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Melinda Gates

Melinda Gates

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Breaking the Silence Around Stillbirths

Posted: 04/18/11 01:38 PM ET

I talk a lot about the amazing progress the world has made in child health, especially that we have dramatically reduced the number of childhood deaths each year from 12 million to 8 million in the past 20 years alone. A lot of that progress has come about because we as a world simply decided that the death of these children was unacceptable. We knew we had the proper tools, but it took our voices to raise the issue and the collective will to do something about it. Last week, with the release of a seminal publication on the topic, an equally important challenge stands before us -- stillbirths -- and it's again time to break our silence and our complacency.

Breaking the Silence Around Stillbirths

Stillbirth, the death of a baby in utero during the third trimester or during childbirth, is a devastating occurrence for families. The numbers are striking -- 2.6 million stillbirths occur each year, and nearly half happen after the woman has gone into labor. Equally devastating for mothers is that oftentimes they must suffer through this tragedy alone, facing blame, isolation, and pressure to become pregnant again soon.

The landmark Lancet Stillbirth Series, released last week, features the incredible work of many foundation partners and does a remarkable job of bringing attention to the many layers of this complex issue.

But it also provides reason for hope. Besides the new analysis of the problem, the series highlights the fact that we can make a great deal of progress with existing solutions. We can effectively address stillbirths simply by strengthening our maternal, newborn and child health efforts -- the solutions for both turn out to be remarkably similar. When we focus on health initiatives that benefit both mothers and newborns, we prevent millions of stillbirths as well.

This month, groups will gather around the world from London to Geneva, South Africa to New York to launch the series. Supporters include the numerous individuals and organizations that were involved in the series, but also many more highly committed and active parent groups.

I encourage you to add your voice to this movement. For only when we give voice to the voiceless will we see true progress and equity in our world.

 

Follow Melinda Gates on Twitter: www.twitter.com/gatesfoundation

I talk a lot about the amazing progress the world has made in child health, especially that we have dramatically reduced the number of childhood deaths each year from 12 million to 8 million in the pa...
I talk a lot about the amazing progress the world has made in child health, especially that we have dramatically reduced the number of childhood deaths each year from 12 million to 8 million in the pa...
 
 
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HUFFPOST SUPER USER
silverwolf13
I know that I do not know.
07:13 PM on 04/24/2011
Another term for miscarriage is spontaneous abortion. Many spontaneous abortions are caused by pollution of mercury and other toxic industrial chemicals. I would think that, surely, this would be a major cause for the right-to-life movement; but I have not found even a mention of this pollution on the websites I have checked. Is it then ok to kill a fetus if you are a CEO and think you can make a profit on the deal?
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FoxReincarnated
Red Ninja Warrior
12:10 PM on 04/24/2011
I dont see why this is an issue. Unless your motto is "go forth and multiply" this isnt much of a story.
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Inkeesgirl
You can't take the sky from me...
02:16 PM on 04/24/2011
Because it is a personal tradgedy for a mother (and father) who lose a child to stillbirth. Perhaps you have no children, or plan to have any, but if it were your child lost, you would not be thinking of it in terms of overpopulation.
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05:56 PM on 04/24/2011
if you have had a still birth child you might understand. your child is dead, everything you planned for is gone. try going home and wondering what to do with all the little shoes, the crib, and the sadnness of all involved. as you might guess i have been there.
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11:37 AM on 04/19/2011
Saving children is a wonderful concept. But the reality is that western medicine has destroyed more civilizations and societies than it has saved. Infant and child mortality is an important part of nature'sprocesses. Eliminating them, has saddled societies and individual parents with the burden of caring for sick children at the expense of the healthy.
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MJinCanada
Safe from zombies until my 2nd cup of coffee
06:37 PM on 04/19/2011
Some stillbirths are the result of a malformed fetus or unpreventable problem with the pregnancy. However, many others are caused by preventable things, such as malnutrition, having too many kids too close together, infections, etc. Family planning and pre-natal care can result in these children being born healthy.
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09:03 AM on 04/19/2011
Sorry but I just don’t see the logic or rational in what they’re doing down there in Africa. I’ve been there. The masses and masses of people living in slums that can’t feed themselves reproducing and with more masses and masses of people who can’t feed themselves is unbelievable. This wasn’t so much a century ago because they didn’t have 20th century agriculture and medical technology to enable this.

And the culture is terrible. The men have babies before they’re married to prove their virility, dozens of kids in marriage and girlfriends with babies on the side to prove their proweress to their friends. I’ll just site Zuma, the President of South Africa as an example.

So if the Gates were really doing their job they’d be spending just as much money on changing the culture.

Disease, pestilence and famine is nature’s way of controlling the population for long-term survival of all. It keeps one species under control so it doesn’t kill all the rest and then obviously itself.

There is an issue now in the press about using animals for medical research. On NPR they interviewed a woman asking if she would sacrifice a rat to save her child. She replied that she would sacrifice her neighbor.

