What is antenatal fetal death and how to prevent it. Why does antenatal fetal death occur in the early or late stages, is it possible to prevent it, and how to recover from a severe emotional outburst

Antenatal fetal death - this term is called the death of a child in the womb for a period from the 9th to the 42nd week of pregnancy.

These words are extremely tragic news for a woman who is carrying a child.

What is antenatal fetal death

A pregnant woman, faced with such a situation, experiences an incredible shock, pain from loss, fear, misunderstanding of how this could happen. Of course, this is also a great stress for the body and a strong blow to health.

Unfortunately, such situations are periodically recorded in obstetric practice. It even happens that nothing portends trouble, nevertheless, a healthy pregnancy, without any complications and precursors, ends abruptly.

Antenatal fetal death in multiple pregnancies

The risk of intrauterine death also exists in multiple pregnancies. The reasons are completely different, but most often this happens due to abnormalities in the development of the fetus or blood flow disorders (for example, in the pathology of the vessels of the umbilical cord and the child's place (placenta) or due to fetal hypoxia and other mechanical factors).

The fading of the fetus at the beginning of pregnancy (in the first weeks) may result in its resorption or the so-called phenomenon of the vanishing twin. For a woman and a living embryo, this situation usually goes unnoticed. Sometimes slight bleeding is possible, but this is not reflected in the health of the second baby. There are also cases of maceration and drying of the fetus.

It happens that one of the babies dies, and the second continues to grow. But such a situation is dangerous because it can lead to bleeding of the fetus, and this subsequently provokes the occurrence of anemia, damage to the central nervous system, acute hypoxia, etc.

According to some studies, with the antenatal death of one of the fetuses, the risk of death of the second is about 38%. In such a situation, the gestational age at which the fading occurred is of considerable importance. So, in the first trimester, the chances of a surviving child for successful development and birth are quite high - 90%.

The second and third trimesters are more dangerous. At terms of 20-27 weeks, the death of one fetus, if it does not lead to the death of the second, can cause damage to its central nervous system (central nervous system), which causes the development of various defects and pathologies.

In addition, a dead fetus near a live child often leads to damage to internal organs. Therefore, starting from the 30th to 39th week of pregnancy and later, the doctor may decide on an urgent delivery by caesarean section.

Factors provoking pathology

There are many reasons and factors that can lead to the death of the embryo, and often they are complex. That is why it is sometimes difficult to establish the exact cause.

Quite rarely, the umbilical cord is wrapped around the baby's neck, thereby blocking the flow of nutrients into his body. In cases where the situation does not stop, the risk of suffocation increases.

Also, the cause of antenatal death are pathologies in the development of the placenta, improper location of the fetus, abdominal trauma, hematomas, etc.

In addition, the most common reasons include:

• late toxicosis;
• miscarriage and miscarriages in history;
• oligohydramnios / polyhydramnios;
• chronic placental insufficiency;
• inflammation of the genital organs;
• unhealthy lifestyle, bad habits;
• taking medications without prior consultation with a doctor, their abuse;
• hormonal imbalance;
• stress, nervous breakdowns.

Many of the factors are completely independent of the woman and her lifestyle, so in no case can you blame her for what happened.

Today, medicine also highlights certain immune / autoimmune and infectious diseases, as a result of which a pregnant woman can lose a child.

Immune and autoimmune factors

One of the most common causes of death of a child in the womb is Rhesus conflict. In such cases, the body of a pregnant woman perceives the fetus as a potential threat and tries to "get rid" of it by producing antibodies that prevent the development of the fetus and contribute to its rejection.

About 5% of antenatal deaths occur as a result of the onset of autoimmune disorders, in particular the antiphospholipid syndrome (APS). This is a disease that produces a large number of antibodies to phospholipids and provokes the formation of blood clots, which causes miscarriage.

With APS, both small capillaries and large veins and arteries are affected, so the symptoms of this disease may differ, depending on the complexity of the situation and the localization of blood clots.

Infectious diseases

Infectious diseases pose a great threat to the life of an infant. Most often, cases of intrauterine death were recorded when a pregnant woman had chlamydia, herpes, mycoplasmosis, etc.

Infections can be detected earlier, but during pregnancy, a woman's body weakens, which is why any disease has more acute symptoms and is much more difficult to endure.

Cytomegalovirus is a major threat. This is a disease that is often confused with the common cold and the common cold because their symptoms are quite similar: high fever, chills, fatigue, headaches, and general malaise.

