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 Stillbirth rate rises dramatically during pandemic

17.09.20. The Chinese flu pandemic has created much pain for individuals everywhere. Here in Australia, due mainly to everyone having a camera phone, we witness this pain on a daily basis—children not being able to see dying parents and so on. Often, however, such pain is deeply  private and not readily seen. The article herein, originally published in Nature, has become topical after we all saw the pregnant woman being arrested in front of her family for publishing an opinion on Facebook. What a shocking happening in Australia. Futhermore, it’s not the arrest so much as the mother’s stress derived from  such an incident and the effect on the unborn child. Something the police should have been well aware of. One of the most terrible experiences any potential mother could have is suffering a stillbirth and researchers have identified a 50% increase in stillbirths during this Chinese created disaster time as Clare Watson writes:A slew of studies from around the world has reported a disturbing trend: since the coronavirus pandemic started, there has been a significant rise in the proportion of pregnancies ending in stillbirths, in which babies die in the womb. Researchers say that in some countries, pregnant women have received less care than they need because of lockdown restrictions and disruptions to health care. As a result, complications that can lead to stillbirths were probably missed, they say.
“What we’ve done is cause an unintended spike in stillbirth while trying to protect [pregnant women] from COVID-19,” says Jane Warland, a specialist in midwifery at the University of South Australia in Adelaide.
The largest study to report a rise in the stillbirth rate, based on data from more than 20,000 women who gave birth in 9 hospitals across Nepal, was published in The Lancet Global Health on 10 August1. It reported that stillbirths increased from 14 per 1,000 births before the country went into lockdown to stop the spread of the coronavirus in late March, to 21 per 1,000 births by the end of May — a rise of 50%. The sharpest rise was observed during the first four weeks of the lockdown, under which people were allowed to leave their homes only to buy food and receive essential care.
The study, led by Ashish K.C., a perinatal epidemiologist at Uppsala University, Sweden, and his colleagues, found that although the rate of stillbirths jumped, the overall number was unchanged during the pandemic. This can be explained by the fact that hospital births halved, from an average of 1,261 births each week before lockdown to 651. And a higher proportion of hospital births during lockdown had complications. The researchers don’t know what happened to women who didn’t go to hospital, or to their babies, so they cannot say whether the rate of stillbirths increased across the population.
The increase in the proportion of stillbirths among hospital births was not caused by COVID-19 infections, says K.C.. Rather, it is probably a result of how the pandemic has affected access to routine antenatal care, which might have otherwise picked up complications that can lead to stillbirth, he says. Pregnant women might have been unable to travel to health facilities for lack of public transport; in some cases, antenatal appointments were reportedly cancelled. Others might have avoided hospitals for fear of contracting SARS-CoV-2, the virus that causes COVID-19, or had consultations by phone or Internet. Disruptions brought about by the pandemic have also been linked to a rise in deaths from heart disease and diabetes.
“Nepal has made significant progress in the last 20 years in health outcomes for women and their babies, but the last few months have deaccelerated that progress,” says K.C..
Global trend
Birth data from a large hospital in London showed a similar trend. In July, Asma Khalil, an obstetrician at St George’s, University of London, and her colleagues reported2 a nearly fourfold increase in the incidence of stillbirths at St George’s Hospital, from 2.38 per 1,000 births between October 2019 and the end of January this year, to 9.31 per 1,000 births between February and mid-June.
Khalil calls this the collateral damage of the pandemic. She says that during lockdown, pregnant women might have developed complications that were not diagnosed, and might have hesitated about coming to hospital and therefore been seen by doctors only when a complication was advanced, when less could be done.
Four hospitals in India also reported3 a jump in the stillbirth rate during the country’s lockdown. And as in Nepal, fewer women had their babies in those hospitals. Referrals of women requiring emergency pregnancy care also dropped by two-thirds. This suggests that more births were happening unattended, at home or in small facilities, according to the authors. Scotland — one of a few countries that collates data on stillbirths and infant deaths monthly — has also detected an uptick in the rate of stillbirths in the months of the pandemic.
Disrupted services
In normal times, the World Health Organization recommends that women be seen by medical professionals at least eight times during pregnancy — even if the pregnancy is judged low-risk — to detect and manage problems that might harm the mother, the baby or both. Much of the risk of stillbirth can be averted if women sleep on their side from 28 weeks’ gestation, stop smoking and notify their midwife or doctor if their baby is moving less. The last trimester of pregnancy is particularly important for regular health checks, but women are typically monitored for risk factors such as restricted fetal growth and high blood pressure throughout pregnancy.
When the pandemic hit, professional bodies for maternity health providers recommended that some face-to-face consultations be substituted with remote appointments to protect women from the coronavirus.
But health-care workers can’t take someone’s blood pressure, listen to their baby’s heartbeat or do an ultrasound remotely, says Warland. Because of this, high-risk pregnancies might have been missed, she says, particularly among first-time mothers who are less likely to know what an abnormality feels like. For instance, St George’s Hospital reported a drop in the number of pregnant women presenting with high blood pressure during the UK lockdown. This suggests that “women with hypertension aren’t being managed as they normally would, and undetected hypertension is a risk factor for stillbirth”, says Warland.
The studies are a call to arms to support maternal and newborn health services, especially in low-to middle-income countries, says Caroline Homer, a midwifery researcher at the Burnet Institute in Melbourne, Australia. “This is not the moment to reduce” these services, she says. Homer says that across the Asia-Pacific region, the maternal-health workforce has pivoted to working on the COVID-19 front line, and antenatal care services have reduced face-to-face contact with pregnant women. In some places, services have shut completely, she says.
But Pat O’Brien, the vice-president of the Royal College of Obstetricians and Gynaecologists in London, says the reasons behind this rise in the rate of stillbirths need further exploration.
“We are aware anecdotally of pregnant women presenting late with reduced fetal movements, which can be a sign their baby is unwell, and of women missing antenatal appointments. This may be due to confusion around whether these appointments count as essential travel, fear of attending a hospital or not wanting to burden the NHS,” says O’Brien.
To understand the full effects of the pandemic on pregnancies, future studies will need to use population-level data to assess outcomes in mothers who opted not to go to hospital and gave birth at home or in smaller facilities during the pandemic, says Emily Carter, a public-health researcher at Johns Hopkins University in Baltimore, Maryland. “Sometimes, we’re missing how dire the situation was, even before the pandemic, for certain segments of the population,” says Carter.
{ 7 comments… add one }
  • Ozman 17/09/2020, 5:52 am

