Care in pregnancy after stillbirth.

Autor: Heazell AEP; Maternal and Fetal Health Research Centre, School of Medical Sciences, Medical and Health, University of Manchester, Manchester, UK; Saint Mary's Hospital, Manchester University NHS Foundation Trust, UK. Electronic address: alexander.heazell@manchester.ac.uk., Barron R; Saint Mary's Hospital, Manchester University NHS Foundation Trust, UK., Fockler ME; DAN Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Jazyk: angličtina
Zdroj: Seminars in perinatology [Semin Perinatol] 2024 Feb; Vol. 48 (1), pp. 151872. Date of Electronic Publication: 2023 Dec 20.
DOI: 10.1016/j.semperi.2023.151872
Abstrakt: Pregnancy after stillbirth is associated with increased risk of stillbirth and other adverse pregnancy outcomes including fetal growth restriction, preeclampsia, and preterm birth in subsequent pregnancies. In addition, pregnancy after stillbirth is associated with emotional and psychological challenges for women and their families. This manuscript summarizes information available to guide clinicians for how to manage a pregnancy after stillbirth by appreciating the nature of the increased risk in future pregnancies, and that these are not affected by interpregnancy interval. Qualitative studies have identified clinician behaviors that women find helpful during subsequent pregnancies after loss which can be implemented into practice. The role of peer support and need for professional input from the antenatal period through to after the birth of a live baby is discussed. Finally, areas for research are highlighted to develop care further for this group of women at increased risk of medical and psychological complications.
(Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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