Infection with the virus in adults occurs through sexual contact, through saliva and blood. If a child becomes infected while still in the womb, this can cause the development of a cytomegalovirus infection, which subsequently leads to CNS disorders (mental retardation, hearing loss), and also, in some cases, death.

The first signs of illness

At the initial stages, it is very difficult to independently understand that the embryo has died, since each pregnancy is an individual process and proceeds differently for all women. Therefore, the reason for concern and going to the hospital should be the abruptly stopped signs of gestation that occurred in a particular clinical situation.

Of all the possible, the most common symptoms of a missed pregnancy:

• heaviness in the abdomen;
• general weakness of the body, malaise;
• cessation of the baby's movements, the absence of his heartbeat;
• decrease or increase in the tone of the uterus;
• cessation of abdominal growth;
• breast reduction;
• abrupt cessation of toxicosis (in the first trimester);
• sometimes the death of the embryo ends in spontaneous miscarriage.

In cases where more than 2 weeks have passed since death, the symptoms of sepsis are also noted with the above signs:

1. The body temperature of a pregnant woman rises to + 38-39C.
2. There is pain in the abdomen.
3. Drowsiness, occasional dizziness.
4. Headache.
5. Disorders of consciousness.
6. Fatal outcome (in cases where infection with dead body toxins has not been diagnosed and treated).

Any signs require immediate medical attention and urgent diagnosis to confirm or refute the diagnosis and take action.

How to diagnose

If the specialist has reason to suspect antenatal death, the woman is immediately hospitalized and a series of studies and analyzes are carried out.

Ultrasound is required in such cases. The study makes it possible to see the most accurate picture and make a reliable diagnosis. Thus, the doctor ascertains the absence of a heartbeat and breathing in the embryo.

ECG and FCG also help to fix the presence or absence of heart contractions.

The condition of the embryo and amniotic fluid is assessed using amnioscopy. On the first day after freezing, the amniotic fluid may have a greenish tint. Later, the color becomes less intense and an admixture of blood appears. The skin of the baby acquires the same shade.

Rarely, x-rays are taken. Sometimes such a study is necessary to determine violations in the condition of the baby.

For example:

• the size of his body does not correspond to the gestational age;
• atypical arrangement of body members;
• drooping jaw;
• rachiocampsis;
• the bones are tiled superimposed on each other;
• decalcification of the skeleton, etc.

The actions of medical workers with such a diagnosis

If the death occurred in the first trimester, the extraction of a dead embryo is carried out, as a rule, by surgical intervention, namely, by scraping the uterine cavity. Often, after fading, spontaneous miscarriages occur.

In the second trimester, self-expulsion of a dead embryo is almost impossible: with a detached placenta in such a situation, delivery is immediately carried out. The method is determined by the doctor according to the degree of readiness of the birth canal.

Antenatal fetal death in the third trimester usually ends in spontaneous delivery. If this does not happen, doctors use special drugs to stimulate labor.

In some cases, if there are indications, specialists resort to fruit-destroying operations.

Consequences of pathology

Of course, the loss of an unborn child is a tragedy and a great emotional trauma for a woman. It takes time to recover and come to terms, and sometimes the help of qualified psychologists.

Particular attention should be paid to the state of health. In cases of an urgent visit to a doctor and the fulfillment of all prescriptions, antenatal death does not have serious consequences for a woman's health. It is definitely worth diagnosing the cause and undergoing treatment in order to minimize the risk of complications in future pregnancies in the future. Re-planning conception is recommended not earlier than after 6 months.

If you do not seek medical help in time, there is a high risk of developing bacterial and infectious complications, and in severe cases even sepsis. This is due to the fact that dead flesh decomposes in the uterus and a large amount of toxins enters the woman's blood. In rare cases, deaths occur.

How to prevent fetal death

It is very difficult to accurately predict and prevent intrapartum death, since in some situations there are a number of factors that are completely impossible to influence. But in most cases, a competent approach to pregnancy planning and the responsibility of the expectant mother will reduce the risk of fetal fading and allow you to safely give birth to your baby.

Before planning a conception, doctors recommend that both spouses undergo a series of medical examinations and pass the necessary tests to make sure that there are no infections, diseases, and other factors that may adversely affect a future pregnancy. If necessary, appropriate treatment will be prescribed.

A woman who is already in a position should regularly visit a gynecologist in a antenatal clinic, not refuse to take tests and follow all the recommendations of a gynecologist. Such measures will help to monitor the condition of the woman and her unborn child, as well as to detect any deviations in time and take urgent measures, if necessary.

