The situation where the baby is alive at birth but dies after birth is not included in this group. Stillbirth is used for babies who die in the womb after the 20th week of pregnancy and occurs approximately once in 200 pregnancies. Death in the womb before 20 weeks is not classified as stillbirth and these are It falls into the low group. Therefore, in this case, the inside of the uterus is emptied by curettage. If it is not known in which week of pregnancy the baby died, the method of death is named according to the weight of the dead baby.
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Deaths over 500 grams are called stillbirth,
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Those weighing less than 500 grams are called miscarriage.
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When it is determined that the baby has died in the womb, the aim is to have the baby delivered by normal birth or cesarean section as soon as possible. If a dead baby remains in the womb for a long time, it may cause a decrease in the substances that enable clotting in the mother's blood and therefore bleeding-coagulation disorder (DIC - Disseminated intravascular coagulation) in the mother.
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The baby dies in the womb. When it is detected, the aim is to deliver the baby as soon as possible by normal birth or cesarean section. Staying a dead baby in the womb for a long time may cause a decrease in the substances that enable clotting in the mother's blood and thus cause a bleeding-coagulation disorder (DIC - Disseminated intravascular coagulation) in the mother.
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Causes of Stillbirth:
Perinatal infections during pregnancy (Rubella, CMV, Toxo, etc.)
Preeclampsia and high blood pressure
Bleeding during pregnancy (placenta previa)
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Abrupt placenta (separation of the baby's partner)
Diabetes in the mother
Mother's injury, accident, trauma
Sepsis
Sepsis
p>twin-to-twin transfusion syndrome
Cord prolapse, cord compression or knotting
Blood incompatibility (Rh incompatibility)
Problems related to birth
Having congenital anomalies in the baby (such as congenital heart diseases)
Having chromosomal (genetic) anomalies in the baby
Developmental retardation
Premature birth and water loss premature birth
Apart from these, there may be some other reasons and stillbirths whose cause cannot be found.
Risk Factor Related to Stillbirth Next:
In early pregnancies, especially in the first 3 months, the sudden cessation of previously existing symptoms such as nausea, weakness, etc. may be a warning sign.
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For more than four months During pregnancies, the mother feels that the movements of the baby in her womb have decreased or stopped. The baby's normal daily movements have changed. This is usually the reason why pregnant women consult a doctor. First of all, the first procedure is to check the baby's condition by checking the mother's womb with ultrasonography. If the baby is dead, it is very important how long it has been dead in the womb. A dead baby can poison the mother. In this case, the mother's blood begins to clot as it circulates through the veins and consumes some very necessary substances in the blood. The maternal mortality rate is quite high in these cases.
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When a dead baby is found, all necessary tests should be taken immediately, especially blood clotting factors should be examined, and the pregnancy should be terminated.
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Can the Death of a Baby in the Womb Be Prevented?
The answer to this question is not always yes. This mortality rate can be reduced by monitoring high-risk pregnant women more closely and delivering the baby while it is fully intact and alive. Technology is being used at increasing rates in newborn and premature services in hospitals, and survival rates for babies are increasing day by day.
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Routine follow-ups during pregnancy are very important for the healthy birth of the baby. Required tests and ultrasonographic follow-ups should be at a certain standard and should not be neglected. In high-risk pregnancies, follow-up intervals should be shortened and, if necessary, hospital follow-up should be carried out. Even under constant hospital follow-up checks, the baby may be lost in the womb. The reasons for these losses should be examined.
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