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Doctors Call for Autopsies to Understand Stillbirth

Posted by JeanneSager

Thousands of pregnancies end every year in stillbirth - a baby dead in the womb sometime after the twenty-week mark or dead sometime during the birthing process.

It's heartbreaking for parents, but perhaps even harder for parents to take is the mystery. Of more than twenty-five thousand stillbirths each year, a full third are for unexplainable causes. 

The American College of Obstetricians and Gynecologists is calling for doctors to perform more autopsies on stillborn babies to unravel the mystery of stillbirth.

The goal is to reduce future stillbirths - or determine whether they can be prevented. The March of Dimes estimates stillbirth rates have dipped fifty percent in the last twenty years alone thanks to better technologies and healthcare practitioners' vigilance. They now know who has an increased risk of stillbirth - women thirty-five and older, women who suffer malnutrition and/or inadequate prenatal care, pregnant women who smoke and drink. They also have a host of causes for the two-thirds of stillbirths that are explainable - everything from placental defects to bacterial infection.

With the autopsies, they hope to rid the world of the other third. The question is how parents will take the suggestion from their doctor. Stillbirth is a traumatizing experience for parents, and the last thing a lot of parents want to do is turn their baby over to a scientist to cut, poke and prod. 

Will parents be able to look past that and see the greater good? To see that they can make a difference for other parents in the long run? 

Image: American Pregnancy Association

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Comments

 

Lee said:

My best friend lost her first baby at 22 weeks. She and her husband were absolutely devastated and had many questions about why it had happened. They were never offered an autopsy for their daughter, possibly because she delivered at a small community hospital. They gave my friend an extensive exam and I believe they 'autopsied' the placenta but found no obvious defects or cause. They were in their early thirties at the time and a little more than a year later got pregnant again. She spent that pregnancy on pins and needles and her doctors poked, prodded, and tested her throughout because of her history. I think if they had been offered an autopsy they would have accepted despite their grief. She could have gotten a conclusive answer as to "Why?" and not only would the results benefit all expectant mothers, it would have hopefully allowed her to relax a little more and enjoy what was ultimately a healthy, successful second pregnancy.

March 4, 2009 9:28 AM
 

Greer's Mum said:

Our son died at 32 weeks after a totally uneventful pregnancy.  He was delievered and we were offered and accepted an autopsy. They could not deterimine what had happened, however, it did allow them to rule out a lot of things. That provided me with some comfort through my second pregnancy.  The nurse who addressed the issue with us was sensative and compassionate about it. She included it with all the other decisions we had to make, and my husband and I did not hesitate. If I could save someone else from that hell, I would do it in a minute.

March 4, 2009 12:31 PM

About JeanneSager

Jeanne Sager is a writer who lives in upstate New York with her husband, daughter, a dog and too many cats. She refuses to believe motherhood comes with pumpkin appliqued sweaters, and she';s not ready to apologize for having only one child. She writes about raising her kid in her own hometown and the mom stuff she's not embarrassed to own at her blog, Inside Out (http://jeannesager.blogspot.com), she's contributing editor of Grand Magazine, and she's a regular essayist here on Babble

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