Śmierć płodu
Objawy
Śmierć płodu definiowana jest jako zgon płodu w macicy po 20 tygodniu ciąży, z brakiem oznak życia takich jak oddech, akcja serca, pulsacja pępowiny czy ruchy mięśniowe. Klasyfikacja obejmuje śmierć wczesną (20-27 tydzień), późną (28-36 tydzień) oraz terminową (≥37 tydzień). W krajach rozwiniętych częstość wynosi około 1 na 160-200 ciąż. Diagnostyka opiera się na badaniu ultrasonograficznym potwierdzającym brak akcji serca i ruchów płodu, a także na osłuchiwaniu Dopplerem. Najważniejszym objawem klinicznym jest zmniejszenie lub brak ruchów płodu, które matki powinny monitorować od 26-28 tygodnia ciąży, licząc co najmniej 10 ruchów w ciągu 12 godzin. W przypadku podejrzenia śmierci płodu konieczna jest natychmiastowa konsultacja lekarska. Dodatkowe objawy to krwawienia, skurcze, gorączka ≥38°C oraz objawy infekcji, które wymagają pilnej oceny, choć nie zawsze świadczą o śmierci płodu.
- Definicja śmierci płodu
- Objawy śmierci płodu
- Zmniejszona aktywność płodu
- Brak oznak życia płodu
- Inne objawy towarzyszące
- Rozpoznanie na podstawie badania USG
- Przebieg śmierci płodu
- Okres przed rozpoznaniem
- Potwierdzenie diagnozy
- Opcje porodu po śmierci płodu
- Fizyczne konsekwencje śmierci płodu
- Rekonwalescencja po śmierci płodu
- Podsumowanie objawów i przebiegu śmierci płodu
Definicja śmierci płodu
Śmierć płodu (stillbirth) definiuje się jako zgon płodu w macicy po 20 tygodniu ciąży (w niektórych definicjach po 24 lub 28 tygodniu). Płód rodzi się bez oznak życia, takich jak oddychanie, bicie serca, pulsacja pępowiny czy zdefiniowane ruchy mięśni. W zależności od czasu wystąpienia, śmierć płodu można klasyfikować jako:123
- Wczesna – utrata płodu między 20 a 27 tygodniem ciąży
- Późna – utrata płodu między 28 a 36 tygodniem ciąży
- Terminowa – utrata płodu w 37 tygodniu ciąży lub później
Śmierć płodu dotyka około 1 na 160-200 ciąż w krajach rozwiniętych i stanowi piątą najczęstszą przyczynę zgonów na świecie. Większość przypadków śmierci płodu występuje przed rozpoczęciem porodu, a jedynie niewielki odsetek podczas porodu i narodzin.456
Objawy śmierci płodu
Śmierć płodu może nastąpić bez wyraźnych objawów ostrzegawczych, szczególnie we wczesnej fazie. Jednak istnieją pewne sygnały, na które należy zwrócić uwagę:78
Zmniejszona aktywność płodu
Najbardziej powszechnym objawem śmierci płodu jest zmniejszenie lub całkowity brak ruchów płodu. Kobiety są zazwyczaj zachęcane do monitorowania aktywności płodu od 26-28 tygodnia ciąży, zliczając ruchy (tzw. liczenie kopnięć). Nagła zmiana w schemacie ruchów płodu może być pierwszym i czasem jedynym sygnałem ostrzegawczym, że dziecko jest zagrożone.9103
Warto podkreślić, że każde dziecko ma swój indywidualny schemat aktywności, dlatego istotne jest, aby matka poznała prawidłowy wzorzec ruchów swojego dziecka. Około 26-28 tygodnia ciąży zaleca się codzienne liczenie kopnięć, aby wyczuć, jak często dziecko się porusza. Natychmiastowa konsultacja lekarska jest konieczna, gdy zauważy się zmianę w sile ruchów lub czas do osiągnięcia 10 ruchów wydłuża się.111213
Brak oznak życia płodu
Gdy zachodzi podejrzenie śmierci płodu, lekarze szukają następujących objawów:149
- Brak akcji serca płodu słyszalnej przez stetoskop lub Doppler
- Brak ruchów płodu lub akcji serca widocznych w badaniu USG
Ostateczne rozpoznanie śmierci płodu stawia się na podstawie badania ultrasonograficznego, które potwierdza brak akcji serca płodu.1617
Inne objawy towarzyszące
Oprócz głównych objawów, kobiety mogą doświadczać również:7128
- Skurczów i bólu w podbrzuszu
- Krwawienia lub plamienia z dróg rodnych
- Wysokiej gorączki lub objawów infekcji
- Ogólnego dyskomfortu
Należy podkreślić, że te objawy nie zawsze oznaczają śmierć płodu – mogą wskazywać na inne komplikacje ciążowe. Niemniej jednak, wymagają natychmiastowej konsultacji medycznej.719
Rozpoznanie na podstawie badania USG
Śmierć płodu diagnozuje się za pomocą badania ultrasonograficznego, które wykazuje brak ruchów i akcji serca płodu. Po porodzie, płód jest uznawany za martwo urodzonego, jeśli nie występują oznaki życia, takie jak:2021
- Brak oddechu
- Brak akcji serca
- Brak ruchów dowolnych
- Brak pulsacji pępowiny
Przebieg śmierci płodu
Okres przed rozpoznaniem
W wielu przypadkach, pierwszym sygnałem, że coś jest nie tak, jest zauważenie przez matkę zmniejszonej aktywności płodu. W przypadku podejrzenia śmierci płodu, kobieta powinna natychmiast skontaktować się z lekarzem lub udać się na oddział ratunkowy.2223
W zależności od zaawansowania ciąży, monitorowanie ruchów płodu może różnić się intensywnością. W zaawansowanej ciąży, gdy płód ma mniej miejsca, ruchy mogą być bardziej toczące niż kopniecia, ale powinno ich być co najmniej 10 w ciągu 12 godzin.13
Warto zaznaczyć, że zmiany w schemacie aktywności płodu mogą być subtelne. Badania wykazały, że intensywne wybuchy aktywności płodu mogą wskazywać na potencjalny problem z pępowiną lub inne formy stresu płodu.24
Potwierdzenie diagnozy
Kiedy zachodzi podejrzenie śmierci płodu, lekarz lub położna mogą początkowo osłuchiwać akcję serca płodu za pomocą przenośnego urządzenia Dopplera. Następnie kobieta zostanie skierowana na badanie ultrasonograficzne, które potwierdzi, czy serce płodu nadal bije.2526
Badanie USG jest najważniejszym narzędziem diagnostycznym w przypadku podejrzenia śmierci płodu. Osoba wykonująca badanie zazwyczaj prosi o drugą opinię, aby potwierdzić, że serce płodu nie bije.2728
Opcje porodu po śmierci płodu
Po potwierdzeniu śmierci płodu, lekarz omówi z kobietą opcje porodu. Wybór metody i czasu porodu zależy od zaawansowania ciąży, stanu medycznego kobiety oraz jej preferencji.1023
Najczęściej preferowaną opcją jest indukcja porodu, ponieważ jest to bezpieczniejsze dla matki niż cesarskie cięcie. W niektórych przypadkach, jeśli nie ma pilnych wskazań medycznych do porodu, można poczekać na naturalne rozpoczęcie porodu.2926
