Materiały źródłowe

• #1 Stillbirth – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=stillbirth-90-P02501

  Treatment of stillbirth depends on many factors such as the number of weeks gestation, the size of the fetus, and how long since the fetal heartbeat stopped. Treatment may include the following: […] Induction of labor using medications to open the cervix and make the uterus contract and push out the fetus and tissues. […] Counseling is important for all parents with a stillbirth to help them understand their feelings and begin the work of grieving. […] An autopsy or special genetic and chromosomal testing are often available. Results can be shared with the parents at a meeting with your doctor several weeks afterwards.

• #1 Management of Stillbirth | ACOG

  https://www.acog.org/clinical/clinical-guidance/obstetric-care-consensus/articles/2020/03/management-of-stillbirth

  ABSTRACT: Stillbirth is one of the most common adverse pregnancy outcomes, occurring in 1 in 160 deliveries in the United States. […] Evaluation of a stillbirth should include fetal autopsy; gross and histologic examination of the placenta, umbilical cord, and membranes; and genetic evaluation. […] Health care providers should weigh the risks and benefits of each strategy in a given clinical scenario and consider available institutional expertise. Patient support should include emotional support and clear communication of test results. Referral to a bereavement counselor, peer support group, or mental health professional may be advisable for management of grief and depression. […] The method and timing of delivery after a stillbirth depend on the gestational age at which the death occurred, maternal obstetric history (eg, previous hysterotomy), and maternal preference.

• #2 Stillbirth | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/stillbirth

  Treatment of stillbirth depends on many factors such as the number of weeks gestation, the size of the fetus, and how long since the fetal heartbeat stopped. Treatment may include the following: […] Induction of labor using medications to open the cervix and make the uterus contract and push out the fetus and tissues.

• #2 Management of Stillbirth | ACOG

  https://www.acog.org/clinical/clinical-guidance/obstetric-care-consensus/articles/2020/03/management-of-stillbirth

  Options for delivery of the stillborn fetus typically include dilation and evacuation or induction of labor. […] Induction of labor has also been demonstrated to be less effective and to have higher complication rates than dilation and evacuation between 13 weeks and 24 weeks of gestation with an adjusted risk ratio of 8.5 (95% CI, 3.719.8). […] Patient support should include emotional support and clear communication of test results. […] Referral to a bereavement counselor, peer support group, or mental health professional may be advisable for management of grief and depression.

• #3 Stillbirth – Women’s Health Issues – MSD Manual Consumer Version

  https://www.msdmanuals.com/home/women-s-health-issues/complications-of-pregnancy/stillbirth

  If the dead fetus is not expelled, the woman may be given medications to help the uterus expel its contents, or the contents are surgically removed by dilation and evacuation. […] If the dead fetus is not expelled, the woman may be given a prostaglandin (a hormone-like medication that stimulates the uterus to contract), such as misoprostol, to cause the cervix to open (dilate). She is then usually given oxytocin, a medication that stimulates labor, depending on how far along the pregnancy is. […] If the pregnancy is less than 24 weeks or the fetus is relatively small, dilation and evacuation (D and E) may be done to remove the dead fetus. […] If any tissue from the fetus or placenta remains in the uterus, suction curettage is done to remove it. […] The physical care for women who have had a stillbirth is the same as that usually provided after delivery of a baby (postpartum care). However, extra emotional and social support is needed. […] Changes and emotions that occur in women after a stillbirth are similar to those that occur after a miscarriage. Women typically feel grief at the loss and require emotional support and sometimes counseling.

• #4 Stillbirth Information & Treatment

  https://www.columbiadoctors.org/health-library/special/stillbirth/

  When stillbirth occurs before labor, a doctor usually delivers the baby either by giving you medicine to start labor or by doing a procedure called dilation and evacuation (DE). […] You may have many different emotions after a stillbirth. People cope with their emotions in different ways. Try to take care of yourself in whatever way feels best for you. […] Talk to your doctor about how you are coping. You may want to have counseling for support and to help you express your feelings. […] Doctors often can do exams and tests to find out why a stillbirth happened. They may examine the baby and the placenta. An autopsy is sometimes done, if you want it, to find the cause of death. This may help by answering questions about what happened. […] You can’t prevent every problem. But some behaviors can increase the chance of a healthy baby. Try to take care of yourself before you get pregnant and during pregnancy. Eat a healthy diet that includes folic acid (especially before you are pregnant and early in the pregnancy), and get regular exercise. It’s especially important to avoid alcohol, tobacco, and other drugs. […] Talk to your doctor about when you can try to get pregnant again. It may depend on how quickly your body heals and what was done to help deliver the baby.