And yet, the best prevention of problems during the gestation period is pregnancy planning. Doctors recommend in advance a herbal complex based on Altai herbs for easy conception and successful gestation - Gathering Seraphim. The tool not only facilitates the course of pregnancy, but also cures many chronic diseases.

Also, as a preventive measure, the following recommendations should be followed:

1. Get rid of bad habits (drugs, alcohol, smoking).
2. Any medications during gestation should be taken only on the advice of a doctor.
3. Exclusion of injuries, falls, heavy physical exertion.
4. Minimum stress and worry.
5. At the slightest suspicion and symptoms that signal a problem, do not wait - immediately contact the doctors.

Video on the topic of intrauterine death of the embryo:

Conclusion

The death of an unborn child is a great misfortune that must be psychologically overcome.

In most cases, planning and careful attitude to pregnancy can save you from such a sad outcome.

In this article, you will learn about what causes antenatal fetal death, how a woman is treated, and what preventive measures should be taken to avoid this.

What causes antenatal fetal death: possible causes in the late and early stages

Antenatal fetal death (or intrauterine fetal death), unfortunately, is often diagnosed. What causes it to appear, and how can it be avoided?

It is worth considering this issue in more detail.

In medicine, this concept means the death of the fetus at any stage of pregnancy.

Causes of antenatal fetal death

There are several causes of pregnancy fading, they differ, depending on the period.

In the early stages

Early pregnancy includes the period from 9 to 21 weeks. Antenatal fetal death at this stage of embryo development can occur for the following reasons:

Throughout the first trimester, the body of the fetus is just beginning to form. Therefore, any negative interference contributes to the disruption of this process.

At a later date

Late terms include the 2nd half of pregnancy (from 21 to 42 weeks). The reasons for the fading of pregnancy at this stage include:

• the formation of an inflammatory process in the genitals of a woman;
• late toxicosis;
• entanglement of the fetus with the umbilical cord around the neck;
• mother's fall or a strong blow to the abdomen;
• placental abruption;
• contact of a pregnant woman with toxic substances;
• taking medications that are incompatible with pregnancy;
• oligohydramnios;
• polyhydramnios.

Regardless of the gestational age, the causes of antenatal fetal death may be the fall of the mother, hormonal imbalances, acute food poisoning, and medications that are incompatible with pregnancy.

Symptoms and diagnosis of antenatal fetal death

The main signs of the onset of antenatal fetal death are:

• termination of all signs of pregnancy: toxicosis, engorgement of the mammary glands;
• lack of fetal movements for more than a day, during late pregnancy;
• lack of baby's heartbeat;
• decrease in tone and termination of the uterus;
• the appearance of pulling pain in the abdomen;
• in rare cases, there is bleeding from the vagina.

If these symptoms appear, you should immediately consult a gynecologist. The specialist will independently assess the baby's mobility and heartbeat using a cardiotocography or electrocardiography apparatus. But, an ultrasound doctor is able to accurately diagnose after an ultrasound examination.

Intrauterine antenatal multiple fetal death in the later stages

The global stress for the mother is the death of the fetus in the later stages. She prepares a nursery for him, feels him inside her, and suddenly it all disappears. The risk of pregnancy fading increases markedly with multiple pregnancies. If one baby died in utero, then this may not at all affect the full development of the second baby, but only if this happened in the early stages of pregnancy. A dead embryo can disappear on its own, medical experts call this phenomenon the disappearing baby phenomenon.

But, a healthy twin is in danger if the death of the second occurred later than the 20th week of pregnancy. In this case, the risk of his death is 38%, in addition, the chances of developing the formation of various pathologies and lesions of the central nervous system increase markedly.

Treatment

If, as a result of a diagnostic examination, antenatal fetal death is confirmed, then the woman’s health is in serious danger, in any case, it is necessary to consult a specialist and go to the hospital for medical treatment.

With the onset of fetal death in the early stages, in most cases, spontaneous miscarriage occurs. If this does not happen, then the woman under anesthesia is cleaned of the uterus.

In the second trimester, the possibility of spontaneous miscarriage and the curettage procedure disappears.

In order to expel a dead fetus from the uterine cavity, a cesarean section is performed or labor is provoked. The obstetrician-gynecologist should conduct an examination and, as the birth canal is ready, should determine which method of treatment is most appropriate.

