Laila Arjumand Banu
Obstetrical & Gynecological Society of Bangladesh, Bangladesh
Introductions: The majority of clinically recognized pregnancies have no complications and result in the birth of a healthy child. However, 15-20% tragically end in loss. These fetal losses are devastating for expectant parents at any stage of pregnancy.
Facts and figures-(WHO)-stillbirths are invisible in policy and programs, yet constitute an enormous burden of deaths and disproportionately affect the poor.
2.6% stillbirths annually.1.3 million antepartum stillbirths. Worldwide SBR is 18.4 /1000 total births. 98% of the world’s stillbirths occur in low and middle income countries.
Stillbirths in Bangladesh. Around 1 in 200 pregnancies in Australia end in this devastating outcome but more common in developing countries like Bangladesh.
Study of singleton pregnancy from Nov 2008 to April 2009 in 34 slum areas in Dhaka. 231 women with stillbirths and 464 –live births. The stillbirth rate was 26 per 1000 total births of which 62% occurred during the intrapartum period (2.6 million 3rd trimester stillbirths occur worldwide every year).
46% of women living in rural Bangladesh report receiving ANC from medically trained personnel and only 18% having a TBA (doctor, nurse, midwife) being present at delivery.
About 83,100 babies were born dead in Bangladesh last year which is 50% decrease in stillbirths from 160,300 in 2000(lancet).
In 2001 –a study in Bangladesh of pregnancy outcome in 192 women –half in a village with high arsenic levels found 17 stillbirths compared with 7 in a similar village with low level.
A total of 13,852 stillbirths were reported through death notification system to occur in 10 MPDR districts from Oct 2013 to Sep 2015-verbal autopsy has been done in 1059 cases.
Conclusion: Mortality targets by 2030 (included in every newborn action plan) 12 stillbirths or fewer per 1000 total births in every country. All countries set and meet targets to close equity gaps and use data to track and prevent stillbirths.
Universal health care coverage targets Family planning-By 2030, universal access to SRH care services and integration of reproductive health into national strategies and programs.
Antenatal care; By 2030 universal quality of care and comprehensive ANC for all women. Care during labour and birth: By 2030, effective and respectful intrapartum care to all women in all countries.
Laila Arjumand Banu is the President of Obstetrical & Gynecological Society of Bangladesh (OGSB), Chief Consultant & Head of the Dept. of Obs & Gynae, Lab Aid Specialized Hospital, Dhaka, Bangladesh. She is the Vice President of South Asian Federation of Obstetrics & Gynecology (SAFOG), Secretary General- Bangladesh Perinatal Society, Secretary General- Gynecological Endoscopy Society of Bangladesh, Treasurer-Federation of Asia Oceania Perinatal Society- FAOPS Treasurer- Fertility & Sterility Society of Bangladesh and Treasurer- Bangladesh Menopause Society.