Możliwe opcje porodu obejmują:3027
- Indukcję porodu za pomocą leków (najczęściej prostaglandyn)
- Naturalne rozpoczęcie porodu (zazwyczaj w ciągu 2 tygodni od śmierci płodu)
- Cesarskie cięcie (rzadko stosowane, tylko w określonych przypadkach)
W przypadku wcześniejszej ciąży zakończonej cesarskim cięciem, indukcja porodu jest nadal bezpieczna, choć kobieta będzie dokładnie monitorowana podczas porodu.31
Fizyczne konsekwencje śmierci płodu
Po śmierci płodu w macicy, ale przed porodem, ciało kobiety przechodzi przez naturalne procesy fizjologiczne. Jeśli martwy płód nie zostanie wydalony, u kobiety może rozwinąć się zaburzenie krzepnięcia, które może powodować silne krwawienie (nazywane rozsianym wykrzepianiem wewnątrznaczyniowym).33
Pilna porada medyczna jest konieczna, jeśli kobieta oczekująca na rozpoczęcie porodu doświadcza następujących objawów:27
- Gorączka (wysoka temperatura 38°C lub wyższa)
- Nieprzyjemnie pachnąca wydzielina z pochwy
- Ból brzucha
- Ogólne złe samopoczucie
Rekonwalescencja po śmierci płodu
Fizyczna rekonwalescencja
Ciało kobiety po porodzie martwego płodu przechodzi przez ten sam proces poporodowy, co po urodzeniu żywego dziecka. Czas fizycznej rekonwalescencji zależy od wielu czynników, w tym od sposobu zakończenia ciąży i indywidualnych uwarunkowań medycznych.3435
Po porodzie drogami natury, typowe objawy fizyczne obejmują:3637
- Krwawienie z pochwy (może trwać do 6 tygodni)
- Ból i obrzęk w okolicy krocza
- Skurcze macicy (bóle poporodowe)
- Bolesność piersi i produkcja mleka
- Osłabienie mięśni dna miednicy
Po cesarskim cięciu rekonwalescencja może trwać dłużej niż po porodzie drogami natury. Oprócz typowych objawów poporodowych, występuje również ból, swędzenie lub drętwienie w miejscu nacięcia.39
Fizyczne objawy, które wymagają natychmiastowej konsultacji lekarskiej, to:3934
- Bardzo obfite krwawienie
- Czerwona lub opuchnięta noga, która jest bolesna w dotyku
- Silny ból głowy, który nie ustępuje po lekach
- Gorączka 38°C lub wyższa
- Niegojące się nacięcie
- Gorączka, silna bolesność piersi lub zaczerwienienie piersi (może wskazywać na zapalenie sutka)
Emocjonalne konsekwencje
Doświadczenie śmierci płodu może prowadzić do poważnych konsekwencji emocjonalnych dla rodziców. Kobiety po porodzie martwego płodu mają trzykrotnie większe ryzyko rozwoju objawów depresyjnych w porównaniu do kobiet, które urodziły żywe dziecko.4041
Typowe reakcje emocjonalne po śmierci płodu obejmują:4243
- Szok i niedowierzanie
- Intensywny smutek i żałobę
- Gniew i poczucie winy
- Poczucie wstydu
- Niepokój o przyszłe ciąże
- Objawy zespołu stresu pourazowego
Badania wykazały, że aktywność fizyczna po porodzie martwego płodu może znacząco zmniejszyć objawy depresyjne. Kobiety, które regularnie ćwiczyły, zgłaszały mniej objawów depresji niż te, które nie były aktywne fizycznie.4145
Wsparcie psychologiczne i poradnictwo po utracie dziecka są kluczowe w procesie godzenia się ze stratą i zapobiegania rozwojowi powikłanych form żałoby. Badania wykazują, że kobiety, które otrzymały specjalistyczne poradnictwo psychologiczne, miały znacząco niższy ogólny poziom objawów żałoby w porównaniu do tych, które otrzymały tylko rutynową opiekę poporodową.4346
Perspektywy przyszłych ciąż
Kobiety, które doświadczyły śmierci płodu, mogą obawiać się o kolejne ciąże. Ważne jest, aby wiedzieć, że pomimo zwiększonego ryzyka, większość kobiet po doświadczeniu śmierci płodu może mieć zdrowe dziecko w kolejnej ciąży.3547
Ryzyko ponownej śmierci płodu wynosi około 2,5%, co jest wyższe niż w populacji ogólnej, ale nadal oznacza, że u ponad 97% kobiet kolejna ciąża zakończy się urodzeniem zdrowego dziecka.352
Przed kolejną ciążą zaleca się:4828
- Przeprowadzenie badań w celu ustalenia przyczyny poprzedniej śmierci płodu
- Konsultację lekarską przed planowaniem kolejnej ciąży
- Kontrolę i monitorowanie czynników ryzyka, takich jak cukrzyca czy nadciśnienie
- Odczekanie 6 miesięcy do roku przed kolejną próbą zajścia w ciążę
W kolejnej ciąży kobieta będzie objęta szczególną opieką medyczną i dokładnym monitorowaniem, aby upewnić się, że wszystko przebiega prawidłowo.4250
Podsumowanie objawów i przebiegu śmierci płodu
Śmierć płodu to traumatyczne doświadczenie, które dotyka wiele rodzin każdego roku. Kluczowe objawy, które mogą wskazywać na śmierć płodu, to przede wszystkim brak ruchów płodu, brak akcji serca płodu wykrywalnej w badaniu USG lub za pomocą Dopplera, a także możliwe krwawienie z dróg rodnych i skurcze.148
Przebieg śmierci płodu obejmuje diagnozę, podjęcie decyzji o metodzie porodu, sam poród oraz okres rekonwalescencji fizycznej i emocjonalnej. Opieka medyczna powinna uwzględniać zarówno aspekty fizyczne, jak i psychologiczne, a wsparcie specjalistyczne jest kluczowe dla procesu zdrowienia.1042
Pomimo traumatycznego charakteru tego doświadczenia, większość kobiet po śmierci płodu może mieć nadzieję na pomyślne zakończenie kolejnych ciąż, szczególnie przy odpowiedniej opiece medycznej i wsparciu psychologicznym.3235
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 About Stillbirth | Stillbirth | CDChttps://www.cdc.gov/stillbirth/about/index.html
A stillbirth is when a fetus dies in the uterus after 20 weeks of pregnancy. […] Stillbirth is further classified as early, late, or term: Early is the loss of a fetus between 20 and 27 weeks of pregnancy. […] Late is the loss of a fetus between 28 and 36 weeks of pregnancy. […] Term is the loss of a fetus at 37 or more weeks of pregnancy. […] My son Adrian was stillborn due to complications from undiagnosed preeclampsia. […] I wish I had known stillbirth is as common as it is. […] Knowledge about the potential causes of stillbirth can be used to develop recommendations, policies, and services to help prevent stillbirth.
