Flenady V, Boyle F, Koopmans L, Wilson T, Stones W, Cacciatore J
Translating Research into Practice Centre, Mater Research Institute, Mater Health Services, University of Queensland, South Brisbane, Qld, Australia; International Stillbirth Alliance, Bristol, UK.
BJOG. 2014 Sep;121(Suppl 4):137-40. doi: 10.1111/1471-0528.13009.
The death of a child around the time of birth is one of the most profoundly distressing events any parent will experience. These deaths are not uncommon, but are often hidden, along with the grief of mothers, fathers and families. Social stigma and negative attitudes are inextricably linked to underreporting of babies’ deaths in low- and middle-income countries. A failure to recognise the value of these lost lives leads to disenfranchised grief and diminished preventive efforts to reduce stillbirth and neonatal deaths. Acknowledging these deaths to bring them ‘out of the shadows’17 and compassionate, respectful care for parents suffering perinatal loss, irrespective of country or resources, are critical to addressing the totality of the burden of this public health problem.
孩子在出生前后夭折是任何父母都可能经历的最令人痛心疾首的事情之一。这类死亡并不罕见,但往往被隐瞒起来,母亲、父亲及家人的悲痛也一同被掩盖。在低收入和中等收入国家,社会污名和负面态度与婴儿死亡报告不足有着千丝万缕的联系。未能认识到这些逝去生命的价值会导致悲伤无法释怀,减少死产和新生儿死亡的预防工作也会受到影响。承认这些死亡,使其“走出阴影”,以及为遭受围产期丧子之痛的父母提供富有同情心和尊重的照料,无论在哪个国家,也无论资源状况如何,对于解决这一公共卫生问题的整体负担而言至关重要。