• #5

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk9885

  Stillbirth is the loss of a baby after 20 weeks of pregnancy. When a baby dies while still in the uterus, this may also be called fetal loss. […] A doctor may deliver the baby by giving you medicine to start labour. Or you may have a procedure called DE (dilation and evacuation). […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] After a fetus dies, labour will usually begin on its own within 2 weeks. But if you don’t want to wait that long, you can choose to have labour induced. This means going to the hospital and, usually, getting medicine that starts the labour process. […] You may be able to choose a procedure called a dilation and evacuation (DE) instead of going through labour. Your doctor or midwife will discuss whether this is an option for you.

• #6 Dobbs-era Abortion Bans and Restrictions: Early Insights about Implications for Pregnancy Loss | KFF

  https://www.kff.org/womens-health-policy/issue-brief/dobbs-era-abortion-bans-and-restrictions-early-insights-about-implications-for-pregnancy-loss/

  When severe or fatal fetal anomalies are detected during pregnancy and loss is inevitable or highly likely, people in states with bans may not have the option to terminate the pregnancy. […] The medications that can be used to manage early miscarriages misoprostol and mifepristone are the same ones used for a medication abortion. […] Some pregnancy losses are managed by the same medical procedures used for abortions. This includes DC, DX, and DE procedures. […] State abortion bans may result in the use of expectant management (waiting for the contents of the uterus to empty on its own) in cases where it is not medically indicated, because of clinicians concerns about civil or criminal penalties associated with the violation of state abortion bans. […] While all state abortion bans have exceptions to preserve the life of the pregnant person, it is not clear if and when exceptions apply to cases of pregnancy loss that are harming the pregnant persons health.

• #7 Dobbs-era Abortion Bans and Restrictions: Early Insights about Implications for Pregnancy Loss | KFF

  https://www.kff.org/womens-health-policy/issue-brief/dobbs-era-abortion-bans-and-restrictions-early-insights-about-implications-for-pregnancy-loss/

  Abortion bans can limit care for those who are experiencing a miscarriage or stillbirth. The medical interventions used to manage pregnancy losses are often the same medicines and procedures used in abortions. […] While all state bans have exceptions for cases of life endangerment of the pregnant person, they do not necessarily account for the wide range of circumstances people may face when experiencing a pregnancy loss. This has resulted in several cases of women experiencing health threatening situations with imminent fetal demise or in early stage of pregnancy loss, yet being unable to obtain medical treatment until their health declined to the point where their lives were on the line. […] Clinicians practicing in states that ban abortion report that the restrictions are worsening their ability to practice within the standard of care, manage miscarriages and pregnancy related emergencies, and having a negative impact on patient-provider relationships.

• #8 Stillbirth – Gynecology and Obstetrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/gynecology-and-obstetrics/antenatal-complications/stillbirth

  Stillbirth is fetal death (fetal demise) at 20 weeks gestation ( 28 weeks in some definitions). Management is delivery and postpartum care. Maternal and fetal testing is done to determine the cause. […] Treatment of Stillbirth […] Uterine evacuation if required […] Routine postdelivery care […] Emotional support […] Uterine evacuation may have spontaneously occurred. If not, evacuation should be done using drugs (eg, oxytocin) or a surgical procedure (eg, dilation and evacuation [D E], preceded by preabortion osmotic dilators to prepare the cervix, with or without misoprostol), depending on the gestational age. […] Postdelivery management is similar to that for live birth. […] Evacuate the uterus with medication induction or surgical evacuation, and provide emotional support to the parents.

