Still birth in the republic of bashkortostan and reserves for its reduction

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INTRODUCTION

Every 16 seconds, one dead baby is born in the world. One of the sustainable development goals is to reduce newborn mortality by 2030 in all countries to at least 12 per 1000 live births. The solution of this problem of stillbirth of children is a strategic task of the international community to ensure the socio-demographic policy of the state.

OBJECTIVE

To analyze stillbirths in the Republic of Bashkortostan and determine the reserves for its reduction.

MATERIAL AND METHODS

A confidential audit of 1318 cases of stillbirth (SB) were carried out according to statistical reports A-05 of the Territorial Authority of the Federal State Statistics Service for the Republic of Bashkortostan for 2017—2021.

RESULTS

SB-indicator in the Republic of Bashkortostan for 2017—21 averaged 6.12‰ and over a 5-year period it increased by 44.4% (from 5.4 to 7.8‰) with a predominance of respiratory disorders as the main cause of death (88.1%), while in its structure, there was a decrease in intrapartum dead fetuses in 2021 compared to 2017 by 12 times, amounting to 0.4%. Among the diseases and conditions that led to hypoxia and antenatal death of the fetus, the share of which in the structure of respiratory disorders as the main cause of fetal death was 99.6%, pathology of the placenta (68.5%), premature detachment of a normally located placenta (13.8%) and inflammatory diseases (12.6%). Shortcomings in the statistical accounting of SB and the poor quality of medical care for women at high risk, as well as the excessive costs of the healthcare system associated with SB, which amounted to 69.930.491.82 rubles in 2021, were noted.

CONCLUSION

Identification of risk factors, timely diagnosis and treatment of pregnancy complications, training and involvement of pregnant women to independently monitor the condition of the fetus, prevention of preterm birth are reserves for reducing the SB-indicator, which will also reduce government costs associated with stillbirth.

Keywords:

stillbirth

fetal death

risk factor

respiratory disorders

fetal movement

Authors:

A.M. Ziganshin

Bashkir State Medical University

ORCID: 0000-0001-5474-1080

G.B. Dikke

Academy of Medical Education named after F.I. Inozemtseva

ORCID: 0000-0001-9524-8962

E.A. Shaikhiev

Republican Medical Genetic Center

ORCID: 0000-0002-8145-990X

Received:

20.01.2023

Accepted:

21.02.2023

List of references:

