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Evaluation of Stillbirth.

Jessica M Page1

  • 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
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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.

Keywords:
EvaluationFetal deathStillbirth

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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.