- #2 Stillbirth – Wikipediahttps://en.wikipedia.org/wiki/Stillbirth
Stillbirth is typically defined as fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without signs of life. A stillbirth can often result in the feeling of guilt or grief in the mother. […] Often the cause is unknown. Stillbirth may be suspected when no fetal movement is felt. Confirmation is by ultrasound. […] After a stillbirth there is a 2.5% risk of another stillbirth in the next pregnancy (an increase from 0.4%). […] A decrease or cessation in sensations of fetal activity may be an indication of fetal distress or death.
- #3 Stillbirth: Causes, Risk Factors, Signs, and Recoveryhttps://www.healthline.com/health/pregnancy/stillbirth
A stillbirth is any fetal loss after 20 weeks of pregnancy. Stillbirth is more common than you may think, affecting about 1 in 175 births in the United States. The term stillbirth refers to a fetal death that occurs during or after week 20 of pregnancy (gestation). If loss occurs before week 20 of pregnancy (gestation), its called a miscarriage. There are about 21,000 stillbirths a year in the United States, according to the Centers for Disease Control and Prevention (CDC). […] You may not experience any signs or symptoms at all, especially early on. Some signs and symptoms are cramping, pain, or bleeding from the vagina. Another sign is that your baby stops moving. By the time you reach the 26th to 28th week, you can start a daily kick count. All babies are different, so youll want to get a feel for how often your baby moves. Go to a hospital immediately if you notice a change in your babys strength of movements or how long it takes to reach 10 movements.
- #4 Stillbirth: Trying to Understand | American Pregnancy Associationhttps://americanpregnancy.org/getting-pregnant/pregnancy-loss/stillborn-trying-to-understand/
Stillbirth is defined as the intrauterine death and subsequent delivery of a developing infant that occurs beyond 20 completed weeks of gestation. A stillbirth occurs in about 1 in 160 pregnancies. The majority of stillbirths happen before labor, whereas a small percentage occur during labor and delivery. […] Most women usually notice that their baby isnât very active and become worried about what this could mean. An ultrasound can confirm that the baby has died and in some cases determine the reason why. […] Improvements in medicine have decreased the number of stillbirths. Today women with high-risk pregnancies are carefully monitored through routine ultrasounds and/or fetal heart rate monitoring. If potential problems are identified, early delivery may be necessary. […] The following are steps you can take to help prevent stillbirth: A daily âkick count.â Starting at 26-28 weeks of pregnancy, take time each day to record your babyâs movements. If you familiarize yourself with what is normal for your baby, then you are more likely to notice when something does not feel right. If you notice a sudden decrease in movements, contact your health care provider. An ultrasound can normally confirm if there are any potential problems.
- #5 Stillbirth | ACOGhttps://www.acog.org/womens-health/faqs/stillbirth
When a fetus dies in the uterus after 20 weeks of pregnancy, it is called stillbirth. […] Sometimes stillbirth happens before labor begins. A woman may notice that the fetus has stopped moving, or an obstetriciangynecologist (ob-gyn) may not find the fetuss heartbeat at a prenatal visit. If a heartbeat cannot be found, it means the fetus has died in the uterus. […] Stillbirth also can happen during labor, but this is rare, especially when electronic fetal monitoring is used. Continuous monitoring of the fetus during labor can help find problems so that an ob-gyn can take steps to help prevent stillbirth. […] Yes, some complications during labor and delivery can increase the risk of stillbirth. These complications may include problems with the placenta or umbilical cord, lack of oxygen to the fetus, and infection.
- #6 What you need to know about stillbirths | UNICEFhttps://www.unicef.org/stories/what-you-need-to-know-about-stillbirths
One stillbirth happens every 16 seconds. Thatâs about 2 million babies stillborn every year. What makes these deaths even more tragic is that the majority could have been prevented through quality care during pregnancy and at birth. […] Over 40 per cent of stillbirths occur during labour. Common causes of stillbirths that occur during labour are hypoxia (oxygen deprivation), placental obstruction and other delivery and labour related complications. Many of these can be avoided if key interventions, such as assisted vaginal delivery, skilled birth attendants or emergency C-sections, are available. […] A stillbirth is defined as a baby born with no signs of life after a given threshold, usually related to the gestational age (period of time between conception and birth) or weight of the baby.
- #7 Stillbirth: How Common, Causes, Symptoms & Supporthttps://my.clevelandclinic.org/health/diseases/9685-stillbirth
A stillbirth happens when the fetus dies after week 20 of pregnancy. […] A stillbirth is when a fetus dies after the 20th week of pregnancy. […] Often, the only warning sign of stillbirth is noticing the fetus isnt as active as it used to be. Some people experience cramps and vaginal bleeding. […] These symptoms dont always mean a stillbirth, but you should see a provider immediately if you notice these changes.
- #8 Stillbirth: Frequently Asked Questionshttps://www.healthline.com/health/pregnancy/stillbirth-faqs
A stillbirth occurs when a fetus dies after 20 weeks of pregnancy. […] Many people have no signs or symptoms of stillbirth at first, so you may not know that you are experiencing one. Some people may have the following signs or symptoms: cramps, pain, vaginal bleeding, decreased movement or no movement. […] A change in movements, specifically, may also be an early sign and sometimes the only warning sign that your baby needs help. […] If you notice decreased movement or are not feeling movement at all, go to the hospital. You and your baby need to be checked immediately. […] Other signs of stillbirth include cramping, spotting, or bleeding. […] However, these signs or symptoms may appear after the stillbirth has already occurred. Recognizing the warning signs is important, but it may not mean you can save the pregnancy. In many cases, the pregnancy is already lost by the time you’re showing symptoms.
