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Prevention

The thought of losing a baby during pregnancy can be an overwhelming fear, however we hope that by your increasing knowledge and awareness you may feel better equipped to discuss possible stillbirth risks with your doctor or other health professional.

Can Stillbirth be prevented?

It is still unclear whether stillbirth can be prevented. However, there are some things women can do to try and ensure the best possible outcome for the baby. These steps can be taken from before the baby is conceived up until labour.

How can I ensure the best possible outcome for baby?

We urge all mothers to stay healthy during pregnancy to avoid possible complications for their unborn child. This includes implementing common-sense measures such as managing weight, and avoiding alcohol, smoking and drug-taking during pregnancy.

Some other potential measures, as outlined in a recent series on stillbirth published in leading medical journal The Lancet are:

  • Ensuring a healthy lifestyle and adequate folic acid intake prior to conception
  • Attending all regular antenatal appointments
  • Having an ultrasound in early pregnancy
  • Screening for fetal growth restriction and pregnancy risks
  • Supplementing a healthy diet with folic acid, iron, calcium and vitamin supplements
  • Management of diabetes and hypertension prior to conception and during pregnancy
  • Inducing post-term pregnancies as well as consideration of planned caesareans for babies in breech presentation
  • Monitoring baby movement through kick counting, especially in the third trimester.

Unfortunately, in some cases the reason for a baby being stillborn during an otherwise healthy pregnancy may never be known.  We are still unclear on all the reasons why stillbirth can occur, which is why more research is needed to determine what other factors may be involved to help predict and prevent stillbirth.

Risks

Some potential risk factors may be:

  • Advanced maternal age (considered to be over 35 years)
  • Pre-pregnancy obesity
  • Smoking, drug-taking, and alcohol consumption
  • Gestational diabetes
  • High blood pressure (hypertension)
  • Congenital anomalies
  • Premature birth (babies that are too immature may be stillborn)
  • Placenta or cord problems
  • First pregnancy
  • Fetal growth restriction
  • Maternal medical conditions
  • Hypertension/pre-eclampsia
  • Congenitally acquired infections, and
  • Multiple gestation.

For more information about these risk factors, you can view our ‘Stillbirth in Australia’ brochure.

If any of the above factors do apply to you, we strongly recommend that you meet with your obstetrician and discuss how you can be monitored carefully during your pregnancy, and if having labour induced earlier is something to consider.

Ongoing Placenta Research

Another important area of prediction and prevention of stillbirth is currently being investigated by the University of Melbourne. A blood test is being developed which may enable practitioners to identify placentas which are not functioning at an optimum level.

If a placenta is not functioning properly, blood and nutrient flow to the fetus will be limited and may ultimately cause stillbirth as the otherwise healthy baby will not be nourished as it should be. If this test is successfully developed, it will ultimately be able to predict early in the pregnancy those babies who will be at risk of being stillborn. As a result, the mother and baby will be monitored more closely and, in all likelihood, the baby will be delivered earlier to avoid this tragic outcome.

Counting the Kicks

A myth which has recently been debunked by a Stillbirth Foundation-funded study regards fetal movement monitoring. It was believed that babies ‘slow down’ in late pregnancy in preparation for birth. However, evidence demonstrates that the baby should still be active. They have less room to move, particularly at the end of a pregnancy, but their movements, their kicks in particular, should still be strong and regular. Few movements or even none at all may actually be a sign of distress and not a conservation of energy in preparation for birth.

Still Aware has produced a video on how to count kick throughout your third trimester:

We Remember

Maddison Anne Gaudenti17/02/2020
Zoey Yap11/02/2020
Marley Mann06/02/2020
Lily Simmons27/01/2020
Royce Prem Riksan26/01/2020
Julian Kircher25/01/2020
Leo Akangaro Aydon22/01/2020
Major Tutai19/01/2020
Stella May de Blanken18/01/2020
Amber Stevens17/01/2020
Skye Stevens17/01/2020
Edward Carty15/01/2020
Sebastian Eruera Pasceri12/01/2020
Gabriel Ali Stell09/01/2020
Florence Bentley29/12/2019
Sol Dreghorn26/12/2019
Beatrice Welch-Hupka21/12/2019
Finn Brucke20/12/2019
Noah Colo10/12/2019
Quillan Crichton06/12/2019
Freckle Slan05/12/2019
Ayla Jean Burgess02/12/2019
Tom Tj King26/11/2019
Archibald Afford23/11/2019
Billy Parker Burns22/11/2019

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Contact

(02) 9557 9070
office@stillbirthfoundation.org.au
105/283 Alfred Street North, North Sydney, NSW 2060

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