Le diagnostic se fait par échographie et évaluation des signes vitaux fœtaux.
MortinatalitéÉchographie obstétricale
#2
Quels tests sont utilisés pour confirmer la mortinatalité ?
Des tests comme l'échographie et le monitoring fœtal sont utilisés.
MortinatalitéSurveillance fœtale
#3
Quand peut-on suspecter une mortinatalité ?
La mortinatalité est suspectée en cas d'absence de mouvements fœtaux après 28 semaines.
MortinatalitéMouvements fœtaux
#4
Quels signes cliniques indiquent une mortinatalité ?
L'absence de battements cardiaques fœtaux et de mouvements sont des signes clés.
MortinatalitéBattements cardiaques
#5
Peut-on prédire une mortinatalité ?
Certaines conditions médicales peuvent augmenter le risque, mais la prédiction est complexe.
MortinatalitéFacteurs de risque
Symptômes
5
#1
Quels sont les symptômes d'une mortinatalité ?
Les symptômes incluent l'absence de mouvements fœtaux et des douleurs abdominales.
MortinatalitéSymptômes
#2
Comment se manifeste la mortinatalité ?
Elle se manifeste par l'absence de vie fœtale à l'accouchement.
MortinatalitéAccouchement
#3
Y a-t-il des signes avant-coureurs ?
Des signes comme des saignements ou des douleurs peuvent alerter sur des complications.
MortinatalitéComplications
#4
Les femmes ressentent-elles des symptômes ?
Souvent, les femmes ne ressentent pas de symptômes avant la perte fœtale.
MortinatalitéSymptômes
#5
Les symptômes varient-ils selon le trimestre ?
Les symptômes peuvent varier, mais l'absence de mouvements est un indicateur clé.
MortinatalitéTrimestres de grossesse
Prévention
5
#1
Comment prévenir la mortinatalité ?
Un suivi prénatal régulier et une gestion des facteurs de risque sont essentiels.
MortinatalitéSuivi prénatal
#2
Les vaccinations peuvent-elles aider ?
Oui, certaines vaccinations, comme celle contre la grippe, peuvent réduire les risques.
MortinatalitéVaccination
#3
Quel rôle joue l'alimentation dans la prévention ?
Une alimentation équilibrée et nutritive est cruciale pour la santé fœtale.
MortinatalitéNutrition
#4
Le tabagisme influence-t-il la mortinatalité ?
Oui, le tabagisme augmente le risque de mortinatalité et doit être évité.
MortinatalitéTabagisme
#5
L'exercice est-il bénéfique pendant la grossesse ?
Un exercice modéré peut être bénéfique, mais doit être adapté à chaque femme.
MortinatalitéExercice
Traitements
5
#1
Quel traitement est proposé après une mortinatalité ?
Le traitement inclut un suivi psychologique et des soins médicaux pour la mère.
MortinatalitéSoins postnatals
#2
Y a-t-il des options pour les grossesses futures ?
Des conseils génétiques et un suivi médical étroit sont recommandés pour les grossesses futures.
MortinatalitéConseils génétiques
#3
Comment gérer le deuil après une mortinatalité ?
Un soutien psychologique et des groupes de parole peuvent aider à gérer le deuil.
MortinatalitéSoutien psychologique
#4
Des médicaments sont-ils nécessaires après une mortinatalité ?
Des médicaments peuvent être prescrits pour gérer la douleur ou l'anxiété.
MortinatalitéMédicaments
#5
Quel suivi médical est recommandé après une mortinatalité ?
Un suivi régulier avec un obstétricien est essentiel pour la santé de la mère.
MortinatalitéSuivi médical
Complications
5
#1
Quelles complications peuvent survenir après une mortinatalité ?
Des complications psychologiques et physiques peuvent survenir, nécessitant un suivi.
MortinatalitéComplications
#2
La mortinatalité affecte-t-elle la santé mentale ?
Oui, elle peut entraîner des troubles de l'humeur et du stress post-traumatique.