- #9 Stillbirth – Stanford Medicine Children’s Healthhttps://www.stanfordchildrens.org/en/topic/default?id=stillbirth-90-P02501
The following are the most common symptoms of stillbirth. However, each woman may experience symptoms differently. Symptoms may include: […] Stopping of fetal movement and kicks […] No fetal heartbeat heard with stethoscope or Doppler […] No fetal movement or heartbeat seen on ultrasound, which makes the definitive diagnosis that a baby is stillborn. Other symptoms may or may not be linked to stillbirth. […] The symptoms of stillbirth may resemble other medical conditions. Always consult your doctor for a diagnosis.
- #10 Stillbirth | March of Dimeshttps://www.marchofdimes.org/find-support/topics/miscarriage-loss-grief/stillbirth
The most common symptom of stillbirth is when you stop feeling your baby moving and kicking. Others include cramps, pain or bleeding from the vagina. Call your healthcare provider right away or go to the emergency room if you have any of these conditions. […] Your provider uses ultrasound to check if your babys heart rate and movement. […] If your baby is stillborn, your provider talks with you about options for giving birth. When and how you give birth depends on how far along you are in your pregnancy, your medical condition and what you think is best for you and your family. […] 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 you’re thinking about getting pregnant again. Test results may help your provider find out if there’s a chance that you could have another stillbirth.
- #11 Intrauterine Fetal Demise Symptoms and Warning Signshttps://www.childbirthinjuries.com/birth-injury/intrauterine-fetal-demise/symptoms/
Understanding intrauterine fetal demise symptoms is essential for expectant mothers and health care providers to detect signs of stillbirth early. […] Here are some of the more common intrauterine fetal demise symptoms. […] It can be cause for concern if a woman has been consistently feeling her babyâs movement and notices a sudden decrease or pause. […] A doctor will be able to recognize intrauterine fetal demise symptoms by listening for a babyâs heart rate with a Doppler velocimetry machine (device measuring blood flow). […] If no movement or heartbeat from the baby is detected, it could mean something has gone wrong. However, IUFD should be confirmed through an ultrasound showing visual evidence of fetal demise. […] Depending on the cause of stillbirth, it can cause a great deal of cramping and pain in the motherâs abdomen.
- #12 Intrauterine Fetal Demise Symptoms and Warning Signshttps://www.childbirthinjuries.com/birth-injury/intrauterine-fetal-demise/symptoms/
In addition to physical pain, a mother experiencing IUFD may also have a high fever or infection. […] In some cases, one of the intrauterine fetal demise symptoms is bleeding or spotting, especially when accompanied by cramping or abdominal pain. […] If a woman experiences severe or heavy bleeding, this should be considered a medical emergency, and she should seek medical attention immediately. […] Intrauterine fetal demise symptoms can include: Lack of fetal movement and kicks, No heartbeat or movement on ultrasound, Painful cramping, Vaginal bleeding. […] If you suspect you could be experiencing symptoms of intrauterine fetal demise, seek immediate medical attention.
- #13https://www.healthshare.com.au/questions/2494-are-there-any-signs-or-symptoms-of-a-stillbirth/?csrfmiddlewaretoken=BQ6763uQpafxNvqDNsp1y48JPUuS1DTo
A very sad and curious question. It is usually lack of foetal movement that is the first sign. […] I advise my patients that they should be aware of at least 10 moments in 12 hours after about 26 weeks pregnancy. If less than this or they notice a sudden reduction in foetal movement despite focussing on baby movement they should contact the labour ward / birth unit staff so the babys wellbeing can be checked. This is easy to with a foetal heart monitor. […] In advanced pregnancy as the baby is cramped the baby movement is more rolling rather than actual kicking, but there should be at least 10 rolls in 12 hours.
- #14 Stillbirth | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/stillbirth
Stillbirth is a common term for death of a fetus after 20 weeks. […] The following are the most common symptoms of stillbirth. However, each woman may experience symptoms differently. Symptoms may include: Stopping of fetal movement and kicks. […] No fetal heartbeat heard with stethoscope or Doppler. […] No fetal movement or heartbeat seen on ultrasound, which makes the definitive diagnosis that a baby is stillborn. Other symptoms may or may not be linked to stillbirth. […] The symptoms of stillbirth may resemble other medical conditions. Always consult your doctor for a diagnosis.
- #15 Stillbirth | Saint Luke’s Health Systemhttps://www.saintlukeskc.org/health-library/stillbirth-0
Some symptoms of stillbirth can include: […] Stopping of the babys movement and kicks […] No baby heartbeat heard with a stethoscope or Doppler. […] Stillbirth is diagnosed with an ultrasound test. The test shows lack of movement and heartbeat of the baby.
- #16 Stillbirth: Definition, causes, and recoveryhttps://www.medicalnewstoday.com/articles/stillbirth
Stillbirth is the death of a baby before or during delivery. Warning signs may include bleeding or spotting. […] One of the main signs is not being able to hear a heartbeat with a stethoscope or ultrasound scan. But each persons experience of stillbirth can be different. Other potential symptoms of stillbirth include: spotting, bleeding, decreased fetal movement. […] Doctors typically use an ultrasound before delivery to find out if the babys heart is beating. An ultrasound is an imaging test that uses sound waves to create a picture. After delivery, babies are stillborn if they: have no heartbeat, are not breathing, make no voluntary movements, have no pulsations in the umbilical cord.
- #17 Stillbirthhttps://encyclopedia.nm.org/wellness/Stress/3,90256
Stillbirth is the death of a baby at or after 20 weeks of pregnancy. […] Some symptoms of stillbirth can include: Stopping of the baby’s movement, Light to heavy bleeding, No baby heartbeat heard with a stethoscope or found on ultrasound. […] Stillbirth is diagnosed with an ultrasound test. The test shows lack of movement and heartbeat of the baby.
