But even though this info may make you uncomfortable, it’s SO important to talk about it. As someone who has cared for mamas experiencing a stillbirth, it is not something I would wish on even my worst enemy.
So, bear with me as you go through this article, and remember I am NOT trying to increase your anxiety. Our goal at Mommy Labor Nurse is to bring awareness to this topic and help reduce the number of preventable stillbirths that happen every year.
Here you’ll learn about what stillbirth is, some statistics surrounding this tragedy, risk factors, and some actionable things you can do to help prevent stillbirth.
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By definition, stillbirth is the death of a baby any time after the 20th week of pregnancy or during delivery. Any death or loss that occurs before week 20 is defined as a miscarriage.
Beyond the broad definition of death after 20 weeks up until delivery, the CDC explains that stillbirth is broken down into early, late, or term.
The statistics around stillbirth in the United States show that stillbirth is a lot more prevalent than many women realize. To help you digest and understand the reality of the risk, I am going to list out the facts:
The answer to this question is that yes there are risk factors for stillbirth – but I don’t want this to lead you into a false sense of security (or anxiety!).
Risk factors mean that you may have a slightly increased risk for stillbirth, but not having a risk factor doesn’t mean you are entirely in the clear either. It really can strike anyone and shows no boundaries.
With that said, let’s take a look:
My friends over at PUSH for Empowered Pregnancy are doing incredible work for this effort. They provide the most comprehensive information and actionable tips I’ve seen to really do something about these outrageous facts.
When I collaborated with them back in August of 2021, they provided me with concrete advice that I am pulling for this article to help get the word out.
The first of that advice is to remember that there is no “pregnancy safe zone” when it comes to loss. Things can go wrong even in healthy, low-risk pregnancies. While death in pregnancy is less common after week 12, it is certainly still possible and isn’t as rare as we think (like we established above!).
Simply knowing this as a fact, and having information about how to spot a problem is so powerful to helping your provider intervene accordingly.
I believe knowledge is power, but for some reason there is this weird (and far too prevalent!) theory that women may become hysterical and overly stressed if they are informed about stillbirth, which sets them up for failure.
I hope you’ll agree with me that this is INSANE! We cannot decrease the rate of stillbirths without empowering mamas and their partners with the signs of fetal distress and teaching them how to advocate for themselves and their babies.
Now that we’ve set the stage, I want to get into the tips to reduce stillbirth from the wonderful work of the women over at PUSH for Empowered Pregnancy.
All right, this first tip is really about empowerment. You should NEVER hesitate to call your healthcare team – or better yet, GO to the ER/labor & delivery – if you have any concerns (I will get into that in a second).
It very well might be a false alarm, but it’s never wasted effort and in L&D we NEVER mind you coming in. Your providers know that change in movement is a sign of potential complications and I promise you that they’d rather hear from you every single time than risk you being that one instance that ends in stillbirth.
There are a lot of studies out there that report pregnant women feeling worried about calling their provider and having the perception of “wasting their time”. This is a real thing that pregnant women are thinking, and a real problem! You cannot be afraid to raise the red flag – it might save your baby’s life.
Related Reading: 5 Warning Signs to Always Call Your Doctor
When you do contact your provider with a concern – you should always be heard and taken seriously. Full stop.
If your provider isn’t hearing your concern, keep insisting. Mama, do whatever it takes to be heard. If needed you can bring a support person to back you up, or even get a second opinion from another provider, or another practice entirely.
You should never go home without proper testing and reassurance.
The fact is that you are your baby’s best advocate and no one knows your body or your baby better than you! If your gut is telling you that something is wrong – keep advocating until you see results that put you at ease.
You, your baby, and your care providers are a team, and if they aren’t acting like a supportive teammate, find someone who will!
Related Reading: 23 Ways to Advocate for Yourself in Pregnancy, Birth, and Postpartum
One of the best ways to keep your baby safe is by bonding with them inside your belly! Getting in tune with them will help you know their typical movement patterns. You want to have a sense of how often they typically move, how strong their movements are, and if certain things you do typically cause a response (ie: music, cold drinks, or changing positions).
By knowing your normal, you’ll be more aware when things AREN’T normal – or just seem off – and this is exactly when to make that call.
Take your intuition seriously, even if you can’t quite pinpoint *why* – pediatricians have been trained for decades to trust a mother’s gut feelings when it comes to their baby, and that connection starts during pregnancy. You are a mom ALREADY!
Every mama should start daily kick counting in week 28. This is updated info from @countthekicksus that we put together in collaboration with PUSH for Empowered Pregnancy – an incredible organization dedicated to ending preventable stillbirth.
When we say that movement matters, we’re not just talking about them happening in general, but about the strength and speed.
There is a hugely problematic myth that babies “slow down” or move less as they get bigger. THIS IS NOT TRUE!
According to PUSH for Empowered Pregnancy, movements should get stronger right up through birth, though the style of movement will change as they have less room to wind up and kick you.
A change in movement, whether faster or slower, can be your baby’s way of letting you know they are in distress and need intervention.
Just to drive home the points made in the other tips, I wanted to put this one separately – your response to change needs to be urgent! If an emergency is happening, every minute matters.
Don’t wait to be seen if you ever have any concerns, even if you have an appointment the next morning or later in the day.
If baby is in a vulnerable position, things can go south very quickly – this might be your only chance to act, and you might quite literally be saving your baby’s life.
A reassuring NST or ultrasound may not show what is causing your baby to be in distress, so if you are still noticing movement changes be direct with your medical team and make sure they consider intervention options (early delivery if necessary) instead of a wait and see approach.
Related Reading: Learn More About NSTs and Follow-Up Testing
Did you know that emerging research is showing that COVID-19 in pregnancy not only poses a greater risk to mom but is associated with poor outcomes for baby, too?
Pregnancies with COVID infection are as high as 4 times more likely to end in stillbirth (source)! Beyond that, COVID-19 in pregnancy is associated with an increase in preterm birth, preeclampsia, heart complications, and more.
The best line of defense here is to get your COVID vaccine. I know that this is a hot button issue, but it is not one I will stay silent on! Vaccination is the best thing you can do for yourself and your unborn baby.
To learn more, listen to my interview with OBGYN, Dr. Marta Perez, where we talked facts about the COVID vaccine and pregnancy.
There are a number of wonderful organizations and resources out there to help you learn about preventing stillbirth, cope with a stillbirth, navigate pregnancy after a stillbirth, and support a loved one experiencing this reality.
Resources: