Intrapartum stillbirths

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Intrapartum stillbirths are estimated using the methodology outlined in Annex 7. The analysis confirms that intrapartum stillbirths are rare in developed countries, where they represent approximately 10% of the estimated 84 000 stillbirths, with an average intrapartum stillbirth rate of 0.6 per 1000 births. On the other hand, intrapartum deaths in developing regions are estimated to account for between 24% and 37% of all stillbirths (see Table 7.1), which means that overall 34% of 3.2 million stillbirths, or 9 out of every 1000 births, occur during delivery. Consequently the risk of an intrapartum stillbirth is on average 14 times greater in developing than in developed countries. In the least developed countries, the risk increases to at least 17 times more than in developed countries.

Complications of childbirth are the cause of almost all deaths during delivery. Intrapartum deaths are largely avoidable through appropriate care during delivery, and therefore closely related to

Table 7.1

Neonatal and Perinatal Mortality 21 Intrapartum stillbirth mortality for the year 2000, by United Nations region and subregion

Stillbirth rate

No. of stillbirths (000)

Intrapartum deaths as % of stillbirths

No. of intrapartum deaths (000)

Intrapartum mortality rate

WORLD

24

3328

33

1097

8

More developed regions*

6

84

10

8

41

Less developed regions

26

3244

34

1089

9

Least developed countries

31

850

35

301

11

AFRICA

32

1002

35

349

11

Eastern Africa

27

297

33

98

9

Middle Africa

41

191

37

71

15

Northern Africa

18

85

32

27

6

Southern Africa

21

26

28

7

6

Western Africa

41

403

36

147

15

ASIA*

27

2124

33

709

9

Eastern Asia*

19

396

24

96

5

South-central Asia

34

1410

37

518

13

South-eastern Asia

19

223

30

68

6

Western Asia

18

94

29

27

5

EUROPE

8

61

10

6

1

Eastern Europe

15

41

10

4

1

Northern Europe

5

5

10

1

1

Southern Europe

5

7

10

1

0.5

Western Europe

4

8

10

1

0.4

LATIN AMERICA AND CARIBBEAN

10

112

25

28

2

Caribbean

18

14

31

4

6

Central America

11

37

24

9

3

South America

8

62

24

15

2

NORTHERN AMERICA

3

16

10

2

0.3

OCEANIA*

23

6

35

2

8

Australia/New Zealand*

3

1

10

0.1

0.3

Melanesia

25

6

36

2

9

Micronesia

7

0.1

24

0.02

2

Polynesia

11

0.2

24

0.04

3

Figures may not add exactly to the total owing to rounding.

Estimates by WHO regions and mortality strata can be found in Annex 2, Table A2.2.

* Australia/New Zealand and Japan have been excluded from the regional estimates but are included in the total for developed countries.

Figures may not add exactly to the total owing to rounding.

Estimates by WHO regions and mortality strata can be found in Annex 2, Table A2.2.

* Australia/New Zealand and Japan have been excluded from the regional estimates but are included in the total for developed countries.

the place of birth and the availability of qualified birth attendants. In developed countries, most deliveries take place in institutions and almost without exception in the presence of qualified health personnel. In developing countries, just over 40% of deliveries occur in health facilities and only slightly more than 1 in 2 takes place with the assistance of a doctor, midwife or qualified nurse (2,5).

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