Let’s End the Silence Around Stillbirth - Healthy Newborn Network (2024)

A post from the Stillbirth Advocacy Working Group stillbirths series by
Lauren Christiansen-Lindquist

Stillbirths, pregnancy losses that happen after 20 weeks’ gestation, affect nearly 24,000 families in the United States each year. For every baby who dies of SIDS (sudden infant death syndrome), approximately 10 babies are stillborn. Despite the frequency of these tragic losses, stillbirth receives little attention, and families often feel stigmatized.

Through my research, I have met with a number of families who have suffered a stillbirth. I’d like to walk you through a story, which though fictitious, describes a scenario that occurs far too often.

After months of trying to get pregnant, a couple is thrilled to see two pink lines on a pregnancy test. Having comforted numerous friends who suffered a miscarriage, they remain cautious through the first trimester. The second trimester ushers in relief. They share their news and begin making plans for the nursery. As her belly grows, so does their anticipation – they can’t wait to become a family of three!

She’s now approaching her due date. While running errands, she realizes that she hasn’t felt the baby move recently. She goes home to rest, but still doesn’t feel anything. She rushes to her doctor’s office, and eagerly awaits the familiar sound of her baby’s heartbeat through the Doppler. The doctor, unable to find a heartbeat, calmly explains that the baby might be in an awkward position. She is sent for an ultrasound, and in the dimly lit room, she learns that her baby has died. The baby who checked out so perfectly at every appointment. The baby she and her partner had longed for. That baby was gone.

She faces the harsh reality of sharing the news with her partner, family, and friends. She must also endure delivery. Whether vagin*lly or by C-section, giving birth to death is far more painful than she ever could have imagined.

Her time in the hospital is a blur. She meets her perfect baby girl and cannot comprehend how, or why, this happened. She and her partner console each other, snap a few family photographs, and finally say goodbye to their daughter.

Some loved ones visit and deliver meals. Others aren’t sure what to do: “I can’t mention the baby, it will surely upset them.” Weeks and months pass, some friends still talk about the baby, while more and more avoid the subject. Meanwhile, they miss their baby girl every minute of every day. They talk about what could have been but are periodically silenced by someone who tells them that they can just “try again.”

They might have another baby – or not – but their daughter is irreplaceable. They never stop missing her. They celebrate her each year on her birthday. They mourn the missed milestones. They are forever changed, yet many of their loved ones can’t understand that they are no longer who they were before these walls came crashing down.

We have a script, albeit imperfect, for what to do when someone’s grandparent, parent, or spouse dies. Unfortunately, we stumble blindly when someone loses a child, particularly one who never took a breath. Our failure to talk about stillbirth is harmful both to families who endure these devastating losses and to those of us who know them.

The overwhelming message from bereaved families is that their babies are loved and missed each and every day. Let’s comfort grieving parents and give them space to talk about their babies if they’d like. Let’s acknowledge their pain and recognize that they have been irreversibly changed. Let’s honor these families, and their babies, by ending the silence around stillbirth.

Featured photo: Stacey and Sean Dinburg, whose daughter Rhyan Ava was born sleeping in 2014. Photo credit:Gabrielle Matarazzo.

This post from a member of the Stillbirth Advocacy Working Group (SAWG) reflects the perspective of the author alone; it does not represent the views of the SAWG.

Resources for families who have suffered a stillbirth

Resources for supporting a family after stillbirth

The Stillbirth Advocacy Working Group was founded by the Partnership for Maternal, Newborn and Child Health, and is co-chaired by the International Stillbirth Alliance and the London School of Hygiene & Tropical Medicine. Email co-chairs Hannah Blencowe or Susannah Leisher at hannah-jayne.blencowe@lshtm.ac.uk or shleisher@aol.com to learn more, or sign up to join the group here!

Let’s End the Silence Around Stillbirth - Healthy Newborn Network (2024)

FAQs

How do you end up having a stillborn? ›

More About Stillbirth
  1. Birth defects.
  2. Abnormal chromosomes.
  3. Infection in the mother or fetus.
  4. Injuries.
  5. Long-term (chronic) health conditions in the mother (such as diabetes, epilepsy, or high blood pressure)
  6. Problems with the placenta that prevent the fetus from getting nourishment (such as placental detachment)

What happens to a mother after stillbirth? ›

Many people experience feelings of guilt or anxiety following the loss of their baby. Some parents experience depression or post-traumatic stress disorder (PTSD).

