Doctor insights on:
Does Cocaine Cause Stillbirth
With difficulty: Unfortunately it's not always evident. Examination of the stillborn sometimes shows us cord problems or obvious birth defects. The placenta is examined for problems, an autopsy can be ordered on the infant looking for birth defects. Chromosomes & blood tests looking for abnormalities (diabetes, lupus, infection, etc) are also done. However, many times the reason is unexplained or unclear. ...Read more
Several.: Obstetric complications (abruption, multiple gestation, preterm birth - 29%), placental disease and fetal growth restriction (fgr - 24%), fetal genetic/structural abnormalities (14%), maternal/fetal infection (13%), umbilical cord abnormalities (10%), hypertensive disorders (9%), other maternal medical conditions (8%). One third/fourth of cases remain undiagnosed/idiopathic. @34 weeks fgr likely. ...Read more
Chances: If you become infected during around the time of conception there is a less than 5% chance that your baby will also be infected. During the 3rd trimester there is a 65% chance your baby will also be infected. However, babies infected duirng later pregnancy are less likely to develop serious health problems. ...Read more
I had a stillbirth at full term...In your field how often does this happen and what are the chances of it repeating? No cause was found.
About 1 in 1000: The risk for fetal demise is about 1 in 1000 at 39 to 40 weeks. The chance for a recurrence is about twice as high. ...Read more
There R multiple causes of stillbirth, cord knot, infection, IUGR etc, but in those with unknown causes, is there a theory on what might be thecause?
Unknown=unknown: The more advances we make in genetic analysis & general study of fetal development the more of these cases will move from unknown to known. I watched a monitor abnormality during labor turn out to be a baby gripping his cord hard during contractions, causing a dangerous reduction in heart rate. That kid turned out fine, but it points out that sometimes we can't find evidence after the fact ...Read more
I had a stillbirth due to a placenta abruption. NO known cause. One healthy birth previously. Would I be likely to have another abrupt or healthy preg?
Abruption chances: First of all, I am sorry for your loss. The risk for a recurrent complicated placental abruption in your next pregnancy is about 33/1000. Special surveillance would need to be undertaken about 3 months prior to the gestational age of the baby you lost due to the first placental abruption. Best of luck to you. ...Read more
Yes: Yes trauma can cause stillbirth. If you have been attacked or injured please seek medical attention. If you are being abused please seek help. Your life and your baby's life are at risk. There are many options available. ...Read more
No: Although legionnaires' can have long-term effects, particularly on the elderly or the chronically ill, these effects are typically fatigue or neurologic symptoms. In the immunosuppressed (hiv patients, those on certain medications, or the severely ill), the bacterium has been known to spread to several organs only on very rare occasions, and no involvement of the uterus has been reported. ...Read more
I had a full term stillbirth apparently caused by a very small placental abruption. What may have caused this? What are the chances of reoccurrence?
How terribly sad!: As you know, abruption occurs when the placenta separates from the uterine wall too early - instead of after birth. Some drugs may be related to placental abruption, e.g., cocaine. There are also some blood clotting problems which may be related to placental malfunction. Talk with your doctor now about measures to minimize risk with your next delivery, i.e., planned c-section when lungs are mature. ...Read more
I just had a stillbirth delivery at 38 weeks, first pregnancy, no know cause. How long should I wait to get pregnant again?
Give it some time: Speak to your obstetrician and make sure that all aspects have been evaluated for the stillbirth. If there was a compromise in the umbilical cord that may potentially give an answer. Also chromosomal evaluation may be helpful along with familial thrombophilia clotting studies. Allow yourself and your partner to grieve the death of the child before jumping into the next pregnancy. Make sure that all potential causes have been evaluated before attempting another pregnancy. I personally would have my patient waited at least 4 to 6 months before trying again. ...Read more
Stillbirth at 32 weeks due to 20% placenta abruption. Baby boy had a mass on kidney that kept growing could this have been what really caused stillb?
Hard to say: A formal autopsy would have been better able to find a specific cause. A placental abruption of as little as 5% could cause fetal loss if it included major blood loss, and with 20% this would be a likely cause. A growing mass on the kidney would eventually cause problems but its contribution to the stillbirth is impossible to know. ...Read more
How does listeria cause stillbirth in pregnancy? Is it possible to be contaminated with listeria and not have any adverse symptoms until birth?
Listeria: Typically by infecting the bag of water. The symptoms might be mild enough that you might not be aware of them. Listeria is not a very common cause of chorioamnionitis, but is quite serious. ...Read more
38wks pregnant, gained a total of 32lbs with this pregnancy. Doctor concerned. Can too much weight gain during pregnancy cause stillbirth?
I got hit in stomach I'm six months pregnant can this cause a stillbirth? I go to the doctor Wednesday if she hears a heartbeat is everything ok?
I'm 38.5 weeks high risk pregnancy.....Cause I had 2 stillbirths one at 36 weeks and the other at 20 weeks so will I beable to get my labor induce?
IF you were my pt: I would induce u at 39 weeks or earlier, if earlier u must have an amnio but since you are 38.5 I would induce u right at 39 weeks, as the ideal time to deliver is 39-40 weeks and I would be doing nsts and bpps each week until u deliver, indcucion is safe and easy and effective when done properly, almost all of my pts want to be induced, please call your OB to discuss and get it scheduled. ...Read more
I'm 39 weeks pregnant and think I have bacterial vaginosis, will this harm my unborn baby? Cause stillbirth?
Please see your OB: Or call your OB today as your OB can put you on vaginal or oral antibiotics to treat that, it will not cause still birth u need cultures and txment and make sure it is just BV bacteria and not other bact. And I assume u do not have beta strep- I assume u were already tested for b- strep as u should ahve been at 34-36 wks, if u are beta strep + then u get IV antibiotics in labor so baby does get bs. ...Read more
I had a stillbirth and I delivered it the normal way. In fact scan confirmed it on Sunday and I delivered it on Monday. My question is, do I need to c?
Need more info: I need more information before I answer and advise you ...Read more
Maybe: Pt with a history of stillborn get frequent ultrasouns and fetal monitering. Although nothing can absolutely prevent a stillborn, these tests will dramatically decrease the risk. ...Read more
See Ob: Talk to your OB. You may need work up for occult blood clotting problems. ...Read more
My placenta is currently 6.2cms thick. Should stillbirth be a concern for me? So many studies indicate "yes."
Relax!: Placental thickness on ultrasound is dependent on so many variables (amount of amniotic fluid, fibroids, contractions, implantation on a uterine flexure point such as the fundus of lateral corpus crevices) that one should not leap to dire predictions without full maternal-fetal evaluation. 1-2/1, 000 risk for stillbirth applies to anyone, though, in the third trimester. Good fetal growth reassuring. ...Read more
I haven't gotten out of bed or stopped crying since a diagnosis of GD on Thursday. Is this a normal response? So defeated. Worried about a stillbirth.
Peripartum depressed: While GD (gestational diabetes) is not a gr8 diagnosis & does increase the risk of stillbirth, it is not fated or certain. In the right hands, GD can be treated & the majority of babies are born with minimal complications. See an endocrinologist. Is this your first child? Have you had GD b4? How far along are you? Your other symptoms sound like peripartum depression. Discuss w/ your Gynecologist. ...Read more
It varies: If this has affected you, I am sorry for your loss. The death of a child before or after birth will strain the relationship in ways that do not make sense. Now is a time to work hard to reaffirm your love for one another. Ask your physician about support groups; there is no one-size-fits-all answer. ...Read more
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