Stillbirth

Question 1

Define?

After what gestation?

Answer 1

Death of foetus after 24 wks, before or during birth

Question 2

Presentation:

What happens to the skin of a stillborn child?

How does it present?

Answer 2

It begins to peel

Reduced fetal movements

Question 3

Causes and risk factors:

Fetal risk factors - 5

Answer 3

IUGR
Premature labour or rupture of membranes 
Congenital abnormality 
Placental insufficiency 
Multiple pregnancy

Question 4

Causes and risk factors:

Non-obstetric maternal factors:

• Demographic - 3
• Lifestyle

Answer 4

Increased maternal age
Low SES
Afro-Caribbean race

Obesity
Smoking

Question 5

Causes and risk factors:

Obstetric maternal factors - list some

Answer 5

PET
APH
Obstetric cholestasis 
Nulliparity 
Infection - erythema infectiosum, measles

Question 6

Management:

Delivery:

• If diagnosed intrapartum
• If diagnosed antenatally

Counselling - list some

Registration:
- How soon after birth do they need to be registered?

Answer 6

Deliver as planned

Give them time with the baby, including to dress and take photos if wanted
Help to make funeral arrangements if wanted
Discuss post-mortem examination
Parents are entitled to usual parental leave

After 6 wks