- #18 Intrauterine Fetal Demise – Causes, Risk Factors, Symptomshttps://www.cerebralpalsyguide.com/birth-injury/intrauterine-fetal-demise/
Intrauterine fetal demise (also called IUFD or stillbirth) occurs when a child dies in the womb at or after the 20th week of pregnancy. […] Stillbirth has many causes, such as infections, issues with the umbilical cord and/or placenta, and overall complications with labor. It is important to note some cases of IUFD may not have any apparent cause. […] Common intrauterine fetal demise symptoms may include: Cramping, Fever, Not feeling the fetus moving or kicking, Pain in the abdomen, Overall discomfort, Vaginal bleeding. […] Many pregnant women first notice that their baby is not moving or kicking as much as they should be. At the 28th week of pregnancy, doctors may recommend counting how often the baby moves in the womb. The frequency of fetal movement can depend on the babyâs gestational age.
- #19 Intrauterine Fetal Demise – Causes, Risk Factors, Symptomshttps://www.cerebralpalsyguide.com/birth-injury/intrauterine-fetal-demise/
If you start to experience any abnormalities or any of the symptoms listed above, call your doctor right away to get a prompt and proper diagnosis and ensure the safety of you and your child. If you are experiencing severe symptoms in an emergency situation, seek immediate medical help and call 911.
- #20 Stillbirth vs. Stillborn: Symptoms, Causes & Risk Factorshttps://www.medicinenet.com/stillbirth/article.htm
Stillbirth can be described as early, late, or term, depending on the stage of pregnancy. […] The most common symptom of stillbirth is not feeling the baby moving or kicking. In some women, cramps, pain, or vaginal bleeding may also occur. […] Stillbirth can be diagnosed by ultrasound examination to show that the baby’s heart is no longer beating. After delivery, the baby is found to be stillborn if there are no signs of life such as breathing, heartbeat, and movements.
- #21 Intrauterine Fetal Demise – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK557533/
Stillbirth has many causes: intrapartum complications, hypertension, diabetes, infection, congenital and genetic abnormalities, placental dysfunction, and pregnancy continuing beyond forty weeks. […] The United States Center for Health Statistics defines a fetal death as the delivery of a fetus showing no sign of life, as indicated by absent breathing, heartbeats, pulsation of the umbilical cord, or definite movements of voluntary muscles, irrespective of the duration of pregnancy. Stillbirth is a fetal death after a defined gestational age or fetal weight, both of which have historically lacked uniformity. Currently, the most recognized definition of stillbirth is a fetal death that occurs at or greater than 20 weeks gestation or a birth weight greater than or equal to 350 grams. […] Intrauterine fetal demise is the 5th leading cause of death worldwide. There is currently a limited understanding of the pathophysiology responsible for fetal demise. Globally, unexplained stillbirth is reported in 76% of cases.
- #22 Placental abruption – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/placental-abruption/symptoms-causes/syc-20376458
Placental abruption is most likely to occur in the last trimester of pregnancy, especially in the last few weeks before birth. Signs and symptoms of placental abruption include: […] Abdominal pain and back pain often begin suddenly. The amount of vaginal bleeding can vary greatly, and doesn’t necessarily indicate how much of the placenta has separated from the uterus. It’s possible for the blood to become trapped inside the uterus, so even with a severe placental abruption, there might be no visible bleeding. […] In some cases, placental abruption develops slowly (chronic abruption), which can cause light, intermittent vaginal bleeding. Your baby might not grow as quickly as expected, and you might have low amniotic fluid or other complications. […] For the baby, placental abruption can lead to: […] Stillbirth.
- #23 Stillbirth Awareness | Washington State Department of Healthhttps://doh.wa.gov/you-and-your-family/womens-health/pregnancy/stillbirth-awareness
The most common symptom of stillbirth is when you stop feeling your baby moving and kicking. […] Some people can also experience cramps, pain, or vaginal bleeding. Call your health care provider right away, or go to the emergency room, if you experience any of these symptoms. […] If you experienced a stillbirth your healthcare provider will talk with you about the options for delivery. When and how you give birth will depend on how far along you are in your pregnancy and what you think is best for you and your family.
- #24 Warning Signs Prior to Adrian’s Stillbirth – Adrian’s Elephanthttps://adrianjameshernandez.com/msblog/warning-signs-prior-to-adrians-stillbirth/
This is a huge indicator of either preeclampsia and/or placental abruption. […] This was the biggest sign. Providers may talk about kick counts, but it seems many dont emphasize or maybe even understand the importance. […] The weekend before he died, my son had a period of about 4 hours where he moved like crazy. […] Studies have shown intense fits of fetal activity may be indicative of a potential cord accident or other forms of fetal distress. […] Although my son didnt have a cord accident, he died only a few days later.
- #25https://111.wales.nhs.uk/livewell/pregnancy/losingbaby/
A stillbirth is when a baby is born dead after 24 completed weeks of pregnancy. […] Contact your midwife or doctor straightaway if you’re pregnant and worried about your baby for example, if you’ve noticed your baby moving less than usual. Don’t wait until the next day. If your baby is moving less, it can be a sign that something’s wrong and needs to be checked out. […] Not all stillbirths can be prevented. However, there are some things you can do to reduce your risk of having a stillbirth, such as: […] It’s important to be aware of your baby’s movements and know what’s normal for your baby. […] Tell your midwife immediately if you notice the baby’s movements slowing down or stopping. Don’t wait until the next day. […] If it’s suspected your baby may have died, a midwife or doctor might initially listen for the baby’s heartbeat with a handheld Doppler device. You’ll also be offered an ultrasound scan to check your baby’s heartbeat.
- #26 Understanding and recovering from a stillbirthhttps://www.babycenter.com/pregnancy/health-and-safety/understanding-stillbirth_10350846
The most common sign of stillbirth is when a pregnant woman notices that she can no longer feel her baby moving in the womb. […] If there’s no heartbeat, an ultrasound is done to confirm that the heart has stopped beating and the baby has died. […] After a stillbirth diagnosis, your healthcare provider will talk with you about options for delivery. […] Most women choose to have labor induced soon after they learn of their baby’s death, either through labor and delivery or through a procedure performed under local or general anesthesia. […] In either instance, the medical team can perform a series of tests to try to determine the cause of the stillbirth. […] In up to a third of stillborn deaths, medical professionals aren’t able to determine what caused the stillbirth, even after performing a thorough investigation.
- #27https://www2.hse.ie/conditions/stillbirth/what-happens-after/
If it’s suspected your baby may have died, a midwife or doctor may offer you an ultrasound scan to check your baby’s heartbeat. […] The person doing the scan will usually ask for a second opinion to confirm that the babys heart is not beating. […] If there’s no medical reason for the baby to be born straight away, it may be possible to wait for labour to begin naturally. […] If you do wait for a labour to begin naturally, this could affect the appearance of your baby when they are born. […] Urgent advice: Call your maternity unit or hospital immediately if you have any of the following symptoms while waiting: fever (high temperature of 38 degrees Celsius or higher), smelly vaginal discharge, pain in your tummy, not feeling well. […] It is not common for a stillborn baby to be delivered by caesarean section but there are reasons why this is recommended sometimes.
