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Evaluation of Stillbirth.
1Maternal Fetal Medicine, Intermountain Health, 5121 S Cottonwood Street, Suite 100, Murray, UT 84107, USA; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, 5121 South Cottonwood Street Suite 100, Murray, UT 84107, USA.
Clinics in Perinatology
|February 18, 2026
Summary
Stillbirth is a major US pregnancy issue, with many cases unexplained. Systematic evaluation and adherence to guidelines, including fetal autopsy, are crucial for identifying causes and improving prevention.
Area of Science:
- Perinatal medicine
- Obstetrics
- Public health
Background:
- Stillbirth is a significant pregnancy complication in the US, with rates higher than other high-income nations.
- A substantial number of stillbirth cases remain unexplained, impeding effective prevention strategies.
Purpose of the Study:
- To highlight the importance of systematic evaluation in reducing unexplained stillbirths.
- To emphasize the critical need for identifying stillbirth causes for families and healthcare providers.
- To address the gap in adherence to recommended diagnostic guidelines, including fetal autopsy.
Main Methods:
- Review of current stillbirth statistics and challenges in the United States.
- Analysis of the impact of unexplained stillbirths on prevention efforts.
- Examination of existing guidelines from professional organizations like the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine.
Main Results:
- The US stillbirth rate is higher compared to other developed countries.
- Unexplained stillbirths represent a major obstacle to effective prevention.
- Adherence to recommended diagnostic protocols, particularly fetal autopsy, is insufficient among clinicians.
Conclusions:
- Systematic evaluation is essential for reducing the burden of unexplained stillbirths.
- Identifying the cause of stillbirth is vital for parental bereavement, future pregnancy planning, and public health initiatives.
- Improved adherence to established clinical guidelines is necessary to enhance stillbirth diagnosis and prevention.
