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Related Experiment Videos

Stillbirth: a review.

R L Goldenberg1, R Kirby, J F Culhane

  • 1Department of Obstetrics and Gynecology, and the School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama 35233-1602, USA.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|October 30, 2004
PubMed
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Stillbirth, a common adverse pregnancy outcome, has seen significant reductions due to improved monitoring and early interventions. Fetal autopsy and placental examination are vital for accurate cause determination and future pregnancy counseling.

Area of Science:

  • Perinatology
  • Obstetrics
  • Reproductive Medicine

Background:

  • Stillbirth affects nearly 1% of US births, representing a common yet understudied adverse pregnancy outcome.
  • Historically, stillbirth has been a significant concern in prenatal and perinatal care.

Purpose of the Study:

  • To present the various risk factors and causes associated with stillbirth.
  • To explore the advancements in reducing stillbirth rates over recent decades.
  • To highlight the importance of post-mortem examinations for understanding stillbirth etiology.

Main Methods:

  • Review of risk factors and causes of stillbirth.
  • Analysis of trends in stillbirth rates over several decades.
  • Examination of interventions including risk factor reduction, antepartum and intrapartum monitoring, and early detection of congenital anomalies.

Related Experiment Videos

  • Evaluation of the role of fetal autopsy and placental examination.

    • Main Results:

    • Stillbirth rates have substantially decreased, particularly for term and intrapartum stillbirths.
    • Reductions are attributed to prevention of Rh disease, diabetes control, improved fetal monitoring, timely delivery for high-risk fetuses (e.g., growth restriction, pre-eclampsia), and early detection of congenital anomalies.
    • Cesarean sections and early termination for congenital anomalies have contributed to the decline.

    Conclusions:

    • The decline in stillbirth rates is a result of multifactorial interventions and improved medical care.
    • Fetal autopsy and placental examination are crucial for accurate diagnosis and counseling in subsequent pregnancies.
    • Continued research and application of preventive strategies are essential for further reducing stillbirth incidence.