Stillbirth

Question 1

Name 4 Risk Factors for Stillbirth.

Answer 1

Maternal Age
Nulliparity
Maternal Smoking
High BMI
Hypertensive Disorders

Question 2

Name five investigations you would order as part of a complete stillbirth work-up:

Answer 2

1. CBC
2. Neirhaus
3. Hgb A1c
4. Serology: parvo, CMV, toxo, rubella, TORCH, herpes
5. Placental pathology
6. Fetal pathology and chromosomes
7. Blood group and antibodies
8. Hemoglobin electrophoresis (if alpha thal on ddx)
9. Karyotype both parents if recurrent losses
10. Thrombophilia workup 6-8 weeks post-delivery (to allow protein S to normalize)