Stillbirths: economic and psychosocial consequences
Stillbirths: economic and psychosocial consequences
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DOI：
10.1016/s0140-6736(15)00836-3
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发表时间：
2016-02-06
期刊：
影响因子：
168.9
通讯作者：
Downe, Soo
中科院分区：
文献类型：
--
作者：
Heazell, Alexander E. P.;Siassakos, Dimitrios;Downe, Soo
尽管死产频繁发生，但随后的影响却被忽视和低估。我们提出了全面、系统的文献综述以及对已发表和未发表数据的新分析的结果，以确定死产对全世界父母、家庭、医疗保健提供者和社会的影响。有关该事件直接成本的数据很少，但表明死产比活产需要更多的资源，无论是在围产期还是在随后怀孕期间的额外监测中。死产的间接和无形成本是巨大的，通常由家庭独自承担。对于那些资源匮乏的人来说，这个问题尤其繁重。负面影响，特别是对父母心理健康的负面影响，可以通过护理人员的同理心态度和量身定制的干预措施来缓解。应考虑婴儿的价值以及父母、家庭、护理人员、社区和社会的相关成本，以防止死产并减少相关发病率。
Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative effects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to prevent stillbirths and reduce associated morbidity.