COVID-19 could add 2 million per year stillbirth: UN

Agence France-Presse . Paris | Published: 10:32, Oct 08,2020

 
 

Almost two million babies are stillborn every year — one every 16 seconds — the United Nations said on Thursday, warning that the COVID-19 pandemic could add another 200,000 deaths to the ‘devastating’ toll.

The vast majority of stillbirths, 84 per cent, occur in low- and middle-income countries, where basic neo-natal care could save hundreds of thousands of lives each year, according to a joint report by UNICEF, the World Health Organisation, and the World Bank Group.

Most stillbirths occur due to poor quality healthcare lacking investment in equipment and training of midwives.

And unlike notable reductions in recent decades in the global rate of maternal and infant deaths, stillbirths remained stubbornly frequent, particularly throughout sub-Saharan Africa and south-east Asia.

‘Losing a child at birth or during pregnancy is a devastating tragedy for a family, one that is often endured quietly, yet all too frequently, around the world,’ said UNICEF executive director Henrietta Fore.

‘Beyond the loss of life, the psychological and financial costs for women, families and societies are severe and long lasting. For many of these mothers, it simply didn’t have to be this way,’ she added.

The report warned that the pandemic could result in nearly 200,000 additional stillbirths, assuming that 50 per cent of health services were impacted in low- and middle-income countries by the COVID-19 response.

Mark Hereward, UNICEF’s associate director for data and analytics, told AFP that infants in many countries would suffer from COVID-19 even if their mothers never contracted the disease.

‘Firstly, due to the massive increase in poverty because of the global recessions,’ he said.

‘The other way is through an interruption to health services, either because health workers are reassigned to work on Covid or because people are afraid to go to clinic,’ he added.

Hereward said that without urgent action the world will have suffered 20 million more stillbirths by 2030.

Globally, over 40 per cent of stillbirths occur during labour, the UN said. These were among the most avoidable deaths given that many labour stillbirths could be prevented with access to trained midwives and emergency obstetric care.

Sabine Uwizeye, a 35-year-old living in Rwanda’s capital Kigali, lost her baby when she went into labour during the 37th week of pregnancy.

‘I knew that something was wrong and the doctor told me that my baby was dead. I couldn’t believe it. I cried and cried,’ she told AFP.

‘The baby had many knots in its umbilical chord. I feel so bad even now not being able to hold my sick baby,’ she added.

Uwizeye was now the mother to a healthy 10-month-old, but she urged expectant mothers to be vigilant in monitoring their baby’s health.

As well as the wide disparity in stillbirth rates between rich and poorer nations, the report also found significant variations in the rates within individual countries, often linked to socioeconomic status.

In Nepal, for example, women of minority castes had stillbirth rates 40-60 per cent higher than those from upper-class castes.

And in Canada, Inuit communities had a stillbirth rate nearly three times higher than the general population.

Speaking to journalists on Wednesday, Anshu Banerjee, director for the Department of Maternal, Newborn, Child and Adolescent Health and Ageing at the WHO said that the world needed ‘break out of this cocoon of taboos and stigma’ surrounding stillbirth.

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