How long can a woman get pregnant after stillbirth
Having a stillbirth can change your outlook on pregnancy forever. Doctors and moms who now have their own rainbow babies tell you what to expect. These pregnancy losses are often random events due to placental issues, chromosomal abnormalities , or other complications, and the chance of recurrence is low. Read on to learn how real moms and doctors have dealt with pregnancy after stillbirth, with tips for getting through the nine months ahead. NICU nurse Stacy Schultz, who lost her twins when they were born at just 20 weeks , is familiar with powerful emotions.
SEE VIDEO BY TOPIC: How long does healing take after having a stillborn & D&E surgery?Content:
Managing Pregnancy After Stillbirth
Conceiving within a year of stillbirth is common and is not associated with increased risk of stillbirth, preterm birth, or small-for-gestational-age birth in the following pregnancy, compared with an interpregnancy interval of at least two years. The results are from the first large-scale observational study to investigate the interval between stillbirth and subsequent pregnancy, including almost 14, births in women from Australia, Finland and Norway who had a stillbirth in their previous pregnancy.
The findings are published in The Lancet. The World Health Organization WHO recommends that women wait at least two years after a livebirth and at least 6 months after a miscarriage or induced abortion before conceiving again, but there is no guidance for the optimal interval after a stillbirth because there is limited evidence in this area.
Our findings provide valuable evidence for recommended pregnancy spacing after a stillbirth," says study author Dr Annette Regan, Curtin University, Australia. We hope that our findings can provide reassurance to women who wish to become pregnant or unexpectedly become pregnant shortly after a stillbirth.
The study used birth records spanning 37 years from Finland, Norway, and Australia to investigate intervals between pregnancies and the risk of subsequent stillbirth, preterm birth, and small-for-gestational-age birth. The authors note that these countries have access to universal health care and free antenatal care, and the populations are primarily white, so the findings might not be generalisable to low- or middle-income countries, countries without access to universal health care, or ethnic minority groups.
The study included singleton births only, and stillbirths following 22 or more weeks' gestation. The interpregnancy interval was calculated from the delivery date of the past birth or stillbirth and the start of the next pregnancy delivery date of next pregnancy minus gestational age at birth , and was categorised as less than 6 months, months, months, months, and more than 59 months.
Overall, the study included 14, births among mothers who had a stillbirth in their previous pregnancy 4, in Finland, 6, in Norway, and 3, in Australia. Results were compared with 1,, births following a previous livebirth from the three countries , in Finland, , in Norway, and , in Australia.
For women who had experienced stillbirth in their last pregnancy, intervals shorter than 12 months were not associated with increased risk of subsequent stillbirth, preterm birth, or small-for-gestational-age birth, compared with an interpregnancy interval of months.
This trend remained the same when adjusted for maternal age, number of previous births, and decade of delivery. The authors also noted no difference in the association between interpregnancy interval and birth outcomes based on the gestational length of the previous stillbirth. Short interpregnancy intervals were more common after stillbirth than after livebirth -- the median interpregnancy interval after a stillbirth was 9 months, compared with 25 months after a livebirth.
The authors note the difference in optimal intervals following livebirth and stillbirth. Dr Regan explains: "Although the mechanism linking interpregnancy interval and perinatal health is unclear, previous research offers several hypotheses, including depleted nutrition from past pregnancy, cervical insufficiency, and breastfeeding-pregnancy overlap in closely spaced pregnancies.
Without sufficient time to recover from a previous pregnancy, women may be at increased risk of entering a reproductive cycle with poor nutritional status, which has been linked to increased risk of fetal growth restriction and birth defects. Such nutritional depletion might not occur to the same extent after a pregnancy loss, and this may affect the optimal interpregnancy interval, explaining why it may be different after stillbirth and livebirth.
The authors note that other factors that they could not study such as maternal chronic medical conditions, pregnancy intention, use of assisted reproductive technology, cause of previous stillbirth, or socioeconomic status may have affected their findings. They also add that women who conceive soon after a previous pregnancy might be healthier and more fertile than women who conceive later and therefore could be less prone to adverse birth outcomes.
Within the study, information on miscarriages or induced abortions was not available, which could have led to overestimation of interpregnancy interval in some women. Lastly, the authors note that although this is largest study of its kind, only women had recurrent stillbirths, which means the analyses for this group are limited due to small numbers.
Replication of the study in a larger group would be informative. Writing in a linked Comment, Mark A Klebanoff, The Research Institute at Nationwide Children's Hospital, USA, says: "The results of this study, in conjunction with results of studies of pregnancy interval after early loss and with findings of studies using new approaches to study interval after a livebirth, suggest that interpregnancy interval might be less important than previously assumed, at least in women in high-income regions.
Rather than adhering to hard and fast rules, clinical recommendations should consider a woman's current health status, her current age in conjunction with her desires regarding child spacing and ultimate family size, and particularly following a loss, her emotional readiness to become pregnant again. Materials provided by The Lancet. Note: Content may be edited for style and length. Science News. Story Source: Materials provided by The Lancet. Journal Reference : Annette K Regan et al.
Association between interpregnancy interval and adverse birth outcomes in women with a previous stillbirth: an international cohort study. The Lancet , DOI: ScienceDaily, 28 February The Lancet. Conceiving within a year of stillbirth does not increase risks for next pregnancy.