Making Every Baby Count Audit and Review of Stillbirths and Neonatal Deaths. World Health Organization, Department of Reproductive Health and Research. Geneva; 2016. Accessed February 14, 2024. https://www.who.int/publications/i/item/9789241511223
Tendencii mertvorozhdaemosti do 2019 goda. Poyasnitel’ny’e primechaniya. Mezhuchrezhdencheskaya gruppa OON po ocenke urovnej detskoj smertnosti: YuNISEF, VOZ, Otdel po narodonaseleniyu OON i Gruppa Vsemirnogo banka. 2020. Accessed February 14, 2024. (In Russ.). https://childmortality.org/wp-content/uploads/2020/10/UN-IGME-Stillbirth-Explanatory-note_RU
Heazell AE. Stillbirth — a challenge for the 21st century. BMC Pregnancy Childbirth. 2016;16(1):388. https://doi.org/10.1186/s12884-016-1181-8
Never Forgotten. The situation of stillbirth around the globe Report of the United Nations Inter-agency Group for Child Mortality Estimation. 2022. Accessed February 14, 2024. https://reliefweb.int/report/world/never-forgotten-situation-stillbirth-around-globe-report-united-nations-inter-agency-group-child-mortality-estimation-2022
Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, Sankar MJ, Blencowe H, Rizvi A, Chou VB, Walker N; Lancet Newborn Interventions Review Group; Lancet Every Newborn Study Group. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014; 384(9940):347-370. https://doi.org/10.1016/S0140—6736(14)60792-3
Every Newborn Progress Report. May 2015. World Health Organization, UNICEF. Geneva, 2015; 136. Accessed February 14, 2024. https://www.who.int/publications/i/item/9789241508728
Keeping promises, measuring results: Commission on information and accountability for Women’s and Children’s Health. World Health Organization, Geneva; 2011. Accessed February 14, 2024. https://apps.who.int/iris/bitstream/handle/10665/44672/9789241564328_eng.pdf?sequence=1&isAllowed=y
Alfvén T, Dahlstrand J, Humphreys D, Helldén D, Hammarstrand S, Hollander AC, Målqvist M, Nejat S, Jørgensen PS, Friberg P, Tomson G. Placing children and adolescents at the centre of the Sustainable Development Goals will deliver for current and future generations. Global Health Action. 2019;12(1):1670015. https://doi.org/10.1080/16549716.2019.1670015
Shchegolev AI, Tumanova UN, Chausov AA, Shuvalova MP. Comparative analysis of the causes of stillbirth in the Russian Federation in 2019 and 2020. Akusherstvo i ginekologiya. 2022;2:80-90. (In Russ.). https://doi.org/10.18565/aig.2022.2.80-90
Strategies toward ending preventable maternal mortality (EPMM). Executive Summary. World Health Organization, Geneva; 2015. Accessed February 14, 2024. https://apps.who.int/iris/bitstream/handle/10665/153540/WHO_RHR_15.03_eng.pdf?sequence=1
Stenberg K, Axelson H, Sheehan P, Anderson I, Gülmezoglu AM, Temmerman M, Mason E, Friedman HS, Bhutta ZA, Lawn JE, Sweeny K, Tulloch J, Hansen P, Chopra M, Gupta A, Vogel JP, Ostergren M, Rasmussen B, Levin C, Boyle C, Kuruvilla S, Koblinsky M, Walker N, de Francisco A, Novcic N, Presern C, Jamison D, Bustreo F; Study Group for the Global Investment Framework for Women’s Children’s Health. Advancing social and economic development by investing in women’s and children’s health: a new Global Investment Framework. Lancet. 2014;383(9925):1333-1354. https://doi.org/10.1016/S0140-6736(13)62231-X
Hug L, You D, Blencowe H, Mishra A, Wang Z, Fix MJ, Wakefield J, Moran AC, Gaigbe-Togbe V, Suzuki E, Blau DM, Cousens S, Creanga A, Croft T, Hill K, Joseph KS, Maswime S, McClure EM, Pattinson R, Pedersen J, Smith LK, Zeitlin J, Alkema L; UN Inter-agency Group for Child Mortality Estimation and its Core Stillbirth Estimation Group. Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: a systematic assessment. Lancet. 2021;398(10302):772-785. https://doi.org/10.1016/S0140-6736(21)01112-0
Huang L, Sauve R, Birkett N, Fergusson D, van Walraven C. Maternal age and risk of stillbirth: a systematic review. CMAJ. 2008; 15;178(2):165-172. https://doi.org/10.1503/cmaj.070150
Mondal D, Galloway TS, Bailey TC, Mathews F. Elevated risk of stillbirth in males: systematic review and meta-analysis of more than 30 million births. BMC Medicine. 2014;12:220. https://doi.org/10.1186/s12916-014-0220-4