MortinatalitéSanté mentale
#3
Y a-t-il des risques pour les grossesses futures ?
Les femmes ayant connu une mortinatalité peuvent avoir un risque accru de complications.
MortinatalitéGrossesses futures
#4
Comment gérer les complications physiques ?
Un suivi médical et des traitements appropriés sont nécessaires pour gérer les complications.
MortinatalitéSoins médicaux
#5
Les complications sont-elles fréquentes après une mortinatalité ?
Les complications peuvent survenir, mais un suivi adéquat peut les minimiser.
MortinatalitéSuivi médical
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent l'âge maternel avancé, les maladies chroniques et le tabagisme.
MortinatalitéFacteurs de risque
#2
Le stress peut-il influencer la mortinatalité ?
Oui, un stress élevé peut augmenter le risque de complications pendant la grossesse.
MortinatalitéStress
#3
Les antécédents familiaux jouent-ils un rôle ?
Oui, des antécédents de mortinatalité peuvent augmenter le risque pour les futures grossesses.
MortinatalitéAntécédents familiaux
#4
L'obésité est-elle un facteur de risque ?
Oui, l'obésité maternelle est associée à un risque accru de mortinatalité.
MortinatalitéObésité
#5
Les infections peuvent-elles causer une mortinatalité ?
Certaines infections, comme la rubéole, peuvent augmenter le risque de mortinatalité.
MortinatalitéInfections
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"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications psychologiques et physiques peuvent survenir, nécessitant un suivi."
}
},
{
"@type": "Question",
"name": "La mortinatalité affecte-t-elle la santé mentale ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des troubles de l'humeur et du stress post-traumatique."
}
},
{
"@type": "Question",
"name": "Y a-t-il des risques pour les grossesses futures ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les femmes ayant connu une mortinatalité peuvent avoir un risque accru de complications."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications physiques ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical et des traitements appropriés sont nécessaires pour gérer les complications."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes après une mortinatalité ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent survenir, mais un suivi adéquat peut les minimiser."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge maternel avancé, les maladies chroniques et le tabagisme."
}
},
{
"@type": "Question",
"name": "Le stress peut-il influencer la mortinatalité ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un stress élevé peut augmenter le risque de complications pendant la grossesse."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de mortinatalité peuvent augmenter le risque pour les futures grossesses."
}
},
{
"@type": "Question",
"name": "L'obésité est-elle un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'obésité maternelle est associée à un risque accru de mortinatalité."
}
},
{
"@type": "Question",
"name": "Les infections peuvent-elles causer une mortinatalité ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines infections, comme la rubéole, peuvent augmenter le risque de mortinatalité."
}
}
]
}
]
}
From the Institute for Genomic Medicine at Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center (K.E.S., J.G., A.R.-P., M.E., N.L., H.H., G.P., J.H., V.A., R.J.W., D.B.G.), and the Departments of Obstetrics and Gynecology (J.G., R.G., R.J.W.) and Pathology and Cell Biology (C.B., A.T., M.G., J.L., A.V.D., V.A.), Columbia University Medical Center, New York; RTI International, Research Triangle Park (V.T., C.B.P.), and the Department of Biostatistics and Bioinformatics, Duke University, Durham (A.S.A.) - both in North Carolina; the Departments of Obstetrics and Gynecology and Cell Biology, University of Texas Medical Branch, Galveston (G.R.S.); the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville (D.J.D.); the Division of Perinatal and Pediatric Pathology, Women and Infants Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI (H.P.); Rollins School of Public Health, Emory University, Atlanta (C.H.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Pregnancy and Perinatology Branch, Bethesda, MD (U.M.R.); and the University of Utah and Intermountain Healthcare, Salt Lake City (R.M.S.).