• #9 Pregnancy Loss, Miscarriage, and Stillbirth Services

  https://www.upmc.com/services/womens-health/services/obgyn/obstetrics/pregnancy/journey/pregnancy-loss

  If you experience signs of a pregnancy loss, you should seek medical help right away. […] The two types of treatment for a miscarriage are surgical and non-surgical. […] Your doctor may advise you to let the pregnancy tissue pass naturally, without any extra treatment. That might take a few days or up to a couple weeks. Or, they may give you medicine to help the tissue pass more quickly. […] If there are any complications with your miscarriage, your doctor may recommend surgical treatment. […] Surgical miscarriage treatments include: Dilation and curettage (DC) and Vacuum aspiration. […] If you’re well past 20 weeks of pregnancy and your baby dies in the uterus, your doctor may recommend inducing labor and delivery. If the pregnancy is closer to 20 weeks, they may recommend a DC.

• #10 Support & Care After a Stillbirth, University of Utah Health, Salt Lake City | University of Utah Health | University of Utah Health

  https://healthcare.utah.edu/womens-health/pregnancy-birth/stillbirth

  Your doctor will talk to you about your options and answer any questions you have. […] Many parents find it therapeutic to participate in research that could help scientists discover more about what causes stillbirth and how to prevent it. […] Our researchers are leaders in the field of pregnancy loss, and have developed interventions that lower the risk of stillbirths. […] Following this discovery, they developed a way to test and treat women with this condition.

• #10 Support & Care After a Stillbirth, University of Utah Health, Salt Lake City | University of Utah Health | University of Utah Health

  https://healthcare.utah.edu/womens-health/pregnancy-birth/stillbirth

  Losing a child to stillbirth is an emotionally devastating experience for parents. […] We provide compassionate care for women who deliver their baby at University of Utah Hospital, with an emphasis on helping them create memories with their child in their brief time together. […] Our experts have developed cutting-edge therapies to care for grieving families and have identified novel tests and treatments to prevent future pregnancy loss. […] Our maternal-fetal medicine doctors specialize in high-risk pregnancies and offer comprehensive consultations after a stillbirth, which will sometimes help explain why a stillbirth occurred and how to prevent future pregnancy losses. […] We also will help you with bereavement including referral to a bereavement specialist and support groups if desired.

• #11 Stillbirth – Wikipedia

  https://en.wikipedia.org/wiki/Stillbirth

  Fetal death in utero does not present an immediate health risk to the pregnant woman, and labour will usually begin spontaneously after two weeks, so the pregnant woman may choose to wait and bear the fetal remains vaginally. After two weeks, the pregnant woman is at risk of developing blood clotting problems, and labor induction is recommended at this point. […] In many cases, the pregnant woman will find the idea of carrying the dead fetus traumatizing and will elect to have labor induced. Caesarean birth is not recommended unless complications develop during vaginal birth. […] How the diagnosis of stillbirth is communicated by healthcare workers may have a long-lasting and deep impact on parents. […] People need to heal physically after a stillbirth just as they do emotionally. In Ireland, for example, people are offered a 'cuddle cot’, a cooled cot which allows them to spend a number of days with their child before burial or cremation.

• #12 How do health care providers manage stillbirth? | NICHD – Eunice Kennedy Shriver National Institute of Child Health and Human Development

  http://www.nichd.nih.gov/health/topics/stillbirth/topicinfo/managed

  Care after a stillbirth depends on when it occurs. […] Health care providers will then try to determine a cause for the stillbirth by examining the fetus, the placenta, and other tissues from the pregnancy and possibly by performing an autopsy. […] When or if the family wants to try for another pregnancy, providers can work with them to discuss any risk factors and possible ways to prevent another stillbirth. […] Providers will try to figure out a cause for the stillbirth, if possible. […] Families that have experienced a stillbirth should work with health care providers to identify and address any changeable risk factors before trying for another pregnancy.

• #13 Stillbirth | March of Dimes

  https://www.marchofdimes.org/find-support/topics/miscarriage-loss-grief/stillbirth

  Your provide can run tests to try to find out what caused your babys death and try to prevent another stillbirth in your next pregnancy. […] If your baby is stillborn, your provider talks with you about options for giving birth. […] Your provider may recommend: […] Your provider checks your baby, the placenta and the umbilical cord, and may ask to do certain tests to try and find out what caused the stillbirth. […] Information from tests on you and your baby may help you if youre thinking about getting pregnant again. […] Talk to your healthcare provider about what you can do to help to lower your risk of having a stillbirth in another pregnancy. […] If you get pregnant again, your provider monitors you and your baby closely. […] Your provider may also ask you to do kick counts to help you keep track of how often your baby moves, and do medical tests to check your babys heart rate and movements. […] Your provider may recommend that you have medical tests to try to find out more about what caused your stillbirth. […] Ask your healthcare provider to help you find a grief counselor to help you cope with your babys death.