What happens to the baby during stillbirth? ›

A stillbirth is when a fetus dies after the 20th week of pregnancy. Many people imagine a stillbirth as a single moment when a baby's born with no heartbeat. But most stillbirths happen in the uterus. Although it happens, the fetus rarely dies during labor.

What is the summary of stillbirth? ›

A baby who dies after 28 weeks of pregnancy, but before or during birth, is classified as a stillbirth. There are nearly 2 million stillbirths every year – one every 16 seconds.

Are there warning signs of stillbirth? ›

The most common symptom of stillbirth is when you stop feeling your baby moving and kicking. Others include cramps, pain or bleeding from the vagin*. Call your health care provider right away or go to the emergency room if you have any of these conditions.

How long can you keep a stillborn baby? ›

How long can you keep a stillborn baby? Generally, it is medically safe for the mother to continue carrying her baby until labor begins which is normally about 2 weeks after the baby has died. This lapse in time can have an effect on the baby's appearance at delivery and it is best to be prepared for this.

How do you say goodbye to a stillborn baby? ›

Saying goodbye to your stillborn baby through a ceremony

Planning a funeral or memorial for your stillborn baby can be a special way to commemorate their memory. If your baby was born after 24 weeks of pregnancy, or was born alive at any stage of pregnancy, you're legally required to bury or cremate your baby's body.

What are the triggers after a stillbirth? ›

“There will be triggers – pregnant women, prams, newborn cries – but try to accept your feelings of jealously and sadness in these moments as normal and know that the intensity of these feelings will wane and in time change.”

Can you take a stillborn baby home? ›

Some parents decide to take their baby home with them. Legally you can do this, unless a coroner or procurator fiscal has ordered a post-mortem.

What is the blame of stillbirth? ›

In some cultures, stillbirths are perceived as the mother's fault, resulting in public shaming or individual feelings of guilt or shame that prevent public mourning of their loss. The lack of opportunity to publicly grieve can cause stillbirths to be considered “non-events”.

What is the difference between a stillborn and a stillbirth? ›

Is stillborn and stillbirth the same? Stillborn (stillbirth) means the death of a baby before birth. This can occur before or during the delivery of the baby. About 1% of pregnancies overall result in stillbirth, meaning that there are about 24,000 stillbirths each year in the U.S.

Why does a stillborn baby have to be delivered? ›

Even though there is no risk to the baby in the case of stillbirth, there is still a higher risk of the mother requiring difficult interventions, possibly even surgery, if the baby's head did not deliver after the body.

How traumatic is stillbirth? ›

Of this sample, the vast majority of women had experienced a stillbirth, with the average loss being occurring around Week 28 of pregnancy. Horesh was astounded by his findings. “Over 40 percent of women in our sample had full-blown post-traumatic stress disorder (PTSD), which is very, very high.

Can a stillborn baby be revived? ›

Like the two earlier papers, this report provides surprisingly encouraging data. Most babies born unexpectedly without a heartbeat can be successfully resuscitated in the delivery room. Of those successfully resuscitated, 48% survive with normal outcome or mild-moderate disability.

What is the most common cause of stillbirth? ›

Pregnancy and labor complications, such as preterm labor; pregnancy with twins or triplets; and the separation of the placenta, which provides oxygen and nutrition to the fetus, from the womb (also called “placental abruption”). These were more common causes of stillbirths before 24 weeks of pregnancy.

What are the common causes of stillbirth? ›

Pregnancy and labor complications, such as preterm labor; pregnancy with twins or triplets; and the separation of the placenta, which provides oxygen and nutrition to the fetus, from the womb (also called “placental abruption”). These were more common causes of stillbirths before 24 weeks of pregnancy.

What increases the chances of stillbirth? ›

Increased risk

having a baby who doesn't grow as they should in the womb. being under 20 or over 35 years old. smoking, drinking alcohol or misusing drugs while pregnant. being obese – having a body mass index of 30 or above.

How can stillbirth be prevented? ›

Reducing the risk of stillbirth
  1. Go to all your antenatal appointments. It's important not to miss any of your antenatal appointments. ...
  2. Eat healthily and keep active. ...
  3. Stop smoking. ...
  4. Avoid alcohol in pregnancy. ...
  5. Go to sleep on your side. ...
  6. Tell your midwife about any drug use. ...
  7. Have the flu jab. ...
  8. Avoid people who are ill.

What week is stillbirth most common? ›

At or after 40 weeks, the risk of stillbirth increases, especially for women 35 or older. Their risk, research shows, is doubled from 39 weeks to 40 and is more than six times as high at 42 weeks.

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