STILLBIRTH

The terms of stillbirth, death of the baby in the womb, death of the baby (fetus) in the womb, loss of the baby in the womb or intrauterine ex fetus (mort fetus) are the same terms. If the baby is alive at the time of birth and dies after birth, it is a different situation and is not included in this group.
Stillbirth is a term used for babies who die in the womb after the 20th week of pregnancy, and it works about 200 pregnancies. If fetus death occurs in the womb of the mother before the 20th pregnancy week, it is not called stillbirth or infant death in the womb, it is called miscarriage. If death is named according to the baby's weight, deaths over 500 grams are called stillbirths, while those below 500 grams are called miscarriage.
More than 3 million stillbirths occur every year in the world.
Causes of stillbirth:
- Pregnancy (perinatal) infections (Rubella, CMV, Toxo etc.)
- Preeclampsia and blood pressure are applied
- Bleeding due to pregnancy (placenta previa)
- Detachment placenta (separation of the baby's partner)
- Diabetes
- Mother's injury, accident, trauma
- Sepsis
- Twin to twin transfusion syndrome
- Cord accidents, cord compression or knotting
- Uterine anomalies (congenital abnormalities of the uterus)
- Blood incompatibility (Rh incompatibility)
- Hydropes fetalis (immune or non-immune)
- Cord sagging
- Problems with birth
- Congenital anomalies in the baby (such as congenital heart diseases)
- Chromosomal (genetic) anomalies in the baby
- Developmental retardation
- Premature birth and early arrival of waters
- Apart from these, there may be stillbirths due to other reasons and for no reason.
Undisclosed stillbirths: Situations in which there is no reason to explain the death of the baby who died in the womb. The cause of nearly 20% of all stillbirths cannot be found. There is no mother-related illness or infant-related anomaly or other condition to explain stillbirth.
Risk factors for stillbirth (intrauterine dead fetus):
There is a higher risk of stillbirths in pregnancies with the following conditions.
- Maternal age (more than 35) or too young (adolescent pregnancy)
- Multiple Compartments
- Overweight of the mother (obesity)
- Twin and triplet (multiple) pregnancies
- Smoking of the mother
- Having had a still birth, a bad esthetic story
- Having high blood pressure, diabetes, goiter, kidney diseases, SLE and other systemic diseases in the mother
- Mother having thrombophilia
- Pregnancy cholestasis
- Thrombophilia
- IUGR, oligohydramnios, polyhydramnios
- Assisted reproductive techniques (ART)
- Overdue pregnancy
- Mother's drug use
It is aimed to deliver the baby immediately with normal birth or cesarean delivery. Prolonged stay of the deceased baby in the womb may cause certain substances (thromboplastin) to pass into the mother's blood and cause bleeding-clotting disorder (DIC-Disseminated intravascular coagulation) in the mother.
As explained above, death in the womb before 20th week is not classified as stillbirth and these are included in the miscarriage group. Therefore, in this case, the inside of the uterus is evacuated through abortion.


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