Table 6 Interventions to prevent stillbirth reviewed (Papers 5 [12] and 6 [13])
From: 3.2 million stillbirths: epidemiology and overview of the evidence review
Interventions during childbirth (intrapartum) (Paper 5 [12]) |
|---|
Instrumental delivery (vacuum and forceps-assisted) |
Emergency obstetric care, including Caesarean section |
Induction of labour versus expectant management |
Drugs for cervical ripening and induction of labour |
Planned Caesarean for breech presentation |
Magnesium sulphate for treatment of PIH/eclampsia or preterm labour |
Maternal hyperoxygenation for suspected impaired fetal growth |
Amnioinfusion |
Cross-cutting issues in the prevention of stillbirths (Paper 6 [13]) |
Community demand creation strategies |
Emergency loan and insurance funds for emergency obstetric care |
Financial incentives for care seeking |
Supply side capacity building (especially human resources development) |
Training of traditional birth attendants in clean delivery and referral |
Training of other cadres of community health workers |
Training nurse aides (including task-shifting) as birth attendants |
Training to improve skills of professional midwives in antenatal and intrapartum care |
Obstetric drills |
Training in neonatal resuscitation for physicians and other health care workers |
Health system organizational strategies |
Public-private partnerships to provide emergency obstetric care |
Maternity waiting homes |
Home birth with skilled attendance versus hospital birth for low-risk pregnancy |
Perinatal audit |