Stillbirth: Evaluation and Follow-up

Obstet Gynecol Clin North Am. 2020 Sep;47(3):439-451. doi: 10.1016/j.ogc.2020.04.008.

Abstract

A systematic, effective stillbirth evaluation is important for identification of potential causes of fetal death. Knowledge of potential causes of fetal death facilitates emotional closure for patients and informs recurrence risk as well as future pregnancy management. The highest-yield components of a stillbirth evaluation for finding a cause of fetal death are fetal autopsy, placental pathology, and genetic testing. All patients should be offered these tests following a stillbirth. A clear plan for postpartum follow-up should be made with the patient in order to ensure ongoing support through the grief and recovery process.

Keywords: Cause of death; Evaluation; Postpartum; Stillbirth.

Publication types

  • Review

MeSH terms

  • Autopsy
  • Cause of Death
  • Female
  • Fetal Death / etiology
  • Follow-Up Studies
  • Genetic Testing
  • Grief
  • Humans
  • Infections / epidemiology
  • Parents / psychology
  • Placenta / pathology
  • Postpartum Period
  • Pregnancy
  • Risk Factors
  • Stillbirth / epidemiology*
  • United States / epidemiology