Quick pregnancy safe after stillbirth, study finds

There is no reason to delay the birth of another child after the birth of a dead fetus, research suggests in the Lancet.

Although women are asked to wait a year before pregnancy again, there is little evidence to support this advice.

This international study conducted on 14,000 births did not find an increased risk of problems if pregnancy occurred earlier.

A UK birth specialist said the results were important and reassuring.

About one in every 225 births in the UK ends in the birth of a dead fetus, which is defined as the death of a child after twenty four weeks of gestation in the UK. However, in this study, stillbirth is defined as the death of the child after pregnancy two two weeks.

Dead birth rates in the UK have declined since 2000, more sharply since 2015, but compared to many other European countries, improvements in the UK have been slow.

In many countries, there is limited guidance available on planning for future pregnancies after the birth of a dead fetus, the study says.
"His message to women is" do not worry, "University of Manchester professor Alex Heisel, a spokesman for the charity charity Tome and the Royal College of Obstetrics and Gynecology, said.

"As long as they get all the information about the cause of their child's death, choosing another child's birth date is when he is psychologically prepared."

He said there was no physiological reason to wait more than a year before trying another child.

"Tensions can make things worse, so it may be that waiting for that to happen makes some people stay the same," Professor Hazel said.

To wait or not
Researchers looked at the birth records of 14,452 women who had already had a dead fetus in Western Australia, Finland and Norway over thirty seven years.

A total of two% of these subsequent pregnancies ended in the birth of a dead fetus, and eighteen% were born with a nine% and nine% of children born as young as their age.

The study found that those who showed up within twelve months of a dead fetus birth were not likely to have another stillbirth, or early birth, of women who had left two or more years between pregnancies,
Of the births studied, 9,109 or sixty three% were placed within twelve months of a stillbirth.

The study, conducted by Dr. Annette Reagan of the University of Cortin in Australia, said the results were useful for doctors who provide advice after stillbirths.

"Women who did not leave enough time to recover after a previous pregnancy could be at risk of malnutrition, which is associated with an increased risk of fetal growth restriction and birth defects," she said.

But she said this may be less likely to occur after pregnancy loss, such as stillbirth or miscarriage.

Commenting on the research, "There are other factors that need to be taken into account," said Kalapanov, of the research institute at the US Children's Hospital.

"Instead of adhering to strict and fast rules, clinical recommendations must take into account the current state of health of women and their current age in conjunction with their wishes regarding spacing between newborns and the final family size, especially after loss," she said.

What is a dead fetus?
Stillbirth is when the baby is born after twenty four weeks of gestation
If the child dies before a full four weeks, known as abortion or delayed fetal loss
Some cases of stillbirth are related to complications with the placenta or congenital defect or with maternal health. For others, no reason found

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