Management of stillbirth delivery
Abstract Stillbirth is a common adverse outcome of pregnancy. Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age a...
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| Veröffentlicht in: | Seminars in perinatology 2015-10, Vol.39 (6), p.501-504 |
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| container_title | Seminars in perinatology |
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| creator | Chakhtoura, Nahida A., MD, MsGH Reddy, Uma M., MD, MPH |
| description | Abstract Stillbirth is a common adverse outcome of pregnancy. Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age and prior uterine surgery. Expectant management is a viable option for women and families who desire it and do not have any contraindications. In the second trimester, misoprostol induction and dilatation and evacuation are effective in the evacuation of the uterus. In the third trimester, induction of labor with prostaglandins, mechanical dilators, and augmentation with oxytocin is appropriate. Care should be taken with women with prior cesarean delivery; prostaglandins ideally should be avoided. Delivery by cesarean section should be performed selectively, i.e., when there is a maternal indication. |
| doi_str_mv | 10.1053/j.semperi.2015.07.016 |
| format | Article |
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Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age and prior uterine surgery. Expectant management is a viable option for women and families who desire it and do not have any contraindications. In the second trimester, misoprostol induction and dilatation and evacuation are effective in the evacuation of the uterus. In the third trimester, induction of labor with prostaglandins, mechanical dilators, and augmentation with oxytocin is appropriate. Care should be taken with women with prior cesarean delivery; prostaglandins ideally should be avoided. Delivery by cesarean section should be performed selectively, i.e., when there is a maternal indication.</description><identifier>ISSN: 0146-0005</identifier><identifier>EISSN: 1558-075X</identifier><identifier>DOI: 10.1053/j.semperi.2015.07.016</identifier><identifier>PMID: 26341069</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abortion, Induced - methods ; Adult ; Cesarean Section - methods ; Contraindications ; Directive Counseling ; Female ; Gestational Age ; Humans ; intrauterine fetal death ; management ; Misoprostol - administration & dosage ; Mothers - psychology ; Neonatal and Perinatal Medicine ; Oxytocics - administration & dosage ; Oxytocin - administration & dosage ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Prostaglandins - administration & dosage ; stillbirth ; Stillbirth - psychology ; Time Factors ; Urinary Catheterization - methods ; Vaginal Birth after Cesarean</subject><ispartof>Seminars in perinatology, 2015-10, Vol.39 (6), p.501-504</ispartof><rights>2015</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-97c402f6e0cb1622a5d2d6c4d581886348c1e9aab8e75cd28f57e8ddac2025273</citedby><cites>FETCH-LOGICAL-c490t-97c402f6e0cb1622a5d2d6c4d581886348c1e9aab8e75cd28f57e8ddac2025273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.semperi.2015.07.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26341069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chakhtoura, Nahida A., MD, MsGH</creatorcontrib><creatorcontrib>Reddy, Uma M., MD, MPH</creatorcontrib><title>Management of stillbirth delivery</title><title>Seminars in perinatology</title><addtitle>Semin Perinatol</addtitle><description>Abstract Stillbirth is a common adverse outcome of pregnancy. Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age and prior uterine surgery. Expectant management is a viable option for women and families who desire it and do not have any contraindications. In the second trimester, misoprostol induction and dilatation and evacuation are effective in the evacuation of the uterus. In the third trimester, induction of labor with prostaglandins, mechanical dilators, and augmentation with oxytocin is appropriate. Care should be taken with women with prior cesarean delivery; prostaglandins ideally should be avoided. Delivery by cesarean section should be performed selectively, i.e., when there is a maternal indication.</description><subject>Abortion, Induced - methods</subject><subject>Adult</subject><subject>Cesarean Section - methods</subject><subject>Contraindications</subject><subject>Directive Counseling</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>intrauterine fetal death</subject><subject>management</subject><subject>Misoprostol - administration & dosage</subject><subject>Mothers - psychology</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Oxytocics - administration & dosage</subject><subject>Oxytocin - administration & dosage</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy Trimester, Third</subject><subject>Prostaglandins - administration & dosage</subject><subject>stillbirth</subject><subject>Stillbirth - psychology</subject><subject>Time Factors</subject><subject>Urinary Catheterization - methods</subject><subject>Vaginal Birth after Cesarean</subject><issn>0146-0005</issn><issn>1558-075X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTtPwzAQxy0EoqXwEUBlY0k4O7HjLCBU8ZJADIDEZjn2BRzyKHZaqd-eVC0MLCx3y_-h-x0hxxRiCjw5r-KAzRy9ixlQHkMWAxU7ZEw5lxFk_G2XjIGmIgIAPiIHIVQASZpT2CcjJpKUgsjH5PRRt_odG2z7aVdOQ-_qunC-_5harN0S_eqQ7JW6Dni03RPyenP9MruLHp5u72dXD5FJc-ijPDMpsFIgmIIKxjS3zAqTWi6plEOfNBRzrQuJGTeWyZJnKK3VhgHjLEsm5GyTO_fd1wJDrxoXDNa1brFbBEWzRAgJacoHKd9Ije9C8FiquXeN9itFQa3pqEpt6ag1HQWZGugMvpNtxaJo0P66fnAMgsuNAIdDlw69CsZha9A6j6ZXtnP_Vlz8STC1a53R9SeuMFTdwrcDRUVVYArU8_pF6w9RPkwp8-QbNFWMDA</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Chakhtoura, Nahida A., MD, MsGH</creator><creator>Reddy, Uma M., MD, MPH</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Management of stillbirth delivery</title><author>Chakhtoura, Nahida A., MD, MsGH ; Reddy, Uma M., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-97c402f6e0cb1622a5d2d6c4d581886348c1e9aab8e75cd28f57e8ddac2025273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abortion, Induced - methods</topic><topic>Adult</topic><topic>Cesarean Section - methods</topic><topic>Contraindications</topic><topic>Directive Counseling</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>intrauterine