What tests can be done after a stillbirth has been diagnosed?

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.
Stillbirth is a situation that no mother wants during pregnancy. In addition to the pain of losing a child, stillbirth poses risks to the mother such as bleeding due to blood clotting disorders, infection, and also affects the mother's psychology. Testing after a stillbirth has been diagnosed is necessary to ensure the mother's health and her chances of becoming pregnant again.
The doctor will ask the mother if she wants to do tests on the fetus to find out the cause after stillbirth. Those tests include:

1. Amniocentesis

During amniocentesis, a long, thin needle is inserted into the mother's abdomen to collect a sample of the amniotic fluid around the fetus, the amniotic fluid containing fetal cells gives genetic information about the baby. .
Your doctor will recommend that you perform an amniocentesis test before giving birth if you think the cause of stillbirth is a genetic abnormality.
The advantage of amniocentesis is that it gives 99% accurate results about chromosomal disorders during fetal development such as cystic fibrosis, sickle cell disease, Tay-sachs disease, which destroys cells. neural tube defects, especially Down. If the result is positive, the genetic problem in the baby cannot be changed, thereby determining the cause of stillbirth is due to a chromosomal disorder of the baby.

2. Autopsies

After birth, your doctor will check your baby's organs for signs of birth defects. This will be very helpful in finding the cause of stillbirth as well as determining your risk of stillbirth in the future.
Depending on the gestational age and the time of stillbirth, we see the following changes:
The fetus is lost with only the placenta and amniotic sac when the gestational age is less than 8 weeks

Giải phẫu tử thi
Giải phẫu tử thi
The fetus is atrophied, the placenta is also dry when the gestational age is 3-4 months. serious danger to the mother's life

3. Genetic tests

These tests are done to check for abnormalities in the fetal genome.

4. Other tests

Tests include testing for signs of infection in the fetus.
In addition to checking for problems with a stillbirth, your doctor will ask about your family history and problems you've had during your pregnancy. Your doctor may run blood tests and other tests to check for infections, abnormalities in your genome, or other problems such as lupus erythematosus or a thyroid disorder.
Tests after diagnosing stillbirth are extremely important in finding the cause of stillbirth. Besides, they also have a great role in preparing the mother's upcoming pregnancies.

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