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.
At or after 40 weeks, the risk of stillbirth increases, especially for women 35 or older. Their risk, research shows, is doubled from 39 weeks to 40 and is more than six times as high at 42 weeks.
Often there aren't any noticeable symptoms or signs before a stillbirth. But there are some things that you should look out for during your pregnancy.
A stillbirth is the death of a fetus in the uterus after week 20 of pregnancy. The reasons go unexplained for 1 in 3 cases. The rest may be caused by problems with the placenta or umbilical cord, high blood pressure, infections, birth defects, or lifestyle choices.
Most women less than 20 weeks of pregnancy do not notice any symptoms of a fetal demise. The test used to check for a fetal demise in the second trimester is an ultrasound examination to see if the baby is moving and growing. Fetal demise is diagnosed when the ultrasound examination shows no fetal heart activity.
Stillbirth affects about 1 in 175 births, and each year about 21,000 babies are stillborn in the United States. That is about the same as the number of babies that die during the first year of life.
Stillbirth in Australia
In Australia, 6 babies are stillborn each day, affecting more than 2,000 Australian families each year.
In more than 1 of every 10 stillbirths, the fetus had a genetic or structural birth defect that probably or possibly caused the death. Infection. In more than 1 of every 10 stillbirths, the death was likely caused either by an infection in the fetus or in the placenta, or by a serious infection in the mother.
What causes a stillbirth? There can be a number of reasons why a baby is stillborn however sometimes a cause cannot be found. In Australia, the major causes of stillbirth are infection, the health of the mother, bleeding, a premature labour that cannot be stopped or an abnormality with the developing baby.
Most babies born unexpectedly without a heartbeat can be successfully resuscitated in the delivery room. Of those successfully resuscitated, 48% survive with normal outcome or mild-moderate disability.
Confirming the baby has died
Sometimes a mother may still feel her baby moving after the death has been confirmed. This can happen when the mother changes position. In this case, the mother may be offered another ultrasound scan.
Unemployed mothers were similarly more likely to have stillborn babies (2.85x higher risk - 6.12% vs 1.32%). High levels of perceived stress were shown to double the risk of stillbirth (3.57% vs 1.17%) independent of other social factors and pregnancy complications that can put pressure on mothers.
The most common causes of stillbirth include placental problems (such as placental abruption or other conditions that prevent the placenta from supplying enough oxygen and nutrients to the fetus), chromosomal abnormalities, and infection.
The baby may also benefit. The risk of an unexplained or unexpected stillbirth may be reduced by cesarean section, as may be the risk of complications of labour such as clinical chorioamnionitis, fetal heart rate abnormalities and cord prolapse.
being over 35 years of age. smoking, drinking alcohol or misusing drugs while pregnant. being obese – having a body mass index above 30. having a pre-existing physical health condition, such as epilepsy.
Most babies (91%) in Australia are born at term (37–41 weeks). This is similar across the states and territories and has been stable over time.
About half of all stillbirths happen after 28 weeks of pregnancy; many remain unexplained. Rates are even worse in low-income countries, but the U.S. stillbirth rate is higher than that of many other Western countries.
Research has shown that in the third trimester (after 28 weeks of pregnancy) going to sleep on your back increases your risk of stillbirth. As the link has now been shown in four separate research trials, our advice is to go to sleep on your side in the third trimester because it is safer for your baby.
If your baby is not well, they will not be as active as usual. This means less movement can be a sign of infection or another problem. The sooner this is found out the better, so you and your baby can be given the right treatment and care. This could save your baby's life.
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.
While most often, a decrease in fetal movement is not a sign that anything is wrong, sometimes, there is a situation that needs monitoring or intervention by your doctor. The most common is that you have either low or excess amniotic fluid. If there isn't enough amniotic fluid, your baby can't move around as freely.
Sudden or severe swelling in your face, hands or fingers. A severe headache or one that doesn't go away. Pain or cramping in your lower abdomen or severe back pain. Pain or burning when you urinate or decreased urine output.
Symptoms not to ignore when you're 36 weeks pregnant
You have a persistent headache or visual disturbance. If your feet/ankles/hands or face are unusually swollen. You experience vaginal bleeding. You have an unusual coloured discharge.