Stillbirth evaluation: a stepwise assessment of placental pathology and autopsy

American Journal of Obstetrics and Gynecology
Emily S MillerLinda M Ernst

Abstract

The American Congress of Obstetricians and Gynecologists places special emphasis on autopsy as one of the most important tests for evaluation of stillbirth. Despite a recommendation of an autopsy, many families will decline the autopsy based on religious/cultural beliefs, fear of additional suffering for the child, or belief that no additional information will be obtained or of value. Further, many obstetric providers express a myriad of barriers limiting their recommendation for a perinatal autopsy despite their understanding of its value. Consequently, perinatal autopsy rates have been declining. Without the information provided by an autopsy, many women are left with unanswered questions regarding cause of death for their fetus and without clear management strategies to reduce the risk of stillbirth in future pregnancies. To avoid this scenario, it is imperative that clinicians are knowledgeable about the benefit of autopsy so they can provide clear information on its diagnostic utility and decrease potential barriers; in so doing the obstetrician can ensure that each family has the necessary information to make an informed decision. We sought to quantify the contribution of placental pathologic examination and autopsy in id...Continue Reading

References

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Citations

Jul 26, 2018·Journal of Perinatal Medicine·Roberto RomeroOffer Erez
Sep 20, 2018·Journal of Perinatal Medicine·Percy PacoraNicholas Kadar
Jan 29, 2020·Journal of Perinatal Medicine·Maria PekkolaVedran Stefanovic
Mar 1, 2018·Current Opinion in Obstetrics & Gynecology·Jessica M Page, Robert M Silver
Sep 23, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Bobby D O'LearyPaul Downey
Jan 13, 2018·BMC Pregnancy and Childbirth·Paul Richard Cassidy
May 1, 2018·The Cochrane Database of Systematic Reviews·Aleena M WojcieszekVicki Flenady
Mar 24, 2017·Obstetrics and Gynecology·Jessica M PageRobert M Silver
Dec 29, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Line Leduc
Sep 4, 2020·Archives of Pathology & Laboratory Medicine·Irene Maria BeuneSanne Jehanne Gordijn
Apr 20, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jessica K SextonVicki Flenady

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