Stillbirth is a common term for death of a fetus after 20 weeks. It is also called intrauterine fetal death or demise. Causes of stillbirth may include the following:
The following are the most common symptoms of stillbirth. However, each woman may experience symptoms differently. Symptoms may include:
The symptoms of stillbirth may resemble other medical conditions. Always consult your physician for a diagnosis.
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:
Stillbirth is often very difficult for parents and other family members. It is sometimes harder than an earlier miscarriage because it happens later in pregnancy when the fetus has developed and the mother has felt movement. Often, the fetus is fully formed and is delivered just as any baby. It may be very hard emotionally for a woman to go through labor, yet not have a baby to take home. Counseling is important for all parents with a stillbirth to help them understand their feelings and begin the work of grieving.
Mementos of the baby often help in the grieving process. Holding and touching the baby are important steps. In a private room, a nurse or counselor brings the baby to the parents wrapped in a blanket. This helps parents understand that the baby has really died and gives them a real, not imagined memory. Seeing the baby is especially helpful when a baby has a birth defect. Often, parents' imagination of the defect is much worse than the real problem. Photographs of the baby may be helpful, too, as well as a lock of hair or footprints. Many parents wish to remember their baby with a memorial or funeral service. This can also help friends and other family members understand the loss that the parents have experienced.
Some parents may wish to learn more about the cause of their baby's death, especially if there are no clear factors. An autopsy or special genetic and chromosomal testing are often available. Results can be shared with the parents at a meeting with your physician several weeks afterwards. Autopsy does not prevent the parents from being able to see or hold the baby, and the autopsy can be performed before a funeral, if the parents wish.
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