Retrieved May 20, from www. Researchers in Western Australia analyzed data from nearly 60, births that occurred during the southern Below are relevant articles that may interest you. ScienceDaily shares links with scholarly publications in the TrendMD network and earns revenue from third-party advertisers, where indicated. Boy or Girl? Living Well. View all the latest top news in the environmental sciences, or browse the topics below:.
When Is It Safe to Conceive After Stillbirth?
Conceiving within a year of stillbirth is common and is not associated with increased risk of stillbirth, preterm birth, or small-for-gestational-age birth in the following pregnancy, compared with an interpregnancy interval of at least two years. The results are from the first large-scale observational study to investigate the interval between stillbirth and subsequent pregnancy, including almost 14, births in women from Australia, Finland and Norway who had a stillbirth in their previous pregnancy. The findings are published in The Lancet. The World Health Organization WHO recommends that women wait at least two years after a livebirth and at least 6 months after a miscarriage or induced abortion before conceiving again, but there is no guidance for the optimal interval after a stillbirth because there is limited evidence in this area. Our findings provide valuable evidence for recommended pregnancy spacing after a stillbirth," says study author Dr Annette Regan, Curtin University, Australia.
What is right for one couple might not be for another. You may not feel ready to even read this, while another couple may want try for another baby as soon as possible. Talk together as a couple, but don't be surprised if one of you feels ready before the other. It can be normal for sexual relations to be affected following stillbirth Talk to each other and seek advice from your GP or practice nurse if this persists.
Pregnancy after Stillbirth – What to Expect
If you experienced a stillbirth, you spent many months expecting to have a baby—and even though you are still grieving that loss, you may desperately want a baby. You might feel that a new pregnancy is the only way you will be able to move on from what happened. Others feel differently and want to take much more time before trying again—any reaction is okay. There really is no solid medical evidence that suggests you need to wait a specific amount of time before you conceive after a stillbirth. That being said, some studies suggest that a pregnancy with a due date around the anniversary of your stillbirth might increase the risk of high levels of anxiety or post-traumatic stress disorder. Other studies suggest that most women will report fewer psychological after-effects from pregnancy loss within a year. With this knowledge, some experts suggest that a wait-period of six to twelve months is sensible. Overall, though, deciding on the interval of time to conceive again is really a personal decision, one that requires you and your partner to be psychologically and emotionally ready. Also, remember that what is right for one couple might not be right for another.
Going Back to Work After a Pregnancy Loss
Pregnancy brings so many hopes in your life. But all these hopes may end in vain if your baby is born stillbirth. Stillbirth is when a baby dies before or after the birth. Of course, it is hard for any woman to recover from the loss of her child, but it is not the end. You can try to get pregnant again.
After experiencing the trauma of a stillbirth, Lemara worried about what would happen during her next pregnancy. Unfortunately, there was nothing the doctors could do to save my pregnancy. When it was time to deliver Robyn, I was admitted to a special bereavement suite away from other mothers and babies. My room for the night was designed to be more homely and my partner Jon was allowed to stay with me.
Trying for another baby after a stillbirth
The advice is fairly clear when it comes to conceiving again after having a baby. When is it safe to start trying again? Experts suggest that women are assessed on an individual basis to determine their readiness — both physically and emotionally — to try again. But some new research on conceiving and having babies after stillbirth provides some much-needed scientific evidence on trying for a baby after this sort of loss.
Basic information for topics, such as "What is it? Some families decide that they want to have another baby in the future despite the difficult experience of a stillbirth. Most women who get pregnant after stillbirth go on to give birth to healthy babies. It is best to discuss the situation with a health care provider to understand any risks and concerns. If a family does decide to try to have another baby, the health care provider may take certain precautions to help minimize risk. On average, women who have one stillbirth are two to 10 times more likely to have another stillbirth than are women who have not had a stillbirth.
Pregnancy After Stillbirth: What to Expect and How to Cope
My husband and I lost our daughter Genevieve to stillbirth in Before we had even left the hospital, I was pleading with him to try for another baby. I didn't think about the journey ahead of me, only my goal of bringing home a healthy baby. At first, I was terrified to get a positive pregnancy test. How could I survive nine months of another pregnancy now that I had experienced the worst that could happen at the end of it?
Suffering a miscarriage is heartbreaking, and millions of women around the world experience it. But it is possible for miscarriage to occur later in pregnancy, or for complications during pregnancy to lead to a stillbirth. A stillbirth is defined as the death of a baby after weeks gestation.
Pregnancies shortly after a stillbirth were not linked with an increased risk of adverse outcomes compared to those where women waited longer to conceive, researchers found. Overall, researchers analyzed data from 14, singleton births among mothers with a stillbirth in a previous singleton pregnancy. Median interpregnancy interval after still birth was 9 months versus 25 months after a live birth.
Target Audience and Goal Statement: Obstetricians, gynecologists, pediatricians, family physicians, primary care physicians. The goal was to assess the association between interpregnancy interval after stillbirth and birth outcomes in the subsequent pregnancy. What were the risks between the inter-pregnancy interval after a stillbirth and the risks of preterm birth, small-for-gestational-age birth, and stillbirth in a subsequent pregnancy?
Monday, February 03, My first pregnancy ended tragically — after several hours of attempting natural birth I gave birth to a baby girl via C-section. This happened in late June I did a total check-up and everything is fine, but I need to take care of my insulin so I am taking Inofolic preventatively. Also, I did both vaginal and stomach ultrasounds which showed everything is OK.