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Despite increasing attention and investment for maternal, neonatal, and child health, stillbirths remain invisible-not counted in the Millennium Development Goals, nor tracked by the UN, nor in the Global Burden of Disease metrics. At least 2·65 million stillbirths (uncertainty range 2·08 million to 3·79 million) were estimated worldwide in 2008 (≥1000 g(More)
OBJECTIVE To assess the main risk factors associated with stillbirth in a multiethnic English maternity population. DESIGN Cohort study. SETTING National Health Service region in England. POPULATION 92,218 normally formed singletons including 389 stillbirths from 24 weeks of gestation, delivered during 2009-11. MAIN OUTCOME MEASURE Risk of(More)
OBJECTIVE To assess the effect that accreditation training in fetal growth surveillance and evidence-based protocols had on stillbirth rates in England and Wales. DESIGN Analysis of mortality data from Office of National Statistics. SETTING England and Wales, including three National Health Service (NHS) regions (West Midlands, North East and Yorkshire(More)
BACKGROUND Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO)(More)
BACKGROUND Each year, about 5.3 million babies die in the perinatal period. Understanding of causes of death is critical for prevention, yet there is no globally acceptable classification system. Instead, many disparate systems have been developed and used. We aimed to identify all systems used or created between 2009 and 2014, with their key features,(More)
BACKGROUND To reduce the burden of 5.3 million stillbirths and neonatal deaths annually, an understanding of causes of deaths is critical. A systematic review identified 81 systems for classification of causes of stillbirth (SB) and neonatal death (NND) between 2009 and 2014. The large number of systems hampers efforts to understand and prevent these(More)
Accurate assessment of fetal growth status requires the definition of 'normal', i.e. the optimal growth of each baby. This includes the consideration of four factors which affect the standard: 1. Accurate dating is a first prerequisite for any growth standard. Ultrasound dating is much more accurate that menstrual dating. Because the distribution of(More)
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