paganda about the various ongoing Government Health Pro-
grammes, including JSY (Janani Suraksha Yoyana) etc., so that
more and more women come into the health care net. There
should be a good intercommunication between both the peri-
pheral and tertiary care hospitals and a smooth, timed referral
of emergency cases, so that valuable time is not wasted in the
transit. We therefore speculate that upgrading the existing
health system performance will reduce the high stillbirth rates
and other adverse pregnancy outcomes even in population with
adequate access to maternity care, not only antenatal care. The
fact that most of the stillbirths were fresh and many were in
term or near term suggests that stillbirth rates could be substan-
tially reduced by high quality intrapartum care.
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