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Silent Stillbirth 無聲的告別

(added on 2011/04/21)

©2011 SpatioEpi.com
Data source: WHO
Map created by CUHK SpatioEpi Group

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In contrast with the joy of childbirth, an estimated 2.6 million babies in 2009 were stillborn worldwide. As indicated by the cross symbols in the map, most of the stillbirths occurred in sub-Saharan Africa and Southeast Asia. More than half of the stillborn babies came from India, Pakistan, Nigeria, China and Bangladesh.

Illustrated by graduated colours, the proportion of births attended by a skilled health worker was generally low in countries with high number of stillbirths. Skilled birth attendants provide essential care during delivery, leading to a reduction of both maternal deaths and stillbirths. According to World Health Organization, about 700,000 stillbirths worldwide could be averted each year if emergency obstetric care were available.

Data for the map were obtained from World Health Organization.

嬰孩誕生本是值得高興的人生大事,全球在2009年卻有大約260萬嬰兒出生時已告夭折。依圖中十字架符號所示,大部分死產個案發生於撒哈拉沙漠以南的非洲地區及東南亞國家,而當中超過一半是來自印度、巴基斯坦、尼日尼亞、中國及孟加拉。

依圖中顏色所示,死產總數較高的國家中,經由受訓練的醫護人員接生的出生比例普遍較少。經訓練的醫護人員能於孕婦分娩時提供必需的護理,從而減少母親及嬰孩的死亡機會。根據世界衛生組織估算,緊急產科護理可避免每年全球約70萬個死產個案發生。

地圖資料源自世界衞生組織。

Related Article

Stillbirths 死產

For international comparison, World Health Organization defined stillbirths as foetal death after 28 weeks' gestation. Common causes of stillbirth are childbirth complications, maternal infections in pregnancy, maternal disorders, foetal growth restriction and congenital abnormalities.

Apart from comprehensive emergency obstetric care, stillbirths could be further minimized by other interventions such as syphilis treatment, malaria prevention and management of diabetes in pregnancy. Improvement in access to family planning and antenatal care could also reduce the number of stillborn babies.

世界衛生組織將滿28週的胎兒死亡定義為死產,而這亦是國際比較的標準。死產常見的成因包括分娩併發症、妊娠期間母體的感染或患病、胎兒發育不良或先天畸形等。

除了緊急產科護理外,還有其他方法可減低死產發生的機會,如治療梅毒、預防瘧疾及妊娠期間的糖尿病護理。此外,改善家庭計劃及產前護理的可及性亦可減少死產嬰兒數目。


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