究结果强调了采取行动的必要性。在全球关注母亲身份的时代，世界卫生议程并没有承认母亲对活产婴儿的渴望。数以百万计的死亡没有被统计在内；死产没有被纳入全球疾病负担，也没有纳入失能调整生命年，也没有被纳入联合国千年发展目标。在大多数死亡发生的地区，母亲的悲痛可能会因社会耻辱、指责和边缘化而加剧。大多数死产婴儿在没有任何认可或仪式的情况下被处理，例如命名、葬礼仪式，或者母亲抱着或给婴儿穿衣。母亲的罪孽和恶灵导致死产的观念普遍存在，人们普遍认为死产是一种从未打算让婴儿生存的自然选择。死产预防与母婴死亡预防密切相关。了解死产的原因和可行的预防措施是卫生专业人员优先考虑的关键，这也是本系列论文的目的。
