Of all the small moments of joy and discord that fill the top nominated Oscar "Roma" film, the most secret happens in a hospital in Mexico City, where the doctor coldly tells the frightened young woman. the baby was born dead.
The scene of persecution, established in 1971, graphically introduces a topic that is still poorly understood and often avoided today. While global rates have declined since then, stillbirths have surpassed almost 3 million annually, with the majority in developing countries. not less than one third of cases. Most American insurers do not cover autopsy, and many parents do not want them, often leaving the circumstances and potential causes behind the mystery.
"This is a really seriously unexplored area of research," said Jenny Riefhous of the US Centers for Disease Control and Prevention. ̵
Lindsay Schmitz looks at the window of his home in Chicago. Schmitz gave birth to a still-born son, Sawyer, in 2016 after the "textbook" of pregnancy
Reveka Shiri and her partner, Steve Martin, with the dead birth of Ilya, at the Ottawa Hospital, Canada. Shireh learned a few days ago that the heart of Ilya had stopped fighting.
. Physicians do not allow Cleo's housekeeper, who plays Apple Acarios, at any time with her child until she is selected
Experts say that parents should spend hours or even days with their children at a reduced risk of PTSD ]
] A young mother in Rome gets only a few seconds to keep an inanimate child before the doctor tells her what he should accept and "prepare" the body. From her hospital bed a few meters away from her, she silently observes how the baby is wrapped in a white savanna.
The cold of this prolonged scene is partially thriving, but it also reflects thinking at a time when stillbirths were almost forgiven. Doctor Francisco Rouiloba, a Mexican obstetrician, said that many hospitals in Mexico and elsewhere have adopted a more humanistic approach. In her practice Ruiloba said that the mothers give as much time as they need, and the body prepares "with respect and out of the room."
In 2009, the leadership confirmed last month, the American College of Obstetricians and Gynecologists said that emotional support should be offered to parents of minors, including redirection to counselors, support groups or therapists. Parents should be able to hold and call their babies, and to say goodbye, the group advises.
Studies have shown that allowing parents to spend time with dead babies can reduce maternal chances of developing anxiety and depression. Many US hospitals allow parents to spend hours or even days with them. Some hospitals take photos, prints and imprints for families; Some provide a cooling cushion to keep the body alive until the family is tired.
We emphasize: "How important it is for the patient to be comfortable with them and talk about it and assure them that this is a terrible thing, but they will be Alan Pitman, who heads the Department of Medico-Fetal Medicine of Northwestern Medicine in Chicago
Pediatric nurse Lindsay Wimmer, whose son Garrett was stillborn in 2004, said that parents were told they did not see or call their baby just to move on and have one more. Now we know that this is not a very practical way to deal with it.
"Their grief awaits them, and they will never forget about these children," said Wimmer, executive director of the Star Legacy Foundation, a Minnesota group. which promotes the study of the dead and education
Schmitz holds a picture of his still-born son, Sawyer, which she and her husband, Andrew, hugged at her home in Chicago. – He was warm. He was beautiful and smelled of the baby. He just looked what he was sleeping, – remembers Lindsay
Childrens decorations shown in the Chicago home of Lindsay Schmitz devoted to their daughter and stillborn son, Sawyer
Social media gave new intelligence to their parents. Canadian Rebecca Shrii has published a sharp video for friends that looks almost like normal labor and childbirth. Surrounded by seven friends and friends in the Ottawa Hospital, with his partner, Steve Martin, on her side, Shiri pushes, cries, and then brings his still-born son, Elijah, into the water. It was July 29, 2017, and Shire learned a few days ago that the heart of Elijah had stopped fighting. Tests showed problems with her placenta.
"The more we have awareness and the larger the community, the easier it is to go through these things," she said.
SCIENCE AND ADVOCACY: TRAINING OF WOMEN TO USE CHILDREN IN THE THIRD THREE YEARS TO THE SPECTRA PROBLEM
US physicians define stillbirth as fetal death after 20 weeks of gestation; this is 28 weeks or later in many other countries. As in many other countries, the US does not have a national registry, and although fetal deaths are reported in each state, documents often contain minimal information
About 1% of pregnancies in the United States end up in stillbirths, or nearly 24,000 each year. Obesity, diabetes, smoking and pregnancy after 35 years increase the risk, and in black women it is twice as high as in white.
The placental problems contribute to about 1 in 3 stillbirths in developed countries. As part of the US Government's human placenta project, researchers are looking for better ways to detect placental problems, including visualization and blood tests.
Many hospitals in Mexico and elsewhere have since adopted a more humanistic approach, giving the mother more time with their child. But even the day the rum is set they are not
Recent studies have suggested new tips that suggest that stillbirths can be associated with reduced or excessive fetal movements, women sleep on their backs during late pregnancy , excessive temperatures and air pollution. One study even found that the "instinct of the intestines" that pregnancy went wrong, is more common in women with stillbirths than in other mothers.
Doctors advise women to pay attention to the movement of the fetus later in pregnancy and to know when there is a change. which can testify to the distress of the fetus.  Nudging is a variant if the pregnancy is far enough, and some studies suggested that the count may reduce the birth rate.
Several mothers in Iowa have created a campaign that encourages women to "count their feet", which were accepted by the public. health authorities in six states. In Iowa, where he was admitted in 2008, the rate for the birth of a child has fallen below 5 per 1000 people. Although there is no evidence, Kimberly Piper, a nurse's health officer and state health department, says the campaign may have contributed to the decline.
normal, restless pregnancy. Scenarios are akin to the same: a few days or weeks before the end of the term, a woman suddenly realizes a smaller number of legs or even no movement of the fetus. Most women want an immediate cesarean section, but these operations are rarely done for stillbirths due to risks. Instead, doctors give medications that encourage them to work, and parents are waiting.
On the wall of the house, Lindsay Schmitz in Chicago sees a memorial box dedicated to the still-born Soyer Schmitz. She says she's disappointed with things she did not think of doing in her mountains – to cut a lock in his hair, read a book for him, we never dressed him. At this moment, you just do not know what you are going to want.
This nightmare of Lindsay Shmitz from Chicago survived the "textbook" in 2016 after pregnancy. After 24 hours of hard work, the nurses neatly placed Sawyer Schmitz on her mother's chest and departed when the strength of that moment plunged.
He was warm. He was beautiful and smelled of the baby, – remembers Schmitz. "He just looked like he was sleeping."
Grandma and grandfather, aunt and uncle joined the embarrassed parents in the childbirth room.
They commented on his peculiarities. Laughed over his chin, she said. "Medicine was photographed, many photos."
Schmitz says she was disappointed with the things she had not thought about doing in her mountains – "she cut a hair pin, read a book to him, we never dressed him. At this moment, you just do not know what you want."
She wanted to know the cause, but autopsy and other tests did not give an answer.
Now Schmitz volunteers
"When you are in this club, you understand that it is much more common than someone says," she said.