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Stillbirth: Evaluation and Follow-up.

Jessica M Page¹, Robert M Silver¹

¹Department of Obstetrics and Gynecology, University of Utah Health, 30 North 1900 East, Suite 2A200, Salt Lake City, UT 84132, USA.

Obstetrics and Gynecology Clinics of North America

|August 9, 2020

Summary

A thorough stillbirth evaluation, including autopsy, placental pathology, and genetic testing, helps identify causes of fetal death. This process aids patient closure and informs future pregnancy care.

Keywords:

Cause of death Evaluation Postpartum Stillbirth

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Area of Science:

Perinatal Medicine
Reproductive Health
Pathology

Background:

Stillbirth evaluation is crucial for identifying fetal death causes.
Understanding causes aids patient closure and future pregnancy management.
Effective stillbirth assessment informs recurrence risks.

Purpose of the Study:

To outline the essential components of a systematic stillbirth evaluation.
To emphasize the importance of specific diagnostic tests.
To highlight the need for postpartum support.

Main Methods:

Systematic review of stillbirth evaluation protocols.
Analysis of diagnostic yield from fetal autopsy, placental pathology, and genetic testing.
Review of best practices for postpartum follow-up and patient support.

Main Results:

Fetal autopsy, placental pathology, and genetic testing are the highest-yield components for determining stillbirth causes.
These evaluations provide critical information for patient counseling and management.
Postpartum follow-up planning is essential for ongoing patient support.

Conclusions:

A comprehensive stillbirth workup including autopsy, placental pathology, and genetic testing is recommended for all stillbirth cases.
This systematic approach facilitates understanding of fetal death and improves future pregnancy outcomes.
Integrated patient care, including grief support, is vital following a stillbirth.