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Stillbirth is the loss of a baby after 20 weeks of pregnancy. When a baby dies while still in the womb, this may also be called fetal loss. A doctor may deliver the baby by giving you medicine to start labour. The loss of a baby is devastating and very hard to accept. You may wonder why it happened or blame yourself. But fetal loss can happen even during a pregnancy that has been going well. In the weeks to come, try to take care of yourself physically and emotionally.
Take care of yourself in whatever way feels best. 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 call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. After a fetus dies, labour will usually begin on its own within 2 weeks. Many women don't want to wait that long. They choose to have labour induced. This means going to the hospital and, usually, getting medicine that starts the labour process.
If labour doesn't start on its own, your doctor may take steps to get your labour going. After delivery, you will probably be able to see the baby if you want to. Although this can be very hard, some parents want the chance to hold the baby and say goodbye.
You will probably go home the next day. Your doctor will discuss whether this is an option for you. Delivery by caesarean section is rare in fetal loss. It is major surgery, so it's only done when going through labour would be more dangerous. If the exact cause of death isn't known, you may face a decision about whether to have an autopsy. And check with your provider before taking over-the-counter and herbal medications to find out if they're safe and in what amount during pregnancy.
Take micrograms of folic acid a day alone or in a multivitamin , beginning at least a month before you start trying to get pregnant. Doing so can significantly reduce your baby's risk of neural tube birth defects, such as spina bifida. If you're obese, consider losing weight before you attempt to conceive. Never try to lose weight during pregnancy, though.
Your caregiver can help you figure out how to get down to a healthy weight. Guidelines from the Institute of Medicine recommend that obese pregnant women limit their weight gain to between 11 and 20 pounds.
Don't smoke , drink alcohol , or use street drugs during pregnancy. If you're having trouble giving up cigarettes, alcohol, or drugs, ask your provider for a referral to a program that can help you quit. Research has shown that women who quit smoking after their first pregnancy reduce their risk of stillbirth in the next pregnancy to the same level as nonsmokers. Call your provider right away if you have any vaginal bleeding in the second or third trimester.
This can be a sign of placental abruption. Other signs to report to your provider immediately include uterine tenderness, back pain, frequent contractions or a contraction that stays hard like a cramp that doesn't go away , and a reduction in your baby's activity.
Your practitioner may recommend that you do a daily kick count starting around 28 weeks of pregnancy. One approach is to record how long it takes the baby to make ten distinct movements. If you count fewer than ten kicks in two hours, or if you feel that your baby is moving less than usual, contact your healthcare provider immediately so you can be evaluated and monitored, as necessary. Be aware of other symptoms that could signal a problem during pregnancy and call your caregiver without delay if you suspect something's wrong.
If you've previously had a stillbirth or have a high-risk pregnancy for other reasons , you'll be carefully monitored throughout pregnancy and begin fetal testing during the third trimester, usually starting at 32 weeks.
You'll have tests to monitor your baby's heart rate, including nontress tests and biophysical profiles. If the results indicate that your baby would be better off delivered than remaining in utero, you'll be induced or have a c-section.
If your medical team wasable to determine what caused your stillbirth, they may be able to provide some information about your chances of suffering another loss. The chances are greater, for instance, if you have a medical condition that's still present, such as lupus, chronic hypertension, or diabetes, or if you had a pregnancy complication that makes another stillbirth more likely, such as a placental abruption.
But even if the cause of your stillbirth isn't likely to recur, you may be very anxious in future pregnancies. It's hard not to worry that it will happen again. Review your situation with your provider before trying to get pregnant again. If you're seeing a different healthcare provider, make sure the new provider has access to your complete record, including lab results.
You may also want to consult with a perinatologist a high-risk specialist , if one's available in your community, and other specialists, as needed. For example, if your baby suffered from a genetic disorder, a genetic counselor can help you understand your risk of stillbirth or other complications in another pregnancy. BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals.
We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies. Practice bulletin Management of stillbirth. American College of Obstetricians and Gynecologists. Belkin T, et al. Management options for women with midtrimester fetal loss: A case report. Froen JF, et al. Making stillbirths count, making numbers talk - Issues in data collection for stillbirths.
Getahun D, et al. The association between stillbirth in the first pregnancy and subsequent adverse perinatal outcomes. These conditions affect your health throughout your life. In many cases, social determinants of health and health disparities are related to racism. Racism refers to the false belief that certain groups of people are born with qualities that make them better than other groups of people.
In a racist culture, one group of people has more power than other groups. For example, they have a lot of control over the way that schools, health care, housing, laws and law enforcement work. This control means that people in the dominant group are more likely to:. In contrast, people from racial or ethnic minority groups who live in a racist society are more likely to:.
Studies have shown that the chronic stress caused by living in a racist culture is a factor in many health conditions, including having a preterm or low-birthweight baby. More research is needed to understand the connections between racism, stress, and health problems. According to data from the CDC , there are there are major differences in stillbirth rates among different groups.
These are rates per 1, live births and stillbirths. See the data below:. Being a person of color is not a cause for having a stillbirth. However, communities of color are disproportionately affected by racism.
Racism and unequal living conditions affect their health and well-being and puts them at higher risk of pregnancy complications, such as stillbirth.
We must work together to bring fair, just and full access to health care for all moms and babies. 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 health care provider right away or go to the emergency room if you have any of these conditions. An ultrasound uses sound waves and a computer screen to show a picture of your baby in the womb.
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. Labor usually starts within 2 weeks after a baby dies in the womb. Your provider checks your baby, the placenta and the umbilical cord to try to find out why your baby died.
The placenta grows in your uterus and supplies the baby with food and oxygen through the umbilical cord. Your provider may ask to do certain tests to try find out what caused the stillbirth. Tests may include:. In addition to checking your baby for medical and genetic conditions, your provider reviews your family health history and any problems or illnesses you had during pregnancy. Your family health history is a record of any health conditions you, your partner and members of both your families have had.
Your provider may want to test you for infections, genetic conditions and other medical conditions, like lupus or thyroid problems. If you have questions about the tests, including their cost, talk to your health care provider. For most women, the chances of having another stillbirth are very low. 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.
If you had a stillbirth that was caused by a genetic condition, a genetic counselor can help you understand the condition and the chances of you having another stillbirth. Your health care provider can help you find a genetic counselor. If you get pregnant again, your provider monitors you and your baby closely. At around 32 weeks of pregnancy, she may ask you to do kick counts to help you keep track of how often your baby moves.
Infections in the mother or baby. Some infections may not cause signs or symptoms and may not be diagnosed until they cause serious complications, like premature birth or stillbirth. Infections that can cause stillbirth 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.
Placental abruption is a serious condition in which the placenta separates from the wall of the uterus before birth. Placental problems cause about 24 in stillbirths 24 percent. Problems with the umbilical cord may lead to about 10 in stillbirths 10 percent.
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