This is an automatically translated article.
The article is professionally consulted by Specialist Doctor II Lai Thi Nguyet Hang - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital.
The mother needs to understand how to handle stillbirth outside the body to avoid unfortunate consequences later. After understanding the specific causes of stillbirth, the next thing that a mother needs to consider is how to handle the stillbirth.
1. Signs of stillbirth
No fetal movement, water breaks, black blood appears, uterus does not develop, fetal heartbeat is not heard.
In the case of stillbirth in the first 3 months of pregnancy, ie before 12 weeks, there may be the ability to disappear on its own without the mother even knowing she is pregnant. If the pregnancy is about 3-6 months old, the mother will have a miscarriage or have to give birth prematurely if it is more than 6 months old. The time period from fetal death to miscarriage or birth in each pregnant woman will be different.
The process of miscarriage or stillbirth of stillbirth is similar to that of miscarriage or normal delivery, but the duration of threatened miscarriage and labor is usually longer and the bleeding may be more.
At this time, the contractions of the uterus become more painful, the cervix must be fully dilated for the pregnancy to come out. More dangerously, some cases of fetal death are not immediately aborted, but stay in the uterus for a while, so if not removed soon, the mother can have a serious infection or cause a blood clotting disorder for the mother. .
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2. Medical procedures in handling stillbirth
For fetuses under 7 weeks, it can disappear on its own, so there is no need to rely on external influences. 7 weeks pregnant, you can use drugs or aspiration methods. But when the pregnancy is over 8 weeks, the mother needs to go to the medical facility to handle the pregnancy out.
Currently, there are 3 methods to handle stillbirth including: induction of labor, aspiration and cesarean section, specifically as follows:
Induction of labor
Most mothers, when they learn of stillbirth, want to go into labor and give birth early. In case the mother has not been able to go into labor on her own after 2 weeks of stillbirth, the doctor will prescribe medicine or use amniotomy to induce labor. If the fetus is stillborn in the uterus for a long time, it will lead to the risk of blood clotting disorders that are dangerous to the mother.
Cervical dilatation and abortion If you decide to let the doctor dilate the cervix and use an instrument to remove the stillbirth, it will be difficult for the mother to know exactly why the stillbirth. In some cases, it is necessary to monitor bleeding after curettage and check for residual placenta. Then, the doctor will prescribe antibiotics to prevent infection.
Caesarean section : In some cases of stillbirth, there is a risk of causing damage to the uterus during lower birth, the doctor will perform a cesarean section to remove the fetus from the mother's womb. The doctor will perform a cesarean section to remove the baby from the womb. Once an embryo has entered the uterus, it will continue to develop to become a complete fetus. A stillbirth is a pregnancy that is no longer alive but remains in the mother's uterus. If the fetus stays in the mother's uterus for too long, it will lead to blood clotting disorders, calcification and necrosis, leading to the mother's susceptibility to infection and potentially life-threatening danger.
During pregnancy, the mother always needs to monitor the health of herself and the fetus through adequate antenatal check-ups and a balanced diet and lifestyle. In the use of medicinal products, the mother's body is sick, it is necessary to have advice and examination from an obstetrician-specialist to avoid bad effects from diseases as well as medicinal products. pregnancy. When any signs of complications occur, pregnant women need to be taken to the hospital for early examination and treatment to minimize unnecessary consequences.
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