Does a stillbirth increase the risk for pregnancy complications in subsequent pregnancies?

  1. There is strong association between stillbirth in the first pregnancy and subsequent adverse outcomes.(ischemic placental disease, fetal distress, chorioamnionitis, extreme PretermPreterm:
    Occuring or appearing before the expected time at the end of a full-term pregnancy.
      birth, and early neonatal mortality)
  2. The etiology of such adverse outcomes is usually ChronicChronic:
    Lasting for a long period of time or marked by frequent recurrence, as certain diseases.
      and recurrent. Maternal and / or paternal thrombotic conditions may be responsible.
  3. The PlacentaPlacenta:
    A membranous vascular organ that develops in female mammals during pregnancy, lining the uterine wall and partially enveloping the fetus.
      should be thoroughly examined both, during pregnancy by means of ultrasound and after birth by means of pathologic examination. A pathologist experienced in perinatal pathology should be the only one involved in the assessment of the PlacentaPlacenta:
    A membranous vascular organ that develops in female mammals during pregnancy, lining the uterine wall and partially enveloping the fetus.
     .
  4. Women with a history of stillbirth should be thoroughly investigated prior to pregnancy for thrombophilic abnormalities and if present, be treated accordingly during the pregnancy.
  5. The best way to monitor future pregnancies in such patients is by means of fetal and maternal placental DopplerDoppler:
    Often used as a non-invasive method of measuring blood flow in humans.
     ; this is the best and most reliable way to monitor treatment success and prevent perinatal adverse events.


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...That bleeding during the first trimester is no longer a sign of pregnancy loss, but is good reason for your obstetrician to check you for thrombophilia?
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