Your caregiver can help you figure out how to get down to a healthy weight. Guidelines from the Institute of Medicine recommend that obese pregnant women limit their weight gain to between 11 and 20 pounds.
Don't smoke , drink alcohol , or use street drugs during pregnancy. If you're having trouble giving up cigarettes, alcohol, or drugs, ask your provider for a referral to a program that can help you quit.
Research has shown that women who quit smoking after their first pregnancy reduce their risk of stillbirth in the next pregnancy to the same level as nonsmokers.
Call your provider right away if you have any vaginal bleeding in the second or third trimester. This can be a sign of placental abruption. Other signs to report to your provider immediately include uterine tenderness, back pain, frequent contractions or a contraction that stays hard like a cramp that doesn't go away , and a reduction in your baby's activity.
Your practitioner may recommend that you do a daily kick count starting around 28 weeks of pregnancy. One approach is to record how long it takes the baby to make ten distinct movements. If you count fewer than ten kicks in two hours, or if you feel that your baby is moving less than usual, contact your healthcare provider immediately so you can be evaluated and monitored, as necessary. Be aware of other symptoms that could signal a problem during pregnancy and call your caregiver without delay if you suspect something's wrong.
If you've previously had a stillbirth or have a high-risk pregnancy for other reasons , you'll be carefully monitored throughout pregnancy and begin fetal testing during the third trimester, usually starting at 32 weeks. You'll have tests to monitor your baby's heart rate, including nontress tests and biophysical profiles. If the results indicate that your baby would be better off delivered than remaining in utero, you'll be induced or have a c-section.
If your medical team wasable to determine what caused your stillbirth, they may be able to provide some information about your chances of suffering another loss. The chances are greater, for instance, if you have a medical condition that's still present, such as lupus, chronic hypertension, or diabetes, or if you had a pregnancy complication that makes another stillbirth more likely, such as a placental abruption.
But even if the cause of your stillbirth isn't likely to recur, you may be very anxious in future pregnancies. It's hard not to worry that it will happen again. Review your situation with your provider before trying to get pregnant again. If you're seeing a different healthcare provider, make sure the new provider has access to your complete record, including lab results.
You may also want to consult with a perinatologist a high-risk specialist , if one's available in your community, and other specialists, as needed.
For example, if your baby suffered from a genetic disorder, a genetic counselor can help you understand your risk of stillbirth or other complications in another pregnancy. BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world.
When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing.
Learn more about our editorial and medical review policies. Practice bulletin Management of stillbirth. American College of Obstetricians and Gynecologists. Belkin T, et al. Management options for women with midtrimester fetal loss: A case report.
Froen JF, et al. Making stillbirths count, making numbers talk - Issues in data collection for stillbirths. Getahun D, et al. The association between stillbirth in the first pregnancy and subsequent adverse perinatal outcomes. American Journal of Obstetrics and Gynecology 4 MacDorman MF, et al. Fetal and perinatal mortality, United States, National Vital Statistics Report 57 8 Reddy UM, et al. If you are having very heavy vaginal bleeding or are feeling very sick, you should go to the Emergency Room to see our physicians.
Most women less than 20 weeks of pregnancy do not notice any symptoms of a fetal demise. The test used to check for a fetal demise in the second trimester is an ultrasound examination to see if the baby is moving and growing. Fetal demise is diagnosed when the ultrasound examination shows no fetal heart activity. The causes of a pregnancy loss in the second trimester are very different than early pregnancy loss. There are medical conditions that increase the risk for cervical insufficiency or preterm labor before viability which include:.
There are also some medical conditions that are associated with fetal death in the second trimester which include:. The specialists at UC Davis Health will review with you what testing is indicated to help learn more about why a second trimester loss occurred. Despite the testing that is available, about half of the time there is no identifiable reason for a second trimester loss.
We can work with you to figure out what may be helpful with a next pregnancy or to learn more about medical issues that are important for your future. It is typically not safe for a woman to wait for the pregnancy to deliver on its own with a second trimester loss. There is a high chance of having significant bleeding when a pregnancy in the second trimester delivers on its own at home. These changes can put a woman at a much higher chance of significant bleeding if she waits for a long time after the fetal demise to deliver the pregnancy.
Our doctors are committed to providing all available treatment options. Testing to figure out the cause of the pregnancy loss can be performed regardless of the method a woman chooses for termination.
We understand that a second trimester loss is an emotional and stressful time and we want to ensure that the emotional needs of you and your family are met as well. We understand this is a time that you need support and we are sensitive to your wishes for remembrances and religious preferences. We will discuss these issues with you before any treatment. Labor induction: This treatment uses medicines to cause the uterus to go into labor.
For women with pregnancies beyond 24 weeks, this is commonly the only option. If you choose this option, you will be in the Labor and Delivery Unit at UC Davis Medical Center and will have all of the same pain treatments available to you as a woman who is naturally in labor like IV pain medications or an epidural. The treatment typically starts with swallowing a pill to make the uterus more sensitive to the medications to induce labor. About 24 hours later, you are admitted to the Labor and Delivery Unit and will have medicine tablets put in the vagina every few hours to cause labor.
Sometimes, women need medicine through an IV to also help get labor started. We will not reply to your feedback. Don't include any personal or financial information, for example National Insurance, credit card numbers, or phone numbers. The nidirect privacy notice applies to any information you send on this feedback form. Comments or queries about angling can be emailed to anglingcorrespondence daera-ni.
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For queries or advice about pensions, contact the Northern Ireland Pension Centre. We have also funded research looking at scanning in third trimester , which is aimed at improving methods for identifying babies who are not growing as they should. Around babies die every year because of a trauma or event during birth that was not anticipated or well managed. Some babies are stillborn and some die after birth. Many of these deaths, when they occur at term, could be avoided with better care.
Recently, with improving NHS care, the number of these deaths is falling. Sadly, the death of a baby is not a rare event: around 14 babies die before, during or soon after birth every day in the UK.
In the UK in , around 1 in every births was a stillbirth. In total there were 2,stillbirths. Around one-third of stillbirths happen after 37 weeks of pregnancy. Stillbirths account for more than half of the deaths of infants under one year in the UK.
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