- #28 When your baby is stillborn Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/selfcare-instructions/when-your-baby-is-stillborn
About 1 in 160 pregnancies end in stillbirth. Stillbirth is less common than in the past because of better pregnancy care. Up to one half of the time, the reason for the stillbirth is never known. […] The health care provider will use an ultrasound to confirm that the baby’s heart has stopped beating. If the woman’s health is at risk, she will need to deliver the baby right away. Otherwise, she can choose to have medicine to start labor or wait for labor to begin on its own. […] After the delivery, the provider will look at the placenta, fetus, and umbilical cord for signs of problems. The parents will be asked for permission to do more detailed tests. These may include internal exams (autopsy), x-rays, and genetic tests. […] It is natural for parents to feel uneasy about these tests when they are dealing with the loss of a baby. But learning the cause of the stillbirth can help a woman have a healthy baby in the future. It may also help some parents cope with their loss to know as much as they can.
- #29https://111.wales.nhs.uk/livewell/pregnancy/losingbaby/
If a woman’s baby dies before labour starts, she will usually be offered medicine to help induce labour. This is safer for the mother than having a caesarean section. […] If there’s no medical reason for the baby to be born straightaway, it may be possible to wait for labour to begin naturally. […] After a stillbirth, many parents want to see and hold their baby. It’s entirely up to you whether you wish to do so. […] You’ll be offered tests to find the cause of the stillbirth. You don’t need to have these, but the results may help to avoid problems in any future pregnancies. […] A post-mortem is an examination of your baby’s body. The examination can provide more information about why your baby died, which may be particularly important if you plan to become pregnant in the future. […] Not all stillbirths can be prevented, but there are some things you can do to reduce your risk.
- #30 Intrauterine Fetal Demise | IUFD Causes, Signs & Optionshttps://www.childbirthinjuries.com/birth-injury/intrauterine-fetal-demise/
Intrauterine fetal demise (IUFD), or stillbirth, is when a baby dies in the womb after the 20th week of pregnancy. […] Intrauterine fetal demise occurs when a baby dies in utero (in the motherâs womb) after 20 weeks of gestation (the development period of a fetus). […] While the causes of intrauterine fetal demise are not always apparent, there are risk factors that doctors can screen for, diagnose, and monitor throughout the pregnancy. […] Signs of stillbirth include cramping, infection or high fever, no fetal movement or heartbeat on ultrasound, pain in the abdomen, and vaginal bleeding or spotting. […] In most cases, one of the first signs of intrauterine fetal death is when a mother no longer feels her baby moving. […] If intrauterine fetal death happens before labor begins, there are generally three options for removing the baby: cesarean section (C-section), inducing labor with medicine, or natural birth.
- #31https://www2.hse.ie/conditions/stillbirth/what-happens-after/
Induction is safe after a previous caesarean birth. You will be monitored closely during the birth. […] A midwife will be with you for the birth of your baby. You can see and hold your baby immediately if you wish to do so. […] If you choose to see and hold your baby, you will be allowed as much time as you need. […] Bereavement support should be offered to you and your partner. All maternity hospitals have midwives who specialise in supporting bereaved parents. […] There are some tests and investigations that can be done to try and find out what caused your babys death.
- #32 Stillbirth: Surviving Emotionally | American Pregnancy Associationhttps://americanpregnancy.org/getting-pregnant/pregnancy-loss/stillborn/
Stillbirth is one of the most devastating of losses, affecting over 25,000 families each year. Stillbirth touches families of all races, religion and socio-economic status. For many parents, stillbirth is a loss that hits unexpectedly. In fact, up to half of all stillbirths occur in pregnancies that had seemed problem-free. […] Generally, it is medically safe for the mother to continue carrying her baby until labor begins which is normally about 2 weeks after the baby has died. This lapse in time can have an effect on the babyâs appearance at delivery and it is best to be prepared for this. […] After you give birth to a stillborn baby, your body needs time to heal as it would in any birthing situation. Your doctor will probably recommend taking it easy, to give your body time to heal. A few days after you get home from the hospital, your breasts may fill with milk. The milk will normally disperse within a few days, but your breasts may feel sore and tender for a while. […] The chances of having another stillbirth are very small. In fact, most women will give birth to a healthy baby after experiencing a stillbirth.
- #33 Stillbirth – Women’s Health Issues – MSD Manual Consumer Versionhttps://www.msdmanuals.com/home/women-s-health-issues/complications-of-pregnancy/stillbirth
Stillbirth is death of a fetus at 20 weeks of pregnancy or later (or after 28 weeks in some definitions). […] If a fetus dies during late pregnancy or near term but remains in the uterus for weeks, the woman may develop a clotting disorder that can cause severe bleeding (called disseminated intravascular coagulation). […] Doctors may suspect that the fetus is dead if the fetus stops moving, although movements often decrease as the growing fetus has less room to move. […] 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). […] If disseminated intravascular coagulation develops, women are given blood transfusions as 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. […] Whether a future pregnancy is likely to result in a stillbirth depends on the cause.
- #34 What to expect after stillbirthhttps://helloclue.com/articles/pregnancy-birth-and-postpartum/what-to-expect-after-stillbirth
Your body will go through the postpartum process after a stillbirth. […] Physical recovery after a stillbirth depends on your unique medical conditions, how long your pregnancy lasted, and the way your pregnancy ended. After a fetus dies, birth can happen spontaneously (without medical help) through vaginal birth, or with the help of medications, in a process called labor induction. […] Many people experience cramping, bleeding, and passage of blood clots for a couple weeks to a couple of months after stillbirth. […] Most people can move their bodies without major discomfort a few days to a few weeks after a vaginal birth or DE. […] Physical recovery after c-section for stillbirth is identical to recovery after c-section in other circumstances and might take two to three months. […] Milk production, known as lactation, breast/chest engorgement, or milk leakage are part of the routine postpartum process, even after stillbirth. […] Without nipple stimulation, lactation will eventually stop on its own after stillbirth. […] If you notice any fever, severe breast/chest tenderness, or your breasts/chest turn red, call your healthcare provider right away as this could indicate an infection called mastitis.
