Doctor insights on:
Does Wrapped Cord Cause Stillbirth
Fetal distress.: A tightly cord wrapping around the fetal neck or body can cause the fetal heart rate to decrease below normal repeatedly and require a cesarean section sometimes. It is, however pretty common and not an immediate indication for c-section - amnioinfusion can help achieve a normal vaginal delivery. ...Read more
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
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
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
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
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