In the third trimester, when the fetus dies, doctors induce labor with the help of special drugs.

After the expulsion of the dead fetus from the uterine cavity, the patient should be under the supervision of medical workers for a long time, if her condition stabilizes, then 3-7 days after the artificial birth, she is lowered home.

Prevention

Unfortunately, there is no such method that would accurately avoid the formation of antenatal death. But, there are several preventive measures that will significantly reduce the risk of such a phenomenon:

• avoid stressful situations and limit yourself from heavy physical exertion;
• it is necessary to take all tests in a timely manner and carry out the necessary procedures to identify the risk of developing pathology at an early stage;
• you need to limit yourself from drinking alcohol and smoking;
• there is no need to self-medicate, the intake of each medication must be discussed with the doctor.

A healthy lifestyle and a calm environment is the main factor for the full development and birth of a healthy baby.

According to statistics, antenatal fetal death in the first trimester occurs in 5% of cases, in the second and third trimester it is 1%.

Forecasts

Intrauterine fetal death is a great psychological trauma for a woman. In most cases, she is going through this tragedy hard and she needs high-quality psychological help. In the future, she can become pregnant again and bear a healthy baby, but gynecologists exercise special control over such patients.

Antenatal fetal death is a huge loss. Only a healthy lifestyle and taking care of yourself and your baby will help to avoid it. If the baby still could not be saved, then it is worth taking immediate measures to expel him from the uterine cavity, otherwise, the woman's health will be in jeopardy.

Useful video

- fetal death during pregnancy. It can be provoked by somatic diseases, diseases and anomalies of the reproductive system, infections, intoxications, abdominal trauma, Rh-conflict, multiple pregnancies, severe birth defects of the fetus and other factors. Antenatal fetal death is manifested by cessation of uterine growth, lack of movement and fetal heartbeat, weakness, malaise, pain and heaviness in the lower abdomen. The diagnosis is established by the results of the examination and the data of instrumental studies. Treatment in the first trimester - curettage, in the II and III trimester - urgent delivery.

Causes of antenatal fetal death

This pathology can occur under the influence of various endogenous and exogenous factors. Among the endogenous factors that cause antenatal fetal death include infectious diseases (influenza, pneumonia, measles, rubella, hepatitis), vitamin deficiencies, somatic diseases (congenital heart defects, cardiovascular insufficiency, severe liver and kidney diseases, anemia of various origins), diabetes mellitus and other diseases of the endocrine system of the mother.

In addition, the group of endogenous causes of antenatal fetal death includes preeclampsia (eclampsia, nephropathy), severe fetal anomalies, Rh conflict, blood group incompatibility, polyhydramnios, oligohydramnios, placental circulation disorders (with abnormalities of placental attachment, placental abruption, fetoplacental insufficiency and arteriovenous anastomoses of the vessels of the common chorion in twins), a true knot of the umbilical cord, entanglement of the umbilical cord around the neck of the fetus and inflammatory diseases of the reproductive system of the mother.

Exogenous factors provoking antenatal fetal death are toxic effects (smoking, alcoholism, drug addiction, substance abuse, taking certain medications, acute and chronic poisoning with household and industrial poisons), ionizing radiation and abdominal trauma. According to studies, the leading positions in the list of causes of this pathology are occupied by severe fetal malformations, placental pathology, infections, injuries and intoxications. Sometimes the cause of antenatal fetal death remains unclear.

pathological anatomy

After death, the fetus may remain in the uterus for several days, months or even years. In this case, maceration, mummification or petrification is possible. 90% of fetuses undergo maceration - wet necrosis resulting from contact with amniotic fluid. Initially, tissue necrosis is aseptic in nature. Some time after antenatal fetal death, necrotic tissue may become infected. Severe infectious complications are possible, including sepsis.

Macerated fruit looks soft, flabby. In the early stages of maceration, the skin is reddish, covered with blisters, alternating with areas of exfoliated epidermis. When the infection is attached, the fetus becomes greenish. The head and body are deformed. An autopsy is performed to determine the cause of antenatal fetal death. An autopsy reveals tissue soaking with fluid and lung atelectasis. Cartilages and bones are brown or reddish, epiphyses are separated from metaphyses. With a long stay in the uterus, autolysis of the internal organs is possible. Sometimes, during a delay in the uterus, the fetus is saturated with blood, forming a blood mole, which subsequently transforms into a fleshy mole.

