As the Christmas trees are slowly de-baubbled and brought down, and the festive lights that adorn homes, shops and streets are switched off and tucked away for another 11 months or so, I find myself reflecting about the commercialisation of the holidays. In 2017, I was one of the guilty ones who hit the Boxing Day sales from early morning on 26 December, on the hunt for anything and everything that I could buy for my adorable baby niece Ayzah. Considering that I am not fond of shopping – even for myself – at the best of times, this was a record-breaking feat for me. Of course it goes without saying that I consider it to be a demonstration of the pure love that I have for my darling little girl, whose every smile turns me into putty and every tear breaks my heart. But I digress.
The purpose of this post is to comment on how I try to mitigate my guilt over my contribution to festive capitalism. This year, I did not give out any Christmas cards or gifts. Instead, I made a donation to one of my regular charities – Tommy’s, the baby charity – which funds research into pregnancy problems to save babies’ lives. The work that Tommy’s does is particularly meaningful to me at this time each year, because it is around the anniversary of my Aleena’s passing. Aleena was still born due to foetal cardiac arrest only one week before she was due to enter this world. She is an angel in heaven and now has a little sister here on earth who will one day learn all about her big sister who is loved boundlessly beyond the realms of time and space.
The statistics are eye-watering: 2.6 million babies (of those births that are recorded) die annually in the last 3 months of pregnancy or during childbirth (stillbirths) out of which 75% are preventable!* In the United Kingdom, 1 in every 224 births ends in a stillbirth – that’s 9 babies every day in the UK alone! Aleena was born in November 2015 in a country where healthcare (even the private kind covered by health insurance) leaves much to be desired. Poignantly, in January 2016, the World Health Organisation (WHO) published a report consisting of a series of papers titled ‘The Lancet Series: Ending Preventable Stillbirth’ which was developed by over 200 experts including staff from WHO and HRP (the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction). You can read a brief overview here. What is most damning is how the complications and dangers of stillbirth were absent from the Millennium Development Goals and are still missing in the Sustainable Development Goals. It is no wonder then, given this indifference at a global level, that “stillbirths remain a neglected issue, invisible in (national or regional) policies and programmes, underfinanced and in urgent need of attention.”**
All this astounding disregard – despite a 2014 initiative by the WHO, called Every Newborn Action Plan (ENAP), (endorsed by 194 member states of the United Nations!) which aims to reach the every newborn national 2020 milestones – led the WHO Director for Reproductive Health and Research in 2016 to comment:
“What is especially tragic about stillbirths is that they are largely preventable. We know key interventions such as syphilis treatment in pregnancy, fetal heart rate monitoring and labour surveillance have the potential to save around 1.5 million lives. The challenge is to deliver these within an integrated care package that extends from pre-pregnancy through delivery.”
– Ian Askew, (World Health Organisation, January 2016)
A research project into national, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000, concluded “Progress in reducing the large worldwide stillbirth burden remains slow and insufficient to meet national targets such as for ENAP.”
Fortunately, some progress has been made, including the use of an ENAP progress tracking tool. A May 2017 report Reaching the Every Newborn National 2020 Milestones was released, which charted the roadmap of actions that now 48 countries have made towards addressing the issue of stillbirths as per eight strategic milestones. A really good poster summarising the ENAP country progress report can be found here. However, a lot still remains to be done.
Institutional-level initiatives, such as Save the Children’s Saving Newborn Lives program have given rise to the the Healthy Newborn Network (HNN). HNN is an online community dedicated to addressing critical knowledge gaps in newborn health on a global scale. The information and resources available on its website can also be broken down country-wise.
Back to Aleena. Feeling devastated and helpless to support Aleena’s parents, at the time, I did the only thing I could – pray and offer words of solace. I didn’t know how else to support them across the continents. In desperation, I googled ‘stillborn support for parents’ and that is how I came across Tommy’s. The charity strongly resonated with me, because it not only funds medical research into the causes of premature birth, stillbirth and miscarriage; Tommy’s offers support to those parents who have lost a child soon after, as well as information for parents-to-be to help them have a healthy pregnancy and baby.
There are many ways to ‘give back’ during the year, but more so, during the holiday season. If you are looking for a cause to support for either an event, a fundraising activity, or you’d simply like to make a donation to a charity, I would highly recommend Tommy’s. You can donate directly here or through JustGiving. Read about some of the impact of the work that Tommy’s does here. Its research breakthroughs in stillbirths, pre-term births, miscarriages, and obsesity in pregnancy, mean that more babies globally will have a chance in the future.
*Kingdon, C., Givens, J. L., O’Donnell, E., and Turner, M. (2015). Seeing and holding baby: systematic review of clinical management and parental outcomes after stillbirth. Birth, 42(3), 206-218. You can read the research here.
**de Bernis, L., Kinney, M.V., Stones, W., ten Hoope-Bender, P., Vivio, D., Leisher, S.H., Bhutta, Z.A., Gülmezoglu, M., Mathai, M., Belizán, J.M. and Franco, L. (2016). Stillbirths: ending preventable deaths by 2030. The Lancet, 387(10019), 703-716. You can read a summary paper here.
NB: My blogger friends have advised that I point out this is not a sponsored post. I genuinely believe in Tommy’s work and that is what has compelled me to write about them.
Saneeya Qureshi © 2018