• #14

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk9885

  If the exact cause of death isn’t known, you may face a decision about whether to have an autopsy. This can be a hard decision. But an autopsy may help you find out why a fetal loss happened and whether it could happen again. […] After a stillbirth, there are things you can do for your physical and emotional health and comfort. […] Talk to your doctor or midwife about how you are coping. Your doctor or midwife will want to watch you for signs of depression. You may want to have counselling for support and to help you express your feelings. […] Some people have a ceremony, such as a christening or other blessing or a memorial service. […] AHS Pregnancy and Infant Loss Program. This program provides support for parents who have experienced the loss of a pregnancy or baby. […] Watch closely for changes in your health, and be sure to contact your doctor, midwife, or nurse advice line if you have any problems.

• #15 Stillbirth: How Common, Causes, Symptoms & Support

  https://my.clevelandclinic.org/health/diseases/9685-stillbirth

  A stillbirth is a jarring pregnancy loss, similar to a miscarriage. Stillbirths involve fetal death after week 20, while miscarriage involves the fetus passing away before week 20. Like a miscarriage, a stillbirth is a traumatizing event that may require lots of time and a strong support network to grieve. […] Your healthcare provider will recommend the safest option available to deliver the fetus. The experience will feel similar to delivering a live baby. Your pregnancy care team will coach you and give you medicines to help with the pain. […] The greatest benefit of having an autopsy is that it increases the chance of learning what caused the stillbirth. Recent research has shown that an autopsy can increase the detection rate from just under 20% of stillbirths to more than 90%. This information may help your provider prevent complications in future pregnancies.

• #16 Stillbirth | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/stillbirth-0

  Treatment for stillbirth varies. It depends on factors such as how long the baby has been in the uterus, the size of the baby, and how much time has passed since the baby’s heartbeat stopped. Treatment may be done by 1 of these methods: […] Inducing labor using medicine to open the cervix and cause the uterus to contract and deliver the baby. […] Counseling is important for all parents coping with a stillbirth. It can help you understand your feelings. It can help you begin the work of grieving. Ask your healthcare provider to refer you to a counselor who has experience in pregnancy loss. […] An autopsy or special genetic and chromosomal testing may be options. Talk with the healthcare provider. Results can be shared at a meeting with the healthcare provider several weeks afterward.

• #17 Miscarriage and Stillbirth – Stacey Inal Therapy

  https://staceyinal.com/maternal-mental-health-miscarriage-and-stillbirth/

  The kind of support you receive in the short and long-term periods after you lose a baby is critical to how you cope with and function in spite of the loss. […] Even in the most supportive of environments, participating in professional therapy to discuss and deal with the death of a child can provide tremendous benefits in your day-to-day life and future. […] Grief and bereavement therapy looks specifically at loss and works by helping you address and acknowledge your loss and grief, and work through the stages of loss so that you can cope with the changes and eventually find a place for your loss and continue to handle daily life. […] Couples therapy is type of psychotherapy that works to improve interactions with both partners by helping with communication and resolving issues. […] For child loss, couples therapy can help address how the loss has impacted the couples functioning together as a unit.

• #17 Miscarriage and Stillbirth – Stacey Inal Therapy

  https://staceyinal.com/maternal-mental-health-miscarriage-and-stillbirth/

  A support group for pregnancy and infant loss consists of a regular meeting of a group of people who also have experienced loss, led by a coordinator who has likely had some training or education in infant loss, and may also have personal experience. […] While a support group is not the same level and intensity as professional therapy, it can be immensely helpful to those who have experienced miscarriage and child death. […] It is important to take note that if symptoms of depression appear to be taking over your everyday life or your anxiety becomes too much to handle it is recommended that reach out to your physician and seek mental health services with a therapist or counselor trained in pregnancy loss or a professional who specializes in grief counseling.

