Stillbirths: progress and unfinished business
Stillbirths: progress and unfinished business
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DOI：
10.1016/s0140-6736(15)00818-1
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发表时间：
2016-02-06
期刊：
影响因子：
168.9
通讯作者：
Temmerman, Marleen
中科院分区：
文献类型：
--
作者：
Froen, J. Frederik;Friberg, Ingrid K.;Temmerman, Marleen
《柳叶刀》系列关于结束可预防的死产的第一篇论文回顾了2011年《预防死产行动呼吁》确定的基本领域的进展情况，以便为2015年后孕产妇和新生儿健康综合议程提供信息。全世界对死产婴儿的关注正在迅速增加，从纳入新的《全球妇女、儿童和青少年健康战略》，到受《每个新生儿行动计划》启发的国家政策。正在出现支持性的新指导方针和指标，包括将死产作为核心健康指标和护理质量的衡量标准。产前健康是终身健康的重要生物学基础。一个关键的优先事项是将产前保健行动纳入孕产妇和新生儿保健的连续护理体系。尽管如此，在宣传、政策制定、监测和研究方面仍需要对死产采取具体行动，包括改善有效覆盖已证实的产前存活干预措施的数据匮乏的情况。全世界和各国都需要强有力的领导。肩负领导全球母亲及其婴儿努力的机构必须发挥领导作用，通过促进健康和安全怀孕来减少死产。
This first paper of the Lancet Series on ending preventable stillbirths reviews progress in essential areas, identified in the 2011 call to action for stillbirth prevention, to inform the integrated post-2015 agenda for maternal and newborn health. Worldwide attention to babies who die in stillbirth is rapidly increasing, from integration within the new Global Strategy for Women's, Children's and Adolescents' Health, to country policies inspired by the Every Newborn Action Plan. Supportive new guidance and metrics including stillbirth as a core health indicator and measure of quality of care are emerging. Prenatal health is a crucial biological foundation to life-long health. A key priority is to integrate action for prenatal health within the continuum of care for maternal and newborn health. Still, specific actions for stillbirths are needed for advocacy, policy formulation, monitoring, and research, including improvement in the dearth of data for effective coverage of proven interventions for prenatal survival. Strong leadership is needed worldwide and in countries. Institutions with a mandate to lead global efforts for mothers and their babies must assert their leadership to reduce stillbirths by promoting healthy and safe pregnancies.