Cause continuous stillbirth and how to end this situation?

The cause of the continuous stillbirth can come from many abnormal problems from both the mother and the fetus that many women do not fully understand. Stillbirth is a difficult pain to express, not only affecting the mother's health in particular, but also affecting the psychology of couples who are looking forward to having a baby. Knowing the exact cause of continuous stillbirth will help mothers prepare more carefully for a healthy and safe pregnancy. Please join WebTech360 Vietnam to learn about this issue through the article below!

How is the continuous retention of pregnancy?

Stillbirth means the cases where an egg is successfully fertilized and implanted in the uterus but cannot develop into an adult fetus, dies and stays in the mother's womb for more than 48 hours.

This condition that is repeated 2 or more times is called a recurrent pregnancy (RPL: Repeated Pregnancy Loss), accounting for 0.5-1%. This is a dangerous complication and can occur at any stage of pregnancy.

Recurrent miscarriages are divided into 2 groups:

Primary: No previous birth of a live baby.

Secondary: Having successfully delivered at least one baby and raised a normal life, but then experiencing continuous fetal retention in later pregnancies.

The rate of miscarriage after 2 consecutive stillbirths among women is from 17-25% and 25 - 46% of mothers will face the risk of continuing to miscarriage after 3 consecutive stillbirths.

Consecutive stillbirth causes is what ?

Previously, 80% of consecutive cases of stillbirths were found to be unexplained and mistaken for no cause, leading to deviations in the direction of treatment and prevention for pregnant women during pregnancies. next pregnancy.

Nowadays, with the development of diagnostic techniques, the causes of recurrent fetal retention have been identified:

Cause on the side of the parent

Genetic

If the fetus continues to persist but is less than 12 weeks old, 70% of the fetus has an abnormal chromosomal disorder from an abnormality of the ovule, sperm or embryo.

The cause of continuous stillbirth in this case can be due to the wife, husband or both spouses or due to the error when the zygote divides cells to form an embryo. In some cases, the mother or father has small abnormalities in the genome that, although not showing the outward trait, greatly affect the embryo, fetus and lead to stillbirth.

Endocrine

Women with a history of polycystic ovary , luteal failure, insufficient progesterone production to nourish the fetus, causing fetal failure and stillbirth.

Certain diseases of the thyroid gland, diabetes, and cardiovascular disease also affect the fetus's development in the first trimester, and recurrent miscarriages can occur.

This cause accounts for about 25% of the total number of consecutive stillbirths.

Uterine surgery abnormalities

The uterus is the place to nest and nurture the fetus. If a woman is having problems with uterine malformations such as uterus with two horns, uterus, twin uterus, uterus with septum, uterine adhesions, cervical opening ... greatly affects the development of the fetus, even stops the development of the fetus.

All women with consecutive stillbirths should have a pelvic ultrasound for a proper assessment of anatomical abnormalities of the uterus from congenital or acquired cause.

Disagreement mother and child blood type

Blood type Rh disagreement between mother and baby leads to immunity against the Rh factor in the baby's blood and recurrent miscarriages.

Environmental factors

This is an objective factor, so many women are directly affected every day, but accidentally ignore the cause of this consecutive pregnancy. Alcohol, tobacco, and coffee working in an environment with chemotherapy, radiation, anesthetic gases, hard labor, and overexertion are the main reasons related to the persistent fetal condition.

Infection - bacterial infection

For women who are warned to be at risk of fetal toxicity, whether severe or mild, it is possible that the fetus is saved while still in the womb. This phenomenon does not exclude the possibility that the pregnant woman has a bacterial, viral, immune disorder or blood clotting disorder.

Mother has antiphospholipid (antiphospholipid) syndrome.

There is a significant proportion of pregnant women having recurrent pregnancy loss due to antiphospholipid syndrome. This syndrome occurs when the mother's immune system attacks certain common proteins in the bloodstream, causing blood clots in the arteries or veins. This is an autoimmune disease with unknown pathogenesis.