Con't next post...
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Inkeesgirl
You can't take the sky from me...
02:25 PM on 04/24/2011
I've been there also. You could say exactly the same things about the immigrants who came to this country in the early part of the 20th Century, and in fact, people did. Upper class Americans were disgusted with the living conditions, culture, and family sizes of the Southern and Eastern European immigrants.
South Africa is full of people determined to get an education,leave poverty behind and join the middle class.
If people have education, justice, and hope for prosperity, they are more willing to limit the size of their own families. Maybe that's what you go on to say in the second part of your post...
08:59 AM on 04/19/2011
Mrs. Gates, I applaud the work that you and Mr. Gates are doing and admire the fact that you are attacking problems in a systematic way. However, I beg you to look at what is happening in our country with the dismantling of our health care system. When the Federal Government takes away money from community health clinics, prenatal care, preventive health services, and clean drinking water we will soon become the same as a third world country. It would be nice if you and your husband would speak out and use your influence on the actions being taken now and the results that will occur in America 5 - 10 years from now.
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frankenheimer
Not dead yet!
07:39 AM on 04/19/2011
Just read a most beautiful, poignant, and sometimes even funny book by an author who recently went through this: An Exact Replica of a Figment of My Imagination by Elizabeth McCracken. I have never lost a child, but I think this book would give comfort to anyone who has.
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PERPLEXED IN TEX
What we have here, is a failure to communicate
06:38 AM on 04/19/2011
Bless you my sister.
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03:38 AM on 04/19/2011
After forty years I can tell you that I got over my daughter dying. I regret it. But I have seen so much happen in the world that I'm no longer surprised. And I can understand that I was just one of billions of people who have lost children. Watching my dad mourn my sister I have seen that a parent can mourn a child lost at 53 as much as one stillborn.
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03:30 AM on 04/19/2011
Blame in stillbirths is like blame in cancer. People try to find a cause for the disaster as a way to reassure themselves that it won't happen to them.
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HUFFPOST SUPER USER
cadawa
02:29 AM on 04/19/2011
Melinda, we have health problems here at home. Health outcomes in the US rank 36th in the world; just above Greece. 50 million people have no access to healthcare. Our infrant mortality rate is embarrassingly high.
Stress is a huge factor in human health. With endemic economic injustice, things are only going to get worse.
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11:17 AM on 04/19/2011
Thank you. People with money, who don't get enough attention, will search out some way of avoiding responsibility. Like, example, they pay people to mow their lawns, why they go to Africa and elicit sympathy. It's a way of drawing attention to themselves, more than the people they're trying to help. Good Lord, impoverished 3rd world nations have been with us for centuries, but it's a great hook if you're looking for attention.
05:53 PM on 04/24/2011
While going bankrupt from paying for health care, like in the US, is never a good thing, it's not even close to the situation of health care being unavailable, as is the case in some other countries.

It's like comparing a slum in America with a slum in a 3rd world country....there is no comparison.
cdianek
An antibiotic-resistant micro-bio
12:12 AM on 04/19/2011
I watched my beautiful baby sister suffer a miscarriage at 20 weeks or so, then watched her deliver twins at 24 weeks, ultimately losing her daughter after a month. We were all devastated, but I look at my healthy sons, and simply cannot imagine her pain.

My utmost respect to Ms. Gates and her organization for all that they do to prevent this horrible trauma worldwide.
Hookedonfashion
You can't judge a book by its cover, or its name.
05:04 PM on 04/24/2011
It is a horrible thing to have happen to a family. My little sister lost her full term baby, meanwhile, I had a healthy baby who was only 4 months old at the time. She had to go through natural childbirth, the whole time knowing the baby was dead. There was also a funeral for the baby. It was truly devastating, but I don't know how it could have been prevented. She received excellent prenatal care right here in California.

She does have two healthy teenagers now.
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Seven Teenatheart
Tolerance, peace, and sanity. Be your own person.
09:14 PM on 04/18/2011
One of my best friends and his fiancee had a stillborn child years ago. All the way until passing through the birth canal she was fine. Then they could never make the baby breathe.
No warnings of issues, nothing.
They have 2 healthy kids now, but are still mourning the first one.
It's incredibly tragic, to see the healthy baby heartbeat throughout labor, even feel kicks on the way to delivery, and have the baby die.

I couldn't imagine....makes me cry thinking about it.

Good for Mrs. Gates. These mothers need all the support that they can possibly get.
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mrs young
Benghazi.......answers please..
08:37 PM on 04/18/2011
I applaud the work being done here. The heartbreak of lost life and promises for the future is devestating for families and must be worked at to minimize.
The irony is that on this same site when I asked when does life begin the answer that stuck out was "when the child passed through the birth canal."

It made me think. Life must start when the mother wants the child. For some at conception - for others that do not want it - ever.
How sad for these babies.
For the record I am pro-choice in the largest sense. Pro life for the innocent.
been2there
Facts have a liberal bias.
12:32 AM on 04/19/2011
You are not pro-choice. You are anti-choice and anti-woman. You are also advocating for a terribly anti-child position, because being unwanted is much worse than death.
Yes, I speak from painful experience.
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mrs young
Benghazi.......answers please..
03:12 PM on 04/19/2011
I'm sorry for the pain in your life but that has been your experience - not everyones. Please don't presume to know what I am or am not. I can be against a practice but still respect someones right to choose to do said practice.
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StopThePlanet
Outlaw stupidity and only outlaws will be stupid
08:21 PM on 04/18/2011
Working long hours and stress are a major contributing factor in miscarriages. http://www.news.ucdavis.edu/search/news_detail.lasso?id=3766 Perhaps setting an example and moving towards family friendly working hours in your business ventures would help the problem dramatically.
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03:34 AM on 04/19/2011
Plenty of stillbirths in the leisure classes. Yes,, best for pregnant women not to sit around all day in chairs. And best not to work too hard. But not a major contributing factor towards miscarriages. Biggest cause of miscarriages is inborn errors including malformations of placenta. Second biggest is diseases, cosmic rays, non-hospitable uterine environments.
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StopThePlanet
Outlaw stupidity and only outlaws will be stupid
01:00 PM on 04/19/2011
So you support working pregnant women long hours?