This is an automatically translated article.
The article is professionally consulted by Specialist Doctor Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
After having a stillbirth, women often face many health and psychological problems. The time of sexual intercourse and pregnancy after stillbirth should be strictly adhered to by the obstetrician-gynecologist.
1. Complications of stillbirth
Stillbirth is all cases where the fertilized egg and implanted in the uterus but failed to develop into an adult fetus but died and remained in the mother's uterus for more than 48 hours. Usually, the older the stillbirth, the shorter the time it stays in the uterus.
Complications of stillbirth:
If the fetus is stopped growing, it will cause a number of biochemical and hematological reactions, reducing the amount of fibrinogen in the blood and causing clotting disorders. . The larger the fetus, the higher the risk of bleeding disorders. When a pregnancy is miscarried or has undergone a cesarean section, blood clotting disorders can lead to bleeding – a dangerous complication that can be fatal. The most dangerous complication for people with stillbirth is premature rupture of membranes when there are no signs of miscarriage or labor. Through the tear of the amniotic membrane, bacteria will enter the amniotic cavity and uterus, causing serious infection, which is dangerous to the mother's life. Stillbirth also affects the psychology of couples, especially those who are infertile.
2. Notes about sex and pregnancy after stillbirth
Pregnant women should not be too worried about stillbirth because this condition is very rarely repeated in later pregnancies. In fact, there are many women who strictly follow their doctor's advice and still give birth to normal healthy babies. However, if there are more than three stillbirths, further tests should be carried out as there may be a worrisome cause of stillbirth that has not been ruled out.
About the time to have sex after stillbirth, after having a stillbirth, women need a period of time to recover their physical and mental health. With more than 15 weeks of stillbirth, pregnant women need to rest for 30 days. When they feel completely healthy, have a comfortable mind, have sexual desire, couples can have normal sexual activities.
About when to get pregnant after stillbirth, doctors advise couples not to get pregnant right away. It is best for women to wait about 3-4 menstrual cycles (equivalent to more than 3 months) to get pregnant again. Before that, couples could use contraception with condoms or extra-vaginal ejaculation.
3. What to prepare for the next pregnancy?
After 2 weeks of stillbirth, women should be re-examined at an obstetrical facility to reassess their health status. In addition, couples need to pay attention to the following issues to prepare for an upcoming healthy pregnancy:
The husband should limit the use of stimulants such as tobacco, alcohol,... Husband should do a semen analysis to check the quality of sperm. The wife needs an ultrasound to examine the uterus, lining of the uterus, ovaries and eggs. The wife can have a quantitative hormone test, if it is low, she can be prescribed to use supportive endocrine drugs. Both husband and wife should take more synthetic vitamins and minerals to increase resistance and improve health; Eat a balanced diet with 4 nutritional components: protein, starch, fat and vitamins. Do a Rh factor test for pregnant women with recurrent miscarriages. Chromosome testing. It is best when pregnant again, pregnant women should seek out reliable medical facilities for close monitoring of the pregnancy and should report the status of the previous stillbirth to the doctor for a more thorough examination.
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