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Mount Sinai Health System will launch a multidisciplinary clinic this month focused on reducing stillbirths and supporting women and families who experience such miscarriages, Health System Say Tuesday.
The Rainbow Clinic at Mount Sinai is a collaborative project with the organization Driving an Empowered Pregnancy It will provide sensitivity training to clinicians and develop strategies for better pregnancy outcomes. It will provide clinical care and psychological support for stillbirth pregnancies to prevent fear, anxiety and future perinatal loss.
“This clinic is very comprehensive and really focused on the needs of the patient,” said Dr. Joanne Stone, assistant director of obstetrics, gynecology and reproductive sciences at the Icahn School of Medicine at Mount Sinai.
About 1 in 160 newborns In the United States, 24,000 pregnancies result in stillbirths each year, according to the Centers for Disease Control and Prevention. Research shows that black women are twice as likely to experience a stillbirth as any other group, and women of color have an overall high risk of stillbirth.
Women who had already experienced a stillbirth were almost five times more likely to have another stillbirth or serious maternal complications.
There are several established rainbow clinics worldwide, including one in the United States. They are largely based on the Rainbow Clinic model established in the UK by Alexander Heazell, an international leader in stillbirth research.
The Mount Sinai clinic will be located at the Icahn School of Medicine. Physicians will tailor care to each patient and try to determine the cause of the patient’s previous stillbirth, as well as strategies to advance conception and pregnancy. The clinic will give patients access to monitoring and testing services, mental health support and nutritional guidance during pregnancy.
Clinical staff will receive specialized training to understand the emotional needs of patients while preventing further trauma. Stone, the clinic’s founder, said the clinic plans to have staff available around the clock, as well as social workers, to help patients with pregnancy anxiety and emotional needs.
Typically, the clinic’s work will involve a lot of patient awareness of their own health and fetal movement, she said, as doctors take fetal measurements, conduct tests and plan for early delivery.
Rainbow Clinic will also conduct research to gain insight into risk factors for stillbirths and work with other health centres such as the Rainbow Clinic in the UK to replicate similar low stillbirth results.
Research shows that avoiding smoking, drinking alcohol and eating certain foods, lowering high blood pressure, getting regular checkups during pregnancy, avoiding infections, and reporting pain and other warning signs can all help reduce the chance of stillbirth.
PUSH for Empowered Pregnancy’s mission is to reduce the U.S. stillbirth rate by 20% by the end of 2030 and by 50% by 2050, while ultimately eliminating all preventable stillbirths.
“While it is important to provide care for patients who have experienced this trauma and improve their future course of care, it is also important to gain the necessary insights to prevent stillbirths during any pregnancy,” Stone said in a news release. “The more data we can gather from the diverse patient populations at Mount Sinai, the more impact we can have in responding to this ongoing crisis.”
Several other organizations and programs are working to improve antenatal care and identify various causes of stillbirths. Each Newborn Action Plan is a partnership between the World Health Organization, UNICEF and others, providing evidence-based solutions to prevent newborn deaths and stillbirths. The plan hopes to help all countries achieve a stillbirth rate of 12 or fewer per 1,000 births by 2030.
The Global Women’s and Child Health Research Network, led by the Eunice Kennedy Shriver National Institute for Child Health and Human Development, is working to improve maternal and infant health while building research capacity, and scientists are testing cost-effective, sustainable interventions for adverse pregnancy Consequences such as stillbirth.
CDC’s reproductive health department Work with state partners to support epidemiological research and provide scientific information to improve maternal and child health programs and policies. It also identifies groups of women at high risk for stillbirth, monitors trends in risk factors and health care experience, and identifies areas of prevention.
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