Stillbirths and neonatal mortality as outcomes
Robert L Goldenberg, Elizabeth M McClure, Alan H Jobe, Beena D Kamath-Rayne, Michael G Gravette, Craig E Rubens, Robert L Goldenberg, Elizabeth M McClure, Alan H Jobe, Beena D Kamath-Rayne, Michael G Gravette, Craig E Rubens
Abstract
Several recent studies in low-resource countries have claimed that training in-and increased use of-newborn resuscitation resulted in reduced stillbirth rates. In the present article, we explore the ability of various types of birth attendant in some low-resource country locations to gather data that accurately differentiate a stillbirth from a live birth/early neonatal death. We conclude that, in many situations, it cannot be determined whether the infant was a stillbirth or a live birth/early neonatal death, and therefore the least-biased description of study outcomes includes a combined stillbirth and live birth/neonatal death outcome. However, because defining the burden of stillbirth and neonatal death is important from a public health perspective, every effort should be made, in low-income countries and elsewhere, to distinguish between stillbirths and live births/neonatal deaths and to report the results independently.
Keywords: Perinatal mortality; Resuscitation; Stillbirth.
Conflict of interest statement
Conflict of interest
The authors have no conflicts of interest.
© 2013.
Source: PubMed