Disease and economic burden of stillbirths in India in 2019.

IF 1.5 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2025-09-30 DOI:10.1007/s13312-025-00196-1

Vidhi Wadhwani, Divya Shrinivas, Sweta Dubey, Siddhesh Zadey

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引用次数: 0

Abstract

Objective: India has the highest number of stillbirths worldwide. However, the disease and economic burdens of stillbirths in India remain missing. This study aimed to estimate the disease and economic burden associated with stillbirths in India and its states for 2019.

Methods: A retrospective analysis was conducted using stillbirth data from the health management information system (HMIS) and civil and sample registration systems (CRS and SRS) for India and its states. Disease burden was calculated as disability-adjusted life years (DALYs) and economic burden as value of life years (VLYs). A sensitivity analysis for disease burden estimation was performed using a framework that estimated DALYs using a stillbirth-adjusted life expectancy.

Results: Indian HMIS reported 263,342 stillbirths in 2019. Nationally, stillbirths led to 18.3 million DALYs and a monetary loss of INR 7.80 trillion. Uttar Pradesh, Maharashtra, Rajasthan, Madhya Pradesh, Gujarat, and West Bengal contributed to more than 40% of the burden. The sensitivity analysis showed consistent findings.

Conclusion: Stillbirths should be prioritized in the public health agenda as they contribute to a high burden of disease and disability.

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2019年印度死产的疾病和经济负担。

目的：印度是世界上死产数量最多的国家。然而，印度死产的疾病和经济负担仍然缺失。这项研究旨在估计2019年印度及其各邦与死产相关的疾病和经济负担。方法：回顾性分析使用死产数据从卫生管理信息系统（HMIS）和民事和样本登记系统（CRS和SRS）为印度和它的国家。疾病负担以残疾调整生命年（DALYs）计算，经济负担以生命年价值（vlyys）计算。使用使用死产调整后预期寿命估计DALYs的框架对疾病负担估计进行敏感性分析。结果：2019年印度HMIS报告了263342例死产。在全国范围内，死产导致1830万残疾调整生命年和7.80万亿印度卢比的经济损失。北方邦、马哈拉施特拉邦、拉贾斯坦邦、中央邦、古吉拉特邦和西孟加拉邦占总负担的40%以上。敏感性分析结果一致。结论：死产应优先列入公共卫生议程，因为它们造成疾病和残疾的高负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.