• #18 Different Types of Therapy to Help with Infant Loss & Miscarriage

  https://www.lamaze.org/Giving-Birth-with-Confidence/GBWC-Post/different-types-of-therapy-to-help-with-infant-loss-miscarriage

  The kind of support you receive in the short- and long-term period after you lose a child is critical to how you cope with and function in spite of the loss. […] Therapy is available in many forms, and often is covered by insurance or can be provided at low or discounted rates if necessary. […] Grief or Bereavement Therapy – Grief/bereavement counseling/therapy looks specifically at loss and works by helping you address and acknowledge your loss and grief, and work through the stages of loss so that you can cope with the changes and eventually find a place for your loss and continue to handle daily life. […] Family therapy can help address how the loss has impacted the family’s functioning together as a unit. […] While a support group is not the same level and intensity as professional therapy, it can be immensely helpful to those who have experienced miscarriage and child death. […] What is most important in finding therapy for pregnancy and infant death is not necessarily the type of professional you find, but their specific experience, education, and skills set in helping individuals work through child loss.

• #19 Postpartum Depression After Stillbirth: Symptoms, Treatment, and More

  https://www.healthline.com/health/pregnancy/postpartum-depression-after-stillbirth

  Postpartum depression after stillbirth involves profound grief and symptoms of postpartum depression, like sadness, guilt, and anxiety. Therapy, support groups, or medications may help ease these symptoms and help you cope with the loss. […] Treatment for postpartum depression after stillbirth often involves a combination of therapy, peer support, and potentially medication. […] Psychotherapy: This may include grief counseling to process the loss, cognitive behavioral therapy (CBT) for managing negative thoughts, or interpersonal therapy (IPT) to address social isolation or relationship challenges after the stillbirth. […] Support groups and peer support: Participating in support groups, whether in person or online, provides an emotional connection with others who have experienced similar losses, helping reduce isolation and offering validation.

• #20 Honoring the Complexities of Perinatal Loss: A Guide for Clinicians | Wildflower Center for Emotional Health

  https://www.wildflowerllc.com/honoring-the-complexities-of-perinatal-loss-a-guide-for-clinicians/

  Loss is one of the most painful and often isolating experiences within the perinatal community. […] For psychotherapists, understanding and addressing perinatal loss requires specialized training and a deep sensitivity to the unique challenges faced by grieving parents. […] Therapy provides a vital space for individuals to process their emotions, make sense of their experiences, and develop coping strategies that can help them navigate their grief and begin the healing process. […] Given the unique demands of working with perinatal loss, specialized care is essential. […] Two evidence-based practices, Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), are particularly effective in supporting clients through their grief. […] By applying these techniques to the six stages of perinatal loss—initial shock, anticipatory grief, acute grief, grief work, integration of grief, and anniversary reactions—therapists can help clients move through their grief in a structured and supportive manner.

• #20 Honoring the Complexities of Perinatal Loss: A Guide for Clinicians | Wildflower Center for Emotional Health

  https://www.wildflowerllc.com/honoring-the-complexities-of-perinatal-loss-a-guide-for-clinicians/

  However, while ACT and DBT are invaluable in addressing the psychological aspects of grief, they may not fully satisfy the deep need for meaning-making and closure that many grieving parents experience. […] Rituals play a crucial role in this process, offering tangible ways to honor the loss, create lasting memories, and provide a sense of continuity and connection. […] Whether through creating a memory box, holding a memorial service, or participating in community support, rituals can provide a profound sense of closure and continuity for grieving parents.

• #21 Miscarriage Counselling & Stillbirth Support – Better Beginnings

  https://betterbeginnings.co.uk/miscarriage-stillbirth-therapy/

  Eye Movement Desensitisation and Reprocessing Therapy (EMDR) is known to effectively help people cope with the emotional aftermath of baby loss. […] EMDR therapy is effective in reducing trauma symptoms, such as memories which have a certain ‘nowness’ to them, which might even feel like ‘flashbacks’ of what’s happened. […] Compassion-focused therapy (CFT) offers a compassionate and holistic approach to healing after baby loss, addressing not only the psychological impact of the loss but also the deeper emotional and existential questions that arise. […] Therapy provides a safe and non-judgmental space to explore the complex emotions you’re experiencing. […] Therapy can support you in processing the grief and trauma of your baby loss so you can move forward at your own pace. […] Therapy can also focus on you with practical coping skills and strategies to navigate your anxiety during pregnancy. […] Overall, therapy can offer invaluable support and guidance if you’re pregnant after loss.

