(AP) – From all the few moments of pride and assault that fills the most nominated Oscars "Roma" film, the most wet-wrenching will take place in a hospital room in Mexico City, where a doctor is cold telling a scared young woman, "Your baby was born dead."
The incredible scene, set in 1971, presents a bitter topic which is still poorly understood and is often avoided. Although global rates have decreased since then, deaths are still a common surprise with almost 3 million annually, most developing countries.
The US rate, 6 out of 1,000 births, has not triggered in a decade and the case is not known in at least one third of cases. Most US insurers do not deal with autopsies and many parents do not want them, leaving circumstances often, and potential causes are a mystery.
"This is a very serious research area," said Jennita Referendum of U.S. Centers. for Disease Control and Prevention. "It's such a devastating event to happen to a couple. This is something that deserves more attention."
A few moments are given to the young mother in Rome to hold her child without a doctor before telling him he or she must take and "prepare" the body. From bed to hospital a few feet away, she's watching calmly as the baby is wrapped in white juice.
The stubbornness of that fascinating, dramatic part is thriving, but it also reflects thinking at the time deaths died almost redundant. Dr. Francisco Ruiloba, an obstetrician of Mexico City, has many hospitals in Mexico, and elsewhere, have adopted a more ethical approach since then. In practice, Ruiloba said that mothers had as much time as they needed and the body is being prepared "with respect and out of the room."
In 2009, last month's guidance was confirmed, the American College of Obstetricians and Gynecologists say that emotional support should be offered to maternal parents, including referrals to grief counselors, support groups or therapists. Parents should have the opportunity to catch and name their babies, and to farewell, the group advises.
Studies have found that allowing parents to spend time with babies who have post-natives can reduce the chance of mothers to develop anxiety and depression afterwards. Many US hospitals leave parents to spend hours or even days with them. Some hospitals take pictures of memory, footprints and hand prints for families; some provide a cool coat to protect the body while the family mourns.
We emphasize "how important it is for the patient to be comfortable with us and talk about it and give them assurance that this is a terrible thing but they will go through it," said Dr Alan Peaceman, head of mothers of North-West Doctors-medicinal medicine in Chicago.
Lindsey Wimmer's pediatric nurse, whose son Garrett died in 2004, said that parents "were notified to not see or name their baby, just to move on and get another. Now, we know that not a practical way It's fine to deal with it.
"Their grief is waiting for them and they will never forget about these babies," said Wimmer, executive director of the Star Legacy Foundation, a Minnesota-based group that promotes dead research and education.
Social media has provided a new center for parents who can mourn. Canada Rebekah Shirey posted a magnificent video to friends of what looks almost like normal labor and supply. Having surrounded by family and friends in the Ottawa hospital room, with partner Steve Martin by her side, Shirey pushes, cries and then creates Elijah's deadborn son. He was July 29, 2017 and Shirey had learned a day earlier that Elijah's heart had put the best to beat. Testing showed problems with placenta.
"The greater awareness we have and the wider community we have made it easier to go through these things," he said.
SCIENCE AND FUTURE
US doctors define dead births like fetal deaths after 20 weeks of pregnancy; It's probably 28 weeks or more in many other countries. As in many countries, there is no national registry in the United States and although there are cases of fetal deaths reported in each state, the documents often contain very small information
About 1 per cent of US pregnancies expire in births, or almost 24,000 annually. Obesity, diabetes, smoking and becoming pregnant after the age of 35 all increase the risk and the rate is twice higher in black women than in white.
Placenta problems contribute to about 1 in 3 births of births in developed countries. As part of the U.S. government Placenta Human Project, researchers are looking for better ways of detecting placenta problems, including imaging and blood tests.
Recent studies have offered new clues, suggesting that dead births are associated with less or excessive fetal movement, women sleep on their back during late pregnancy, excessive temperature and air pollution. One study found that there was a "blasting instinct" that pregnancy had become more commonplace in women with other mothers or mothers.
Doctors advise women to address fetal movement late during pregnancy and to be aware when there is a change that could indicate fetal distress. Stimulating labor is an option if pregnancy is still far enough, and some studies have suggested that kicking an account reduces the rates of birth.
Many dead mothers in Iowa created a campaign encouraging women to "count the boats" adopted by public health authorities in six states. In Iowa, where it was adopted in 2008, the birth birth rate has dropped below 5 per 1,000. Although there is no test, Kimberly Piper, a nurse officer and state health officer, says the campaign could have contributed to the decline.
About 1 in 5 births of US death occur close to the end of normal, unexpected pregnancy. The scenarios are very similar: a few days or weeks before the due date, a woman suddenly becomes aware of a smaller kick or no fetus movement at all. Most women want a caesarean section immediately, but these actions are rarely made for deaths due to the risks. Instead, doctors give drugs to stimulate labor, and parents are waiting.
That's the nightmare that Lindsey Schmitz suffered from Chicago in 2016 after a "textbook" pregnancy. After 24 hours of difficult labor, nurses carefully placed Sawyer Schmitz on his mother's chest and stepped away as the power of that moment ended.
"It was warm, it was beautiful and it had the smell of the baby," said Schmitz. "It looked like he was asleep."
Grandparents, grandparents, grandparents and grandparents joined the birth room.
"They commented on his features. He thanked for his sins," he said. "The nurses took pictures, lots of pictures."
Schmitz says she has ruined the things she did not think in her grief – "cut a lock from her hair, read a book for him, we did not wear him. , you do not know that. What do you want? "
She wanted to know the case, but autopsy and other tests did not give any answers.
Now, Schmitz is volunteering as a resource for other women who have died.
"When you're in this club, you realize that it is so much more common than anyone who is talking about it," he said.