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

Alexander Kofinas M.D.

There is strong association between stillbirth in the first pregnancy and subsequent adverse outcomes.(ischemic placental disease, fetal distress, chorioamnionitis, extreme preterm birth, and early neonatal mortality)
The etiology of such adverse outcomes is usually chronic and recurrent. Maternal and / or paternal thrombotic conditions may be responsible.
The placenta 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 placenta.
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.
The best way to monitor future pregnancies in such patients is by means of fetal and maternal placental Doppler; this is the best and most reliable way to monitor treatment success and prevent perinatal adverse events.