From the Institute for Genomic Medicine at Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center (K.E.S., J.G., A.R.-P., M.E., N.L., H.H., G.P., J.H., V.A., R.J.W., D.B.G.), and the Departments of Obstetrics and Gynecology (J.G., R.G., R.J.W.) and Pathology and Cell Biology (C.B., A.T., M.G., J.L., A.V.D., V.A.), Columbia University Medical Center, New York; RTI International, Research Triangle Park (V.T., C.B.P.), and the Department of Biostatistics and Bioinformatics, Duke University, Durham (A.S.A.) - both in North Carolina; the Departments of Obstetrics and Gynecology and Cell Biology, University of Texas Medical Branch, Galveston (G.R.S.); the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville (D.J.D.); the Division of Perinatal and Pediatric Pathology, Women and Infants Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI (H.P.); Rollins School of Public Health, Emory University, Atlanta (C.H.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Pregnancy and Perinatology Branch, Bethesda, MD (U.M.R.); and the University of Utah and Intermountain Healthcare, Salt Lake City (R.M.S.).
From the Institute for Genomic Medicine at Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center (K.E.S., J.G., A.R.-P., M.E., N.L., H.H., G.P., J.H., V.A., R.J.W., D.B.G.), and the Departments of Obstetrics and Gynecology (J.G., R.G., R.J.W.) and Pathology and Cell Biology (C.B., A.T., M.G., J.L., A.V.D., V.A.), Columbia University Medical Center, New York; RTI International, Research Triangle Park (V.T., C.B.P.), and the Department of Biostatistics and Bioinformatics, Duke University, Durham (A.S.A.) - both in North Carolina; the Departments of Obstetrics and Gynecology and Cell Biology, University of Texas Medical Branch, Galveston (G.R.S.); the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville (D.J.D.); the Division of Perinatal and Pediatric Pathology, Women and Infants Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI (H.P.); Rollins School of Public Health, Emory University, Atlanta (C.H.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Pregnancy and Perinatology Branch, Bethesda, MD (U.M.R.); and the University of Utah and Intermountain Healthcare, Salt Lake City (R.M.S.).
From the Institute for Genomic Medicine at Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center (K.E.S., J.G., A.R.-P., M.E., N.L., H.H., G.P., J.H., V.A., R.J.W., D.B.G.), and the Departments of Obstetrics and Gynecology (J.G., R.G., R.J.W.) and Pathology and Cell Biology (C.B., A.T., M.G., J.L., A.V.D., V.A.), Columbia University Medical Center, New York; RTI International, Research Triangle Park (V.T., C.B.P.), and the Department of Biostatistics and Bioinformatics, Duke University, Durham (A.S.A.) - both in North Carolina; the Departments of Obstetrics and Gynecology and Cell Biology, University of Texas Medical Branch, Galveston (G.R.S.); the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville (D.J.D.); the Division of Perinatal and Pediatric Pathology, Women and Infants Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI (H.P.); Rollins School of Public Health, Emory University, Atlanta (C.H.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Pregnancy and Perinatology Branch, Bethesda, MD (U.M.R.); and the University of Utah and Intermountain Healthcare, Salt Lake City (R.M.S.).
Maternal-Fetal Medicine, Intermountain Healthcare, University of Utah, 5121 South Cottonwood Street, Suite 100, Murray, UT 84107, USA. Electronic address: jessica.page@hsc.utah.edu.
Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia; Sydney Institute of Women, Children and their Families, Sydney Local Health District, NSW Australia; Charles Perkins Centre, University of Sydney, NSW, Australia. Electronic address: adrienne.gordon@sydney.edu.au.
Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia; SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia.
Griffith University School of Medicine and Gold Coast University Hospital, Gold Coast, Queensland, Australia; Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia. Electronic address: d.ellwood@griffith.edu.au.
From Tommy's Maternal and Fetal Health Research Centre, St. Mary's Hospital, Division of Developmental Biology & Medicine, Faculty of Biology, Medicine & Health, University of Manchester, Manchester, United Kingdom (Kerby, Baker, Heazell, Sharps).
The Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, St. Mary's Hospital, Manchester, United Kingdom (Heazell).
