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Stillbirth

The term is used to describe the delivery of a dead baby or a baby who shows no signs of life after delivery.

Reasons:
Though this could be due to both maternal and fetal (baby in the womb) causes, in up to 50% of cases no cause may be found. The maternal causes include diabetes and hypertension while fetal causes are growth restriction, congenital anomalies, cord accidents and distress (oxygen shortage) during or before the process of delivery. Stillbirths may occur secondary to a separating placenta or compression of the cord. (attaching baby to the placenta).

Symptoms:
Inability of the mother to feel the baby kicks for a prolonged duration of time is the first hint that something may be wrong. On examination, the baby heartbeat is not heard. An ultrasound examination gives the final diagnosis.

Precautions:
Some stillbirths cannot be prevented. Frequent check ups during the pregnancy period and diligent monitoring during the delivery process may help to prevent other stillbirths.

General Treatment:
Delivery needs to be hastened after a stillbirth. Medicines to open the neck of the womb and make it contract are administered. Contrary to the popular belief, a delay in delivery of a dead baby by a few days does not usually cause any harm to the mother.

Concerned Doctor
Basab Mukherjee (MD(Vellore) MRCOG(London))
G. K. Bedi (M.B.B.S, M.D, D.G.O.)
(Mrs) Umesh N. Jindal (M.D)
Usha Bohra (MS, MRCOG(Lon) MRCP(Gynec,Ireland)Dip.colposcopy.)
Sangeeta Singh (M.B.B.S., M.D(Obst. & Gynae.))
DPankar Banerji (MS)
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Dr. (Mrs) Umesh N. Jindal
 
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Gynaecologist and IVF-Infertility Specialist
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