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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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