From the Institute for Genomic Medicine at Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center (K.E.S., J.G., A.R.-P., M.E., N.L., H.H., G.P., J.H., V.A., R.J.W., D.B.G.), and the Departments of Obstetrics and Gynecology (J.G., R.G., R.J.W.) and Pathology and Cell Biology (C.B., A.T., M.G., J.L., A.V.D., V.A.), Columbia University Medical Center, New York; RTI International, Research Triangle Park (V.T., C.B.P.), and the Department of Biostatistics and Bioinformatics, Duke University, Durham (A.S.A.) - both in North Carolina; the Departments of Obstetrics and Gynecology and Cell Biology, University of Texas Medical Branch, Galveston (G.R.S.); the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville (D.J.D.); the Division of Perinatal and Pediatric Pathology, Women and Infants Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI (H.P.); Rollins School of Public Health, Emory University, Atlanta (C.H.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Pregnancy and Perinatology Branch, Bethesda, MD (U.M.R.); and the University of Utah and Intermountain Healthcare, Salt Lake City (R.M.S.).
While there is strong evidence that maternal smallpox infection can cause foetal loss, it is not clear whether smallpox infections were a demographically important cause of stillbirths historically. I...
Unexplained stillbirth is defined as a stillbirth with no known cause after the exclusion of common causes, including obstetric complications, infections, placental insufficiency or abruption, umbilic...
Fetal death during labor at term is a complication that is rarely studied in high-income countries. There is a need for large population-based studies to examine the rate of term intrapartum stillbirt...
To evaluate trends in term intrapartum stillbirth over time and to investigate the association between the trends and term intrapartum stillbirth risk factors from 1999 to 2018 in Norway....
This cohort study used data from the Medical Birth Registry of Norway from 1999 to 2018 to examine rates of term intrapartum stillbirth and risk factors associated with this event. A population of 1 0...
The main exposure variable was time, which was divided into four 5-year periods: 1999 to 2003, 2004 to 2008, 2009 to 2013, and 2014 to 2018....
The primary study outcome was term intrapartum stillbirth. Risk ratios were calculated, and multivariable logistic regression analyses were conducted to identify factors associated with secular trends...
The study population consisted of 1 021 268 term singleton births (maternal mean [SD] age, 29.72 [5.01] years; mean [SD] gestational age, 39.69 [1.27] weeks). During the study period, there were 95 te...
Findings of this study suggest that, despite increases in maternal and obstetric risk factors, term intrapartum stillbirth rates substantially decreased during the study period. Reasons for this decre...
Previous studies have identified lesions commonly found in placentas associated with stillbirth but have not distinguished across a range of gestational ages (GAs). The objective of this study was to ...
Placentas from the Stillbirth Collaborative Research Network were examined according to standard protocols. GAs at stillbirth were categorized as: <28 weeks (extreme preterm stillbirth [PTSB]), 28-33'...
These analyses included 210 (47.2%) extreme PTSB, 85 (19.1%) early PTSB, 62 (13.9%) late PTSB, and 88 (19.8%) term stillbirths. When we compute the KPCovR, the first principal covariate indicates that...
There are distinct placental lesions present across GA ranges in stillbirths; these lesions are identifiable using sophisticated feature selection. Further investigation may identify histologic change...
Stillbirths are a global public health challenge, predominantly affecting low- and middle-income countries. The causes of most stillbirths are preventable....
this study reviewed perinatal clinical audit data from Kgapane Hospital over a 4-year period with a special focus on the factors associated with stillbirths....
File audits were done for all stillbirths occurring at Kgapane Hospital and its catchment area from 2018 to 2021. The data from these audits were analysed to identify factors associated with stillbirt...
A total of 392 stillbirths occurred during the study period at Kgapane Hospital and its surrounding clinics, resulting in a stillborn rate of 19.06/1000 births. Of the 392 stillbirths recorded, audits...
Understanding the causes of stillbirths can guide improvement strategies to reduce this heart-breaking complication of pregnancy.Contribution: Family physicians working in rural hospitals are also res...
