What you need to know:
A stillbirth is the death of a baby in the womb after the 20th week of pregnancy. Stillbirths occur in about 1 in 160 pregnancies.

A stillbirth is a tragic and heartbreaking experience. In many cases, the loss is completely unexpected, because it ends a pregnancy that seemed to be going well.

Most stillbirths occur before labor begins. The pregnant woman may suspect that something is wrong when the fetus suddenly stops moving and kicking. An ultrasound can usually confirm that the fetus has died.

The health care provider discusses options for delivering the fetus with the woman. Some women may need to deliver right away for medical reasons. But many couples can wait a little while if they wish.

Labor usually starts within 2 weeks after the fetus has died. If it doesn't, providers usually recommend inducing labor.

After delivery, tests are done to try to find out why the fetus died. In up to half of cases, the cause of stillbirth is never known for sure. 

What you can do:
Call your health care provider right away if your baby is moving less or has stopped moving.

If you have high blood pressure, diabetes or kidney disease, make sure that you are monitored regularly. Try your best to keep your condition under control during your pregnancy. Follow your health care provider’s advice and take any medication as directed.

If you do have a stillbirth, give yourself time to recover physically and to grieve for your baby. The March of Dimes provides information for grieving families. Support groups and other organizations can also help during this difficult time.

To read more, see the March of Dimes fact sheet on stillbirth.

The International Stillbirth Alliance works to promote stillbirth research, education and awareness.

March 2009