With antenatal death of the fetus in the third trimester, independent childbirth is possible. In the absence of labor, stimulation is prescribed. According to the indications, fruit-destroying operations are performed. With hydrocephalus, frontal and pelvic presentation, the threat of uterine rupture and a serious condition of the patient, a craniotomy is performed. With a running transverse presentation, decapitation or evisceration is performed, with a hanger delay in the birth canal, a cleidotomy.

Prevention of antenatal fetal death includes timely detection of genetic abnormalities, diagnosis and treatment of somatic diseases, rehabilitation of chronic foci of infection, abandonment of bad habits, cessation of contact with household toxic substances, elimination of occupational hazards, prevention of injuries and thoughtful prescription of drugs during pregnancy.

Fetal death in multiple pregnancy

Intrauterine fetal death is detected in 6% of multiple pregnancies. The probability of development depends on the number of fetuses and chorions. The greater the degree of multiple pregnancy, the higher the risk of death of one of the twins. In the presence of a common chorion, the probability of death of one of the fetuses increases several times compared to dichorionic twins. The immediate causes of antenatal fetal death are intrauterine growth retardation, placental abruption, severe gestosis, chorioamnionitis, or the formation of an arteriovenous anastomosis with a common chorion.

The form of pathology depends on the time of death of the fetus. In the early stages of pregnancy (up to 10 weeks), the “missing twin” phenomenon is observed. The dead embryo is rejected or absorbed. In the presence of two chorions, the death of one twin does not affect the development of the other. With a common chorion in the second twin, the likelihood of cerebral palsy and intrauterine growth retardation increases. Antenatal fetal death in such cases often remains unrecognized and is regarded as a threat of abortion.

Upon death at the end of the first or beginning of the second trimester of pregnancy, the dead fetus does not disappear, but is mummified. It is squeezed by the growing fetal bladder of a brother or sister, “dries out” and decreases in size. With a common chorion, the second twin often has congenital malformations due to the intake of decay products into the body through the common circulatory system.

With multiple pregnancies and suspected antenatal fetal death, immediate hospitalization is indicated to conduct an examination and resolve the issue of pregnancy management tactics. During the examination, the gestational age and the number of chorions are determined, the condition of the living fetus is assessed, somatic diseases and diseases of the mother's reproductive system are detected. With a common chorion and antenatal fetal death diagnosed at the beginning of the second trimester, parents are advised to consider terminating the pregnancy due to the high risk of intrauterine pathology in the second twin.

At a period of 25-34 weeks of gestation, a thorough examination of the surviving fetus (ultrasound, MRI) is necessary. With a satisfactory condition of the fetus, prolongation of pregnancy is indicated. The need for urgent delivery in case of antenatal death of the fetus is determined taking into account the condition of the mother and the surviving child, the likelihood of intrauterine disorders and the risk of complications due to prematurity. Somatic diseases and diseases of the reproductive system that prevent prolongation of pregnancy become indications for delivery on the part of the pregnant woman. Relative indications on the part of the fetus are anemia, terminal blood flow and the threat of fetal death during arteriovenous anastomoses. As an absolute indication for delivery, antenatal fetal death after 34 weeks of multiple pregnancy is considered.

In the presence of two chorions, urgent delivery is usually not required. The patient is placed under constant supervision, which includes daily monitoring of temperature, blood pressure, edema and discharge, as well as regular tests to assess the state of the blood coagulation system. The condition of the living fetus is assessed by the results of Doppler uteroplacental blood flow, biometrics and echography of the brain. After birth, an autopsy of the dead twin is performed and the placenta is examined to identify the cause of antenatal death of the fetus.

Hello!

I am 33 years old and have a 4 year old daughter. Menstruation from the age of 13, the cycle was 26-28 days.

At the 26th week of pregnancy, an ultrasound diagnosis was made: oligohydramnios, developmental delay, multicystosis of both kidneys, the second uzist added heart disease and Dandy-Walker syndrome to this. Choir insisted on interruption. At first we agreed. Then the card was rewritten in the LCD, reducing the gestational age to 22 weeks (since, according to our legislation, termination is possible before such a period). Before the procedure itself, we decided not to terminate the pregnancy.

After that, I went through all the circles of hell: intimidation, blackmail, pressure from doctors, both from my LCD and all the other institutions I tried to apply to. 3 months passed in a state of severe nervous breakdown, depression and continuous tears. And also there were several different ultrasounds with different diagnoses, including and without malformations.

