Rationalizing definitions and procedures for optimizing clinical care and public health in fetal death and stillbirth

K. S. Joseph, Brooke Kinniburgh, Jennifer A. Hutcheon, Azar Mehrabadi, Leanne Dahlgren, Melanie Basso, Cheryl Davies, Lily Lee

Producción científica: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

20 Citas (Scopus)

Resumen

Despite the recent focus on stillbirth, there remains a profound need to address problems associated with the definitions and procedures related to fetal death and stillbirth. The current definition of fetal death, first proposed in 1950, needs to be updated to distinguish between the timing of fetal death (which has etiologic and prognostic significance) and the timing of stillbirth (ie, the delivery of the dead fetus). Stillbirth registration procedures, modeled after live birth registration and not death registration, also need to be modernized because they can be an unnecessary burden on some grieving families. The problems associated with fetal death definitions and stillbirth-associated procedures are highlighted by selective fetal reduction in multifetal pregnancy; in many countries, the fetus reduced at 10-13 weeks of gestation and delivered at term gestation requires stillbirth registration and a burial permit even if fetal remains cannot be identified. An international consensus is needed to standardize the definition of reportable fetal deaths; ideally this should be based on the timing of fetal death and should address the status of pregnancy terminations. In this article, we list propositions for initiating an international dialogue that will rationalize fetal death definitions, registration criteria, and associated procedures, and thereby improve clinical care and public health.

Idioma originalEnglish
Páginas (desde-hasta)784-788
Número de páginas5
PublicaciónObstetrics and Gynecology
Volumen125
N.º4
DOI
EstadoPublished - abr. 24 2015
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

ASJC Scopus Subject Areas

  • Obstetrics and Gynaecology

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