• #22 Alison Willenbacher | Miscarriage, Stillbirth, and Infant Loss in New York

  https://www.alisonwillenbacher.com/services/miscarriage-stillbirth-and-infant-loss

  Therapy can be a place of acceptance for whatever you are feeling and wherever you are in your grief. […] Ways that therapy can be helpful after miscarriage, stillbirth, or infant loss include: […] Using EMDR therapy to address how your loss is manifesting in your thoughts, feelings, dreams, and body sensations. […] When losses are unexpected and traumatic, EMDR can be a helpful way of processing the experience, memories, and emotions, defusing the intensity of the experience and leading to a greater sense of peace with, and understanding of, the loss.

• #23 Stillbirth Grief & Loss

  https://iembracetherapy.com/stillbirth-grief-loss/

  You were born silent. Perfect and beautiful. Still loved. Still missed. Still remembered. Everyday. Stillborn. But Still born. ~ Author Unknown […] In the United States, one out of every one hundred and sixty pregnancies results in stillbirth. Stillbirth is defined as when a baby dies in the womb after twenty weeks of pregnancy; prior to twenty weeks, the loss is considered a miscarriage. Most stillbirths occur before labor; however, some do happen during the labor and birthing process. Regardless of when, stillbirth and other pregnancy losses are deeply impactful and grieved by many mothers and families. […] Women who have experienced a stillbirth are significantly more likely to encounter increased anxiety and depression not only immediately following the loss but also in subsequent pregnancies, particularly during the third trimester. There is also a higher risk of postpartum depression. It is imperative that families who are grieving do what feels right for them and their unique needs.

• #23 Stillbirth Grief & Loss

  https://iembracetherapy.com/stillbirth-grief-loss/

  Any emotions that arise after a stillbirth experience are valid, and anyone undergoing this loss deserves adequate support and resources. While most people who have a stillbirth and get pregnant again can have a healthy pregnancy and healthy baby, families that have experienced stillbirth will always carry its effects as they navigate how to honor their unique loss and hold space for their grief. […] Embrace Therapy is an advocate for pregnancy loss and grief as well as maternal mental health. We are honored to partner with Kimberly Constable, who channeled her own personal grief into creating the Baby Loss Library Project. This nonprofit is housed at Embrace Therapys Campbell Hall, New York office and provides resources that support families and friends grieving baby loss. […] Another wonderful resource is stillbirthday.com, which aids in honoring children lost to stillbirth and the families who grieve their loved ones in addition to offering education around births and planning.

• #24 Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth

  https://brieflands.com/articles/ijpbs-9275.html

  An active intervention is necessary for the care and support of women who have experienced stillbirth. […] The aim of the present study was to determine the impact of psychological counseling on the severity of grief symptoms in mothers after stillbirth. […] Counseling significantly reduces grief symptoms, allowing for faster transition from grieving and preventing complicated grief. It is, therefore, necessary to integrate psychological interventions into the care system for mothers. […] The aim of the present study was to determine the impact of psychological counseling on the severity of grief symptoms in mothers after stillbirth. […] The present interventional study showed that psychological counseling has a significant positive impact on reducing the severity of grief symptoms in the early weeks after delivery. […] We recommend that psychological interventions and physical exercise be integrated into care programs for mothers who have experienced perinatal loss, to help prevent complicated grief and prepare the mother for subsequent pregnancy.

• #25 Stillbirth: Surviving Emotionally | American Pregnancy Association

  https://americanpregnancy.org/getting-pregnant/pregnancy-loss/stillborn/

  This experience can be upsetting because it is a reminder of your loss. Try taking a warm bath to ease the discomfort. You may continue to bleed off and on for a few weeks. If you continue to bleed beyond three weeks, have a fever, or cramping, it is important to contact your healthcare provider. […] After the tests are completed, you will usually have the choice to spend time alone with your baby. You can find comfort in looking at, touching, and talking to your baby. Most parents find it helpful to make memories of this precious time that will last a lifetime. […] You will be able to spend as much time as you need with your baby, but at some point, you will need to say goodbye. This will probably be one of the most challenging things to do because it is so final. Allow yourself to cry; expressing emotion is natural in the grieving process. Having the keepsakes will remind you that a part of your baby will always be with you.