During pregnancy, this syndrome is the cause of continuous fetal retention occurring before the 10-week mark and related diseases of embolism, thrombocytopenia, and increased phospholipid antibodies. There are also a number of other problems such as poor nutrition, elderly mothers, and sexually transmitted diseases are also the causes of continuous fetal retention.

Cause in pregnant unborn

The causes stemming from the fetus only known through the doctor's examination that the mother cannot know in advance or control.

Abnormalities in the umbilical cord, placenta

Certain defects that occur in the placenta and umbilical cord of the fetus such as umbilical cord, umbilical cord wrapping, umbilical cord twisting, umbilical cord pinched or fibrosis of the placenta, vegetable cake peeling, angioma the diaphragm prevents the fetus from getting its nutrients right and from growing.

Abnormal pregnancy

Through ultrasound examination, the doctor can conclude that the fetus has hydrocephalus, infarction or placenta edema. If the unfortunate fetus has this problem most will not be able to develop normally and it is very easy to save the pregnancy.

Over-month pregnancy

Although being in the womb for 9 months and 10 days, but the child has not yet asked for it, it cannot be excluded that the placenta can be aging, unable to carry out the task of transmitting nutrients to the fetus. This time will lead to fetal failure and stillbirth if the mother does not receive early surgical intervention.

Multiple pregnancy

For twins, multiple pregnancies, if not regularly monitored and examined, they will also have to face with potentially dead pregnancy in case of blood transfusion.

How to reduce the risk of stillbirth?

Not all cases of stillbirth can be prevented, but mothers can reduce the risk of stillbirths by finding out the right causes and fixing them early. Treatment depends on the cause of the fetus, which can be interfered with surgery or hormone therapy. However, for people with recurrent miscarriages, both couples need to remember:

Pre-natal check-ups and counseling

If you have problems with continuous stillbirths, it is advisable that the couple should go for a general reproductive health check at the obstetrician hospital. The necessary tests include: blood count, rare blood group, husband's semen map, wife's hormones, test for Chlamydia epidemic, an ultrasound of the uterus of appendages. In addition, women should also monitor the period for treatment or preventive measures if there are abnormal signs.

Prenatal check-ups and counseling should be done as soon as you get married or one year before planning a pregnancy. In cases where both husband and wife are healthy and normal, women should also carry out antenatal vaccination, minimizing the risks threatening the health of the mother and baby.

Is prenatal counseling and examination also very useful to detect one of 2 people having infertility problems or the wife has antiphospholipid syndrome? At this point, you need to consider artificial insemination.

Eat a healthy, healthy diet

For couples with repeated miscarriages, it is advisable to examine and establish a reasonable, nutritious diet with foods from beans, whole grains, fresh green vegetables, and vegetable oils. Absolutely do not use foods and beverages harmful to health such as alcohol, beer, coffee, spicy foods, hot spicy foods or blood circulation foods.

In addition, both husband and wife should supplement vitamins and minerals, consult medications, TPCN supplements to increase the quality of sperm and eggs. If the work involves hazardous substances, direct contact should be limited for a long time and guaranteed the best labor protection conditions.

Women with a history of some chronic medical conditions such as diabetes , high blood pressure, blood disease, endocrine disease ... need stable treatment before pregnancy and good weight control.

Appropriate movement, exercise and sports help improve health, ensure that both husband and wife are in good condition for the process of fertilization and fetal nourishment.

Always try to stay optimistic, happy, reduce the pressure and stress for the next pregnancy. When there are signs of pregnancy, pregnant women should adhere to the pregnancy examination and management schedule so that the doctor can monitor and limit the abnormalities in the embryonic chromosome and prescribe the necessary drugs for early support.

Epilogue

After each miscarriage, mothers should take some time to rest for the reproductive organs to recover before planning to get pregnant again. Grief, anxiety, and insecurity aside, this resting time is the time when both husband and wife should find out the cause of continuous fetal retention through scientific parameters. That is the key to making the journey to find your child much easier and easier.

Obstetricians and gynecologists affirmed that up to 60-70% of women with miscarriages are able to get pregnant successfully again and the rate up to 90% if the correct cause of continuous fetal retention is identified. I wish moms strong, confident and successful!

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