    All the WHO representatives in Australia, the CHOs ought to be charged for criminal negligence as medical officers. They are supposed to be medical officers and scientists.

    There is no gold standard for covid-19. No virus has been isolated, purified, characterized, nor has any essential prerequisite double-blind study been conducted.

    It is not too difficult to search for a double-blind study.

  • luk1955 17/09/2020, 7:33 am

    I saw a report from the US in which premature births and child deaths from vaccine injections were down up to 80%. Because the US is the most heavily vaccinated country on the planet, and has the highest infant mortality rate over the planet. The theory is that due to the plandemic, mothers are not taking their children or themselves to get the poisonous vaccine injections and are producing healthier children as a result.

    Conjob19 has highlighted the conflicting reports coming from the medical establishment and its pharma areas magnificently since the plandemic began. It is currently impossible for sane people to make sense of who is right. Only one fact is certain. Any doctor(s) using off the shelf drugs out of patent in addition to vitamin therapy is being censored because the only hope for us, so the politicians and big pharma medical complex tell us, is the forced vaccination of all people with aborted fetal cells, SV40 cancer cells, mercury, aluminium, and other sterilizing and killing agents to enact Gates’s dream of culling the population by 95%.

  • BBob 17/09/2020, 8:03 am

    I made the following comment on-line on The Australian web-site:

    “I will not, short of being hog-tied and injected despite my every endeavour to avoid it, receive a vaccine developed by the use of tissue from the bodies of aborted babies”.

    REJECTED, par for the course. Even the ABC reported the concerns expressed by 3 Archbishops (Anglican, Catholic and Orthodox), but not The Australian as far as I can determine.

    • Theydon Wood 17/09/2020, 8:27 am

      With you there Bob.

  • Lorraine 17/09/2020, 10:38 am

    Are the babies still born, DOA or are they aborted for the use of the body parts. Sorry but I do not trust the Doctors to be of the highest standard that the $ dollars is rejected

  • Walahwalah Bishbin 17/09/2020, 10:50 am

    Vaccines developed since the 60s increasingly contain the genome of an aborted male human baby, see the report by the Italian company Corvelva titled – “MRC-5 contained in Priorix Tetra – Complete genome sequencing”.
    The only safe vaccines are the ones never injected.
    Just walk away.

  • Cotter Pin 17/09/2020, 12:14 pm

    The lady arrested was due for an ultrasound at the time she was arrested.
    Our Australian police couldn’t give a rat’s arse.
    AUSTRALIAN police.

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