Previous predictive models using logistic regression for stillbirth do not leverage the advanced and nuanced techniques involved in sophisticated machine learning methods, such as modeling nonlinear r...
This study aimed to create and refine machine learning models for predicting stillbirth using data available before viability (22-24 weeks) and throughout pregnancy, as well as demographic, medical, a...
This is a secondary analysis of the Stillbirth Collaborative Research Network, which included data from pregnancies resulting in stillborn and live-born infants delivered at 59 hospitals in 5 diverse ...
Among 3000 live births and 982 stillbirths, 101 variables of interest were identified. Of the models incorporating data available before viability, the random forests model had 85.1% accuracy (area un...
Applying advanced machine learning techniques to a comprehensive database of stillbirths and live births with unique and clinically relevant variables resulted in an algorithm that could accurately id...
Evidence on the economic burden of stillbirth is limited. In this systematic review, we aimed to identify studies focusing on the economic burden of stillbirth, describe the methods used, and summariz...
We performed a systematic search in Medline, EMBASE, Cochrane library, and EconLit from inception to July 2021. Original studies reporting the cost of illness, economic burden, or health care expendit...
From the 602 records identified, a total of four studies were included. Eligible studies were from high-income countries. Only one study estimated both direct and indirect costs. Among three cost-of-i...
The economic burden of stillbirth has been underestimated and not extensively studied. There are no data on the cost of stillbirth from countries that bear a higher burden of stillbirth. Extensive var...
In 2019 the American College of Obstetricians and Gynecologists (ACOG) issued specific recommendations for performance of antepartum fetal surveillance (AFS) based on individual risk factors. As simil...
Retrospective cohort study of all deliveries between 7/1/2013 and 6/30/2018. Excluded were multiples, anomalous fetuses or newborns, and deliveries before 32 0/7 weeks' gestation. AFS was conducted fr...
16,827 women fulfilled the study inclusion and exclusion criteria, 5711 (34%) had risk factors which prompted AFS; 37% had 2 or more risk factors. SB occurred in 1.8‰ of them (10/5711) (3 had 1 risk f...
Implementation of AFS in women with risk factors similar to those recommended by the ACOG may lower the risk of SB from 32 weeks to that of low-risk pregnancies....
Sub-Saharan African (SSA) countries have high stillbirth rates compared with high-income countries, yet research on risk factors for stillbirth in SSA remain scant....
To identify the modifiable risk factors of stillbirths in SSA and investigate their strength of association using a systematic review....
CINAHL Plus, EMBASE, Global Health and MEDLINE databases were searched for literature....
Observational population- and facility-level studies exploring stillbirth risk factors, published in 2013-2019 were included....
A narrative synthesis of data was undertaken and the potential risk factors were classified into subgroups....
Thirty-seven studies were included, encompassing 20 264 stillbirths. The risk factors were categorised as: maternal antepartum factors (0-4 antenatal care visits, multiple gestations, hypertension, bi...
The overall quality of evidence was low, as many studies were facility based and did not adjust for confounding factors. This review identified preventable risk factors for stillbirth. Focused program...
Up to 20% of all stillbirths and 45% of term stillbirths are currently classified as unexplained. Many of these stillbirths do not undergo currently recommended investigations. This may leave question...
To validate a new tool (Stillbirth Investigation Utility Tool) to identify the clinical utility of investigations in stillbirth and the inter-rater agreement on cause of stillbirth using the Perinatal...
Thirty-four stillbirths were randomly selected for inclusion, each assessed independently by five blinded assessors. The investigations were grouped into three categories: clinical and laboratory; pla...
Comprehensive maternal history, maternal full blood count, maternal blood group and screen and placenta histopathology were useful in all cases. Clinical photographs were not performed and should have...
The new Stillbirth Investigation Utility Tool showed very good agreement in assigning the cause of death using PSANZ-PDC. Four investigations were useful in all cases. Minor refinements will be made b...