- #35 Stillbirth: Causes, Risk Factors, Signs, and Recoveryhttps://www.healthline.com/health/pregnancy/stillbirth
Your doctor can perform a nonstress test to check for a fetal heartbeat. Ultrasound imaging can confirm that the heart has stopped beating and your baby isnt moving. […] Physical recovery time depends on several factors, but it generally takes 6 to 8 weeks. There is a lot of variation in this, your individual experience may be different. […] Youve experienced an unexpected, significant loss, and youll need time to grieve. Its impossible to predict how long it will take to work through your grief. Its important not to blame yourself or feel the need to get over it. Grieving is different for everyone, and its OK to grieve in your own way and in your own time. […] Yes, you can have a successful pregnancy after a stillbirth. While youre at a higher risk for complications than someone who hasnt had a stillbirth, the chances of a second stillbirth are only about 2.5%.
- #36 Your body after stillbirth or neonatal death | Pregnancy Birth and Babyhttps://www.pregnancybirthbaby.org.au/your-body-after-stillbirth-or-neonatal-death
Dealing with a stillbirth or neonatal death is a difficult and sad experience. Grief can be very intense, and you may experience physical effects such as: […] At the same time, your body may undergo common changes that occur after giving birth, such as: sore breasts, breast milk production, vaginal bleeding, afterpains, weak pelvic floor. […] These changes may be a painful reminder of your loss. Theres support available to help you manage these changes and help you through this difficult time. […] Vaginal bleeding will be different for each person. It can last up to 6 weeks. […] In the first few days after birth the blood is usually bright red and heavy. It will seem similar to a heavy menstrual period. […] Over time the bleeding will become thinner. It will change in colour to a pink or brown, before stopping.
- #37 Stillbirth Physical & Emotional Recovery: Tips for Healinghttps://www.whattoexpect.com/pregnancy/pregnancy-loss/stillbirth-recovery
The days and weeks following a stillbirth, which is the loss of a baby at 20 weeks of pregnancy or later, can feel like a nightmarish blur. […] At some point, you may also undergo medical tests, and an autopsy may be conducted on your baby to help determine the cause of the stillbirth. […] You should see your practitioner for a follow-up visit a few weeks after delivery. During the appointment, your doctor will examine you to see how you’re recovering physically. […] Physically recovering from a stillbirth can be intensely challenging. […] And the feelings of shock, devastation and numbness can be so overwhelming that they may easily overshadow the fact that your body, too, needs to heal. […] After a vaginal delivery, it’s normal to experience postpartum bleeding or lochia as your uterus sheds leftover blood, tissue and mucus.
- #38 Your body after stillbirth or neonatal death | Pregnancy Birth and Babyhttps://www.pregnancybirthbaby.org.au/your-body-after-stillbirth-or-neonatal-death
Pain is common after giving birth, especially if you had perineal tears (tears outside your vagina) during vaginal birth or had a caesarean section. […] Afterpains are also common. They feel like cramps, and may happen when you express milk. […] If youve lost your child and are experiencing pain after giving birth, speak to your doctor. They may recommend pain relief by using: icepacks or heat packs on the painful area, pain relief medicines such as paracetamol, ibuprofen or aspirin, non-steroidal anti-inflammatory drug (NSAID) gels. […] After a stillbirth or neonatal death, you should have check-ups. […] The changes that your body goes through after giving birth can make the loss of your baby even more difficult. […] A weak pelvic floor after birth may cause you to: leak urine (wee) when you cough, sneeze, laugh or exercise, be unable to control when you pass gas (fart), struggle to have a bowel movement (constipation). […] These issues should get better in 6 months after giving birth.
- #39 Stillbirth Physical & Emotional Recovery: Tips for Healinghttps://www.whattoexpect.com/pregnancy/pregnancy-loss/stillbirth-recovery
Pain and swelling around your perineum the tissue between your vulva and anus is also common. […] Recovering from a C-section can take longer than recovering from a vaginal birth. […] In addition to facing many of the same symptoms that come with a vaginal delivery (including bleeding, perineal pain and cramping), you’ll also be feeling pain (as well as itching, chafing or even occasional numbness) from your incision. […] Whether you delivered vaginally or via C-section, it’s normal to experience other postpartum symptoms as well. […] As you focus on processing your emotions, you may not be paying much attention to your body while it recovers. […] Very heavy bleeding, a red or swollen leg that feels tender to the touch, a bad headache that doesn’t improve with medicine, a fever of 100.4 degrees Fahrenheit or higher, or an incision that isn’t healing all warrant a call to the doctor.
- #40 The Association of Stillbirth with Depressive Symptoms 6â36 Months Post-Deliveryhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4371866/
Stillbirths (20 weeks gestation), which account for about 1 in 200 U.S. pregnancies, may grieve parents deeply. Unresolved grief may lead to persistent depression. […] Current depression was more likely in women with stillbirth (14.8%) vs. healthy live birth (8.3%, cOR 1.90 [95% CI 1.20, 3.02]). However, after control for history of depression and factors associated with both depression and stillbirth, the stillbirth association was no longer significant (aOR 1.35 [95% CI 0.79, 2.30]). Conversely, for the 76% of women with no history of depression a significant association remained after adjustment for confounders (aOR 1.98 [95% CI 1.02, 3.82]). […] Few events are as emotionally challenging for families as stillbirth (fetal death at 20 weeks gestation), affecting one in 200 pregnancies in the U.S. Stillbirth imposes a substantial, immediate burden of grief. While symptoms of depression may be normal expressions of this grief, depressive symptoms that do not resolve into mourning the process of recovery, with gradual lessening of distress and return to normal patterns of living within 6 months of the loss can become persistent and debilitating. Women with a history of depression are especially vulnerable to experiencing persistent depression after perinatal loss and stillbirth, even after the subsequent birth of a healthy child.
- #41 Physical activity and depressive symptoms after stillbirth: informing future interventions | BMC Pregnancy and Childbirth | Full Texthttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-014-0391-1
Women experiencing stillbirth have a threefold greater risk of developing depressive symptoms compared to women experiencing live birth. […] Depressive states may contribute to excessive weight retention/gain, chronic disease risk (i.e., heart disease, diabetes), premature mortality, and can negatively impact the health of babies born subsequent to stillbirth. […] Women who participated in physical activity after stillbirth reported significantly lower depressive symptoms (M= 15.10, SD = 5.32) compared to women who did not participate in physical activity (M= 18.06, SD= 5.57; t= -3.45, p = .001). […] Physical activity may serve as a unique opportunity to help women cope with the multiple mental sequelae after stillbirth. […] Women who have experienced stillbirth are a high-risk population for poor maternal and infant health outcomes because of the negative health implications (i.e., depressive symptoms, weight retention) due to the traumatic event (i.e., stillbirth) and the high rate of conceiving within a year after the stillbirth.
