Management of stillbirth delivery

Nahida Chakhtoura, Uma M. Reddy

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Stillbirth is a common adverse outcome of pregnancy. Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age and prior uterine surgery. Expectant management is a viable option for women and families who desire it and do not have any contraindications. In the second trimester, misoprostol induction and dilatation and evacuation are effective in the evacuation of the uterus. In the third trimester, induction of labor with prostaglandins, mechanical dilators, and augmentation with oxytocin is appropriate. Care should be taken with women with prior cesarean delivery; prostaglandins ideally should be avoided. Delivery by cesarean section should be performed selectively, i.e., when there is a maternal indication.

Original languageEnglish (US)
Pages (from-to)501-504
Number of pages4
JournalSeminars in Perinatology
Volume39
Issue number6
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Keywords

  • Intrauterine fetal death
  • Management
  • Pregnancy
  • Stillbirth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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