Malacova E, Regan A, Nassar N, Raynes-Greenow C, Leonard H, Srinivasjois R, W Shand A, Lavin T, Pereira G. Risk of stillbirth, preterm delivery, and fetal growth restriction following exposure in a previous birth: systematic review and meta-analysis. BJOG. 2018; 125(2):183-192. https://doi.org/10.1111/1471-0528.14906
Contag S, Brown C, Crimmins S, Goetzinger K. Influence of Birthweight on the Prospective Stillbirth Risk in the Third Trimester: A Cross-Sectional Cohort Study. American Journal of Perinatology Reports. 2016;6(3):e287-298. https://doi.org/10.1055/s-0036-1587322
Reinebrant HE, Leisher SH, Coory M, Henry S, Wojcieszek AM, Gardener G, Lourie R, Ellwood D, Teoh Z, Allanson E, Blencowe H, Draper ES, Erwich JJ, Frøen JF, Gardosi J, Gold K, Gordijn S, Gordon A, Heazell A, Khong TY, Korteweg F, Lawn JE, McClure EM, Oats J, Pattinson R, Pettersson K, Siassakos D, Silver RM, Smith G, Tunçalp Ö, Flenady V. Making stillbirths visible: a systematic review of globally reported causes of stillbirth. BJOG. 2018; 125(2):212-224. https://doi.org/10.1111/1471-0528.14971
Dimitrov G, Frandeva B, Garnizov T, Zlatkov V, Dimitrov A. [Causes of stillbirths according to the period of pregnancy]. Akusherstvo i ginekologiia. 2014;53(3):3-7.
Saleem S, Tikmani SS, McClure EM, Moore JL, Azam SI, Dhaded SM, Goudar SS, Garces A, Figueroa L, Marete I, Tenge C, Esamai F, Patel AB, Ali SA, Naqvi F, Mwenchanya M, Chomba E, Carlo WA, Derman RJ, Hibberd PL, Bucher S, Liechty EA, Krebs N, Michael Hambidge K, Wallace DD, Koso-Thomas M, Miodovnik M, Goldenberg RL. Trends and determinants of stillbirth in developing countries: results from the Global Network’s Population-Based Birth Registry. Reproductive Health. 2018;22; 15(suppl 1):100. https://doi.org/10.1186/s12978-018-0526-3
Baev OR, Prikhodko AM, Ziganshina MM, Evgrafova AV, Khomyakova EV. Antenatal and intranatal risk factors associated with fetal hypoxia in childbirth. Akusherstvo i ginekologiya. 2022;8:47-53. (In Russ.). https://doi.org/10.18565/aig.2022.8.47-53
Hu Y, Wu Q, Liu J, Hong D, Zou Y, Lu J, Wang Y, Chen D, Qi L, Liang Z. Risk factors and incidence of third trimester stillbirths in China. Scientific Reports. 2021;11:12701. https://doi.org/10.1038/s41598-021-92106-1
Kamilova MYa, Johnmakhmadova PA, Ishan-Khodjaeva FR. Assessment of risk factors and determination of the level of preventability of fetal death in women with problematic pregnancy. Vestnik Avicenny’. 2020;22(1):14-21. (In Russ.). https://doi.org/10.25005/2074-0581-2020-22-1-14-21
Zile I, Ebela I, Rumba-Rozenfelde I. Maternal Risk Factors for Stillbirth: A Registry-Based Study. Medicina. 2019;1;55(7):326. https://doi.org/10.3390/medicina55070326
Sonchenko EA, Mikhelson AF, Lebedenko EY. «Mysterious» antenatal fetal death (literature review). Zdorov’e i obrazovanie v XXI veke. 2017;10:154-156. (In Russ.).
Koshida S, Ono T, Tsuji S, Murakami T, Takahashi K. Recommendations for preventing stillbirth: a regional population-based study in Japan during 2007—2011. The Tohoku Journal of Experimental Medicine. 2015;235(2):145-149. https://doi.org/10.1620/tjem.235.145
Bryant J, Jamil RT, Thistle J. Fetal Movement. 2022;25. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Accessed February 14, 2024. https://pubmed.ncbi.nlm.nih.gov/29262129/
Wastnedge E, Waters D, Murray SR, McGowan B, Chipeta E, Nyondo-Mipando AL, Gadama L, Gadama G, Masamba M, Malata M, Taulo F, Dube Q, Kawaza K, Khomani PM, Whyte S, Crampin M, Freyne B, Norman JE, Reynolds RM; DIPLOMATIC Collaboration. Interventions to reduce preterm birth and stillbirth and improve outcomes for babies born preterm in low- and middle-income countries: A systematic review. Journal of Global Health. 2021; 11:04050. https://doi.org/10.7189/jogh.11.04050
Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, Sankar MJ, Blencowe H, Rizvi A, Chou VB, Walker N; Lancet Newborn Interventions Review Group; Lancet Every Newborn Study Group. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014; 384(9940):347-370. https://doi.org/10.1016/S0140-6736(14)60792-3

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