On October 21, I came for a planned visit to the LCD already with severe swelling of the face and eyelids. Having done a CTG, they called an ambulance. There was a heartbeat, but it was weak. The hospital was no longer there. The pressure was over 180.

Childbirth was stimulated. The result of the autopsy was copied from the card and completely repeats the diagnosis of the last ultrasound. They were not even embarrassed by the baby’s weight of 3 kg at 33 weeks (they didn’t rewrite the card for the second time).

Those. Today I have a strong desire to get pregnant in the fall. And I have no clear understanding of what exactly happened and why. And how do I prepare...

During pregnancy for a period of 1 to 8 weeks, there is an embryo in the womb of a woman, and the death of an unborn baby at this period is called. In the literature, you can find a generalized concept of these two states -.

information According to statistics, the fetus dies quite rarely. In the first trimester (up to 12 weeks) - about 5% of all pregnant women, and in the second and third trimester - about 1%.

The reasons

There are a lot of reasons and predisposing factors leading to intrauterine death of a baby. The main ones:

• infections and inflammatory diseases of the mother, occurring in a complicated form (rubella, chicken pox, influenza, etc.);
• (negative Rh factor in the mother and positive in the child);
• intrauterine fetal hypoxia;
• alcoholism and drug addiction;
• placenta previa;
• toxicosis (), severe course;
• violation of the hormonal function of the body of a woman;
• radioactive exposure;
• contact with toxins;
• injuries during pregnancy (blows or falling on the stomach);
• heavy expectant mother;
• genetically determined fetal developmental anomalies that are incompatible with life;
• frequent and uncontrolled intake of medications that are toxic to the developing fetus;
• hypertonic disease;
• quite a strong stress of a woman during childbearing.

Signs of antenatal fetal death

Antenatal fetal death is characterized by classic signs and symptoms:

• cessation of fetal movement;
• lack of heartbeat of an unborn baby;
• severe general weakness;
• heaviness, discomfort in the lower abdomen;
• lack of uterine tone and uterine contractions;
• cessation of growth of the fetus and uterus;
• reduction of the mammary glands, the disappearance of their engorgement.

In the case of late diagnosis of such a condition, when 2 weeks or more have passed after the death of the child in the womb, signs of sepsis join:

• (temperature over 38-39 ° C);
• pain in the abdomen;
• headache;
• disturbances of consciousness;
• death as the final of an undiagnosed and untreated infection of the woman's blood with the toxins of a dead child.

Diagnostics

After a woman turns to a gynecologist with suspicions of a pregnancy pathology or comes for a routine examination, the doctor directs her to diagnostic procedures that will make it possible to make a final diagnosis and decide on the necessary measures. Among the simplest and most accurate ways to diagnose antenatal death of a baby, the following are distinguished.

• ultrasound. Allows you to determine the absence of a heartbeat and blood flow, the location of the deceased fetus, its size, the state of the placenta and amniotic fluid.
• . Allows you to determine the absence of cardiac impulses in the fetus.
• FKG. By analogy with the ECG, it determines the absence of a heartbeat in the fetus.

Treatment of antenatal fetal death

Treatment of antenatal death of the fetus is its removal from the uterine cavity within a period of not more than 14 days after the development of this pathology.

• In the first trimester (before), the uterine cavity is scraped (classic abortion).
• In the second trimester, most often resort to stimulation of labor activity with oxytocin. In extreme cases, delivery is possible by.
• In the third trimester, with the death of the fetus, labor most often occurs on its own.

dangerous In cases where the deceased unborn child cannot pass through the mother's birth canal on its own, fruit-destroying operations (decapitation, craniotomy, etc.) are performed, and the fetus is removed from the woman's uterus in parts.

After the baby is taken out of the uterus, the woman must pass rehabilitation course. Within 7-10 days, Ceftriaxone or its analogues are prescribed. Within 4-6 months after the incident, all possible causes of fetal death are eliminated:

• treatment of chronic foci of infection;
• nutrition correction;
• taking several courses and minerals;
• observation in the reproduction center and work with a psychologist.

Effects

In the case of timely seeking medical help, intrauterine death of the fetus does not bear any consequences for the woman. In 99% of cases, a re-pregnancy that occurred six months or more after an artificial birth, ends happily.

In cases where a woman went to the doctor late, infectious and bacterial complications may develop, up to sepsis. This is due to the fact that the dead fetus releases a large amount of toxins into the blood, its decomposition occurs. In extreme cases, death is possible.