- #42 Stillbirth Physical & Emotional Recovery: Tips for Healinghttps://www.whattoexpect.com/pregnancy/pregnancy-loss/stillbirth-recovery
During pregnancy and after delivery, your body produces hormones that tell your breasts to start making colostrum and milk. […] Your stillbirth is one of the most difficult, heartbreaking experiences you may ever go through. […] It’s normal to experience a wide range of emotions you may ricochet from feeling shell-shocked or intensely sad to being filled with rage or feeling completely numb. […] Recovering emotionally doesn’t mean that you „move on” or go back to being the person you were before you became pregnant, of course. […] Experiencing a stillbirth can put you at risk for developing postpartum depression. […] Even once you decide that you’re ready to try to get pregnant again, you may be worried or fearful about losing another baby. […] What’s more, your health care provider will keep a watchful eye on you during a subsequent pregnancy to make sure things are progressing normally. […] Many practitioners recommend waiting six months to a year before trying to get pregnant again, both to give your body time to recover and to potentially help reduce feelings of anxiety and depression around your next pregnancy.
- #43 Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirthhttps://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. […] After any delivery, the mother may suffer from complications such as changes in sleep and appetite, and feelings of guilt, stress, shame, and depression, and this is more likely in cases of stillbirth. […] Stillbirth is associated with a more than threefold greater risk of depression than healthy live birth, and 44% of mothers suffer from signs and symptoms of posttraumatic stress disorder after stillbirth. […] The mean total grief symptom score and three subscale scores (active grief, difficulty coping, and despair) were significantly lower in the participants who received psychological counseling than in those who received the routine care.
- #44 Death of a baby | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/healthyliving/death-of-a-baby
A stillbirth is classified as a pregnancy that ended after 20 weeks or more, or of a birthweight of 400 grams or more. […] Families who have experienced a stillbirth or neonatal death often express disbelief, shock and report not knowing that this was a possibility. […] Other difficulties include: lack of understanding how or what caused the stillbirth, feelings of guilt or self blame that somehow they were responsible for the baby’s death, if a TFMR was required, feelings that they made the decision for their baby to die, other people’s lack of understanding about stillbirth and neonatal death, and the stigma often surrounding terminations.
- #45 Physical activity and depressive symptoms after stillbirth: informing future interventions | BMC Pregnancy and Childbirth | Full Texthttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-014-0391-1
This study suggests that women who have experienced stillbirth and participate in regular physical activity have less depressive symptoms than women who are not regularly active. […] In our study, 38% of women reported using activity as a means to cope with depressive symptoms, anxiety, and/or grief associated with the death of their baby. […] Physical activity interventions may provide opportunities for health care professionals to help women cope with depressive symptoms after their stillbirth.
- #46 Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirthhttps://brieflands.com/articles/ijpbs-9275.html
Counseling significantly reduces grief symptoms, allowing for faster transition from grieving and preventing complicated grief. […] The overall severity of perinatal grief symptoms and the severity of grief symptoms in three subscales (active grief, coping difficulty, and despair) were significantly lower in the intervention group, who had received psychological counseling, than in the control group, who had received the routine postnatal care. […] The reduction in grief severity score in the three subscales (active grief, coping difficulty, and despair) was significantly greater in the group receiving psychological grief counseling than in the control group. […] 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.
- #47 Understanding and recovering from a stillbirthhttps://www.babycenter.com/pregnancy/health-and-safety/understanding-stillbirth_10350846
Common causes of stillbirth include poor fetal growth, placental abruption, birth defects, infections, umbilical cord accidents, and other events such as a lack of oxygen during a difficult delivery or trauma. […] Anyone can have a stillbirth, but some women are more at risk than others. […] The odds of having a stillborn baby are higher if the mother had a previous stillbirth or intrauterine growth restriction in a prior pregnancy. […] Be aware of your baby’s movements, and call your provider or go to the hospital right away if you notice that your baby is less active than normal. […] If you’ve previously had a stillbirth (or have a high-risk pregnancy for other reasons), you’ll be carefully monitored throughout pregnancy and may begin fetal testing during the third trimester.
- #48 Stillbirth: Causes, Risk Factors, Signs, and Recoveryhttps://www.healthline.com/health/pregnancy/stillbirth
Many causes and risk factors are out of your control, so stillbirth cant be completely prevented. But there are some things you can do to lower the risk: Have a checkup before you get pregnant again. If you have any risk factors, such as diabetes or high blood pressure, work with your doctor to manage and monitor them during pregnancy. […] A change in movements can sometimes be the ONLY warning sign that your baby needs help. Decreased movement can be an early sign of trouble. If you seek care immediately, there is a window of opportunity in which the babys life may be saved. […] Physical recovery may take a few months. Women who experience stillbirth can go on to have healthy children. Be patient with yourself as you work through the stages of grief.
- #49 Stillbirth | March of Dimeshttps://www.marchofdimes.org/find-support/topics/miscarriage-loss-grief/stillbirth
If you had a stillbirth and are thinking about having another baby, give yourself time to heal physically and emotionally. Your provider may recommend that you have medical tests to try to find out more about what caused your stillbirth. […] Talk to your healthcare provider about what you can do to help to lower your risk of having a stillbirth in another pregnancy. […] We don’t know what causes many stillbirths, but common causes include: […] Problems with the placenta or umbilical cord. Placental problems include infections, blood clots, inflammation (redness, pain and swelling), problems with blood vessels and other conditions, like placental abruption. […] Conditions in the baby, including: Birth defects and genetic conditions. […] Having a stillborn baby is a painful loss for a family. But there are things you can do to help you grieve, heal and remember your baby. […] Having a stillbirth may increase your risk for postpartum depression (also called PPD). PPD is a kind of depression that some women get after having a baby.
- #50 Support & Care After a Stillbirth, University of Utah Health, Salt Lake City | University of Utah Health | University of Utah Healthhttps://healthcare.utah.edu/womens-health/pregnancy-birth/stillbirth
A stillbirth is defined as the death of a baby after the 20th week of pregnancy, before the baby can be delivered. An estimated one in 160 pregnancies ends in stillbirth, according to the Centers for Disease Control and Prevention. […] Doctors dont always know why a stillbirth has occurred, which can be difficult for parents to accept. 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. […] When a woman has experienced pregnancy loss, the chances of it happening again may be increased. However, treatment is available for many of the conditions that lead to pregnancy loss. Your doctor will talk to you about your options and answer any questions you have.