This is an automatically translated article.
The article is professionally consulted by Specialist Doctor I Nguyen Thi Man - Department of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.
A healthy baby is the wish of every couple. However, there are unfortunate cases where the pregnancy stops growing midway, also known as stillbirth. Signs of stillbirth are often not clear in the early stages because pregnant women have not been able to monitor the status of the fetus. So how to recognize the signs of stillbirth?
1. What is Thai Save?
According to the Centers for Disease Control and Prevention (CDC), stillbirth is the death of a fetus before or during childbirth. Both miscarriage and stillbirth are understood as a lost pregnancy, but the two conditions are different depending on when the incident occurred. Specifically, miscarriage is defined as the loss of a baby before the 20th week of pregnancy, and stillbirth is the loss of the baby after 20 weeks of pregnancy.According to the time of occurrence, stillbirth is classified as follows:
Premature stillbirth: occurs when the fetus is 20 - 27 weeks old. Late stillbirth: occurs when the fetus is 28 - 36 weeks old.
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2. What are the signs of stillbirth?
2.1 Stillbirth under 20 weeks
Asymptomatic stillbirth in early pregnancy. Some other women have unusual symptoms but no obvious symptoms. Specifically, women who have been identified as pregnant before (missing period, morning sickness, positive HCG test,...) detect stillbirth when there are early signs such as:Vaginal bleeding, blood light pink, brown or dark brown. There are cases of stillbirth without bleeding The signs of pregnancy are reduced No more feeling of tightness in the breasts Back pain, abdominal pain Abdominal not growing...
2.2 Stillbirth over 20 weeks
What are the symptoms of stillbirth when entering the late stage of pregnancy (when the fetus is 5 months old or more)? At this point, the symptoms have become more obvious. Specifically:Do not see the pregnancy kicking anymore (need to pay attention because sometimes the abdominal wall is thick, so the pregnant woman can't feel the pregnancy clearly or after the stillbirth, the uterus appears to have slight contractions that make the mother misunderstand that the pregnancy is kicking. ) Abdomen is not large but gradually getting smaller Vaginal bleeding Black vaginal bleeding Breast may secrete colostrum If pregnant women have some comorbidities such as severe morning sickness, preeclampsia, heart disease,... they will see self-remission. reduction.
3. What should be done in case of stillbirth?
In cases of stillbirth, the doctor will suggest an early abortion because the mother does not want to keep the dead fetus in her. The reason is that if the fetus is left for a long time in the uterine wall, it will increase the risk of blood clotting disorders, even lead to sepsis, which is dangerous to the life of the pregnant woman.However, the treatment of stillbirth will be delayed after having all necessary tests to predict bleeding disorders during treatment. In addition, avoid cesarean section unless vaginal delivery is not possible or stillbirth poses a life-threatening risk to the mother.
4. Notes for the next pregnancy
For pregnant women with a history of stillbirth, in order to have a safe and convenient next pregnancy, women need to follow these instructions:4.1 Pre-pregnancy screening test
Antiphospholipid syndrome test done during stillbirth but still in the womb or within 2 weeks of abortion Sexually transmitted disease (syphilis) test Chromosome analysis for chromosomal abnormalities in both parents Rh blood group incompatibility test4.2 About diet and living
Maintain a nutritious, healthy diet to get ready for pregnancy
Duy trì chế độ ăn uống đầy đủ dưỡng chất, đảm bảo sức khỏe để sẵn sàng mang thai
Maternity care packages of Vinmec International General Hospital are a wise choice for pregnant mothers. Here, a team of highly qualified and experienced doctors will closely monitor pregnancy health developments, early recognize abnormal signs during pregnancy, especially stillbirth, for timely intervention. health for both mother and baby. Along with the support of modern equipment and materials, which are continuously invested, the results of antenatal check-ups will be guaranteed to be the most accurate.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