• #25 Stillbirth: Surviving Emotionally | American Pregnancy Association

  https://americanpregnancy.org/getting-pregnant/pregnancy-loss/stillborn/

  A social worker or chaplain at the hospital can help you make funeral arrangements. Most funeral homes will provide a free coffin, burial or cremation for stillborn babies. Although there may be other expenses, this contribution will alleviate some of the financial strain. […] The time will come when you are ready to sort through your baby items deciding what do to do with them. Ask a friend or relative to help you find out what store return policies are and assist you in getting items returned. […] The following are things you can do to help yourself get through this difficult time in your life: Talk to people about how you feel. Joining a support group may help you feel less isolated; it is good to know someone else understands what you are going through. […] Healing will take time. Little by little the emptiness that you feel in your heart will lessen and you will learn to live your life again. You will have new dreams and hopes for the future and your outlook on life will change. This means you are beginning to accept your loss, not forget it.

• #25 Stillbirth: Surviving Emotionally | American Pregnancy Association

  https://americanpregnancy.org/getting-pregnant/pregnancy-loss/stillborn/

  The chances of having another stillbirth are very small. In fact, most women will give birth to a healthy baby after experiencing a stillbirth. […] When to try again is something only you and your partner can decide. You will probably be physically ready before you are emotionally ready to start trying again. Future pregnancies will be tougher for you if you do not come to terms with your loss. Some professionals recommend you wait for at least a few months or up to a year before trying again to give yourself time to grieve.

• #26 Understanding stillbirth – Counseling Today Archive

  https://ctarchive.counseling.org/2019/12/understanding-stillbirth/

  With such a high prevalence of stillbirths, it is important that we truly understand this experience to provide competent treatment. […] Mothers of stillborn babies will often give their babies a name. […] Mothers who have experienced a stillbirth often report feeling like I want to go to sleep and not wake up or I dont want to live anymore. […] Mothers who deliver stillborn babies are not exempt from postpartum depression. […] Approaching it only from this lens, rather than also understanding the trauma associated with the experience, can cause treatment to be ineffective. […] The complex nature of the stillbirth experience often leaves counselors feeling lost regarding the potential direction for treatment. […] The counselor could also introduce the client to online resources and supports. […] Counselors should avoid bringing in their own beliefs and expectations for these clients. […] Every mothers experience of stillbirth is different. […] However, these mothers need to be heard, understood and validated as being mothers, even if they have no other living children.

• #27 Five ways to help parents cope with the trauma of stillbirth

  https://theconversation.com/five-ways-to-help-parents-cope-with-the-trauma-of-stillbirth-69622

  Parents want to know why their baby died. Finding a cause of stillbirth, and the factors that led to that cause, helps parents begin to make sense of their loss. […] Specific interventions, such as low-dose aspirin, early scheduled birth, or treatment for anxiety and depression, may reduce the risk of recurrence and improve psychological outcomes. […] However, many stillbirths occur unexpectedly in an otherwise healthy mother and baby, and remain unexplained after a full investigation. So, research is needed to better understand the mechanisms for these unexplained stillbirths.

• #28 Prior Stillbirth – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/pregnancy-complications/prior-stillbirth

  For women and families who have experienced a prior stillbirth and are planning a future pregnancy, we offer preconception counseling to: Review the records from the prior stillbirth, Send any further work-up that is necessary, Discuss the potential risk of recurrence, Come up with an individualized care plan for the next pregnancy (including antenatal surveillance and delivery timing). […] For women and families who have experienced a prior stillbirth, we monitor subsequent pregnancies more closely. This monitoring plan is unique to each pregnancy, depending on the circumstances of the prior stillbirth, but can involve: Specialized genetic testing, Ultrasound detection of congenital abnormalities, Serial ultrasound examination to track fetal growth, Antenatal surveillance to assess fetal well-being (including ultrasounds to look at amniotic fluid volume and fetal movements, and non-stress testing to assess fetal heart rate patterns), Careful monitoring for pregnancy complications (such as high blood pressure or diabetes), Delivery timing.

• #28 Prior Stillbirth – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/pregnancy-complications/prior-stillbirth

  The Prior Stillbirth Clinic will make individualized care plans, especially regarding antenatal surveillance and delivery timing, taking into account the reasons for the prior stillbirth and the growth and well-being of the current pregnancy. […] Women and families with a prior stillbirth face unique emotional and supportive needs during a subsequent pregnancy. At Brigham and Womens Hospital we provide specialized care to take these emotional needs into consideration. Our physicians, nurses and social workers provide emotional and social support that is tailored to each familys needs. […] In the Prior Stillbirth Clinic, our expert team has cared for hundreds of families who have experienced a prior stillbirth. We understand that subsequent pregnancies are uniquely challenging for families and may bring feelings of anxiety, post-traumatic stress and grief. We offer a highly supportive and understanding team that can offer support through all stages from preconception planning through a subsequent pregnancy, delivery and the postpartum period.

• #29 Azthena logo with the word Azthena

  https://www.news-medical.net/news/20241212/Gene-therapy-to-prevent-stillbirth-and-premature-delivery-developed.aspx

  A pioneering therapy aimed at reversing a leading cause of stillbirth and premature birth has shown promising results in animal studies, led by decades of research on the placenta. […] Currently, there are no treatments for FGR or conditions like placental insufficiency, during which the placenta fails to transfer sufficient nutrients and oxygen to the fetus for its proper growth. […] The placenta is the key communication link between the fetus and mother; therefore, this organ could be an effective therapeutic target for treating FGR. Correcting FGR factors could reduce the number of premature neonates, stillbirths, and adult comorbidities. […] The current study demonstrates the effectiveness of the novel nanoparticle-mediated IGF1 gene therapy in restoring fetal growth using a guinea pig model.

• #30 Nanoparticle-mediated gene therapy fixes major cause of stillbirth and premature birth in guinea pig model

  https://phys.org/news/2024-12-nanoparticle-gene-therapy-major-stillbirth.html

  Now, the first therapy to potentially reverse a condition that is a significant cause of stillbirth and premature delivery around the globe is being developed by a team led by a University of Florida Health researcher who has spent 20 years studying this remarkable organ. The therapy has proved highly successful in animal studies. […] The success of the gene therapy created by UF Health researcher Helen N. Jones, Ph.D., and a team of collaborators would mark a sea change in obstetrics. […] „This is a very exciting therapy,” Jones said. „We’re very happy with our results so far. If this goes well, it could be a game-changer for mothers worldwide. It has the potential to prevent so many premature births and give families hope that placental failure is not the early end of a pregnancy.” […] The new gene therapy is delivered to the placenta by a polymer nanoparticle so small it would take roughly 500 of them, side by side, to equal the width of a human hair.

• #30 Nanoparticle-mediated gene therapy fixes major cause of stillbirth and premature birth in guinea pig model

  https://phys.org/news/2024-12-nanoparticle-gene-therapy-major-stillbirth.html

  Jones is senior author of a study published in Nature Gene Therapy on Dec. 4 that she said details exciting results. It shows that in guinea pigs, the therapy boosted placental function and delivery of normal-weight offspring. […] Surprisingly, the treatment also reduced the mother’s levels of cortisol, the stress hormone. If this holds in humans, the therapy might help lessen a burden many mothers know all too well. […] „A treatment like ours could be life-changing in some pregnancies.”

• #31

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk6128

  Follow-up care is a key part of your treatment and safety. […] Talk to your doctor or midwife about how you are coping. Your doctor or midwife will want to watch you for signs of depression. You may want to have counselling for support and to help you express your feelings. […] AHS Pregnancy and Infant Loss Program. This program provides support for parents who have experienced the loss of a pregnancy or baby. […] AHS Perinatal Bereavement Program. This program provides support for families who have experienced the loss of a pregnancy or baby. […] Watch closely for changes in your health, and be sure to contact your doctor, midwife, or nurse advice line if: […] You feel sad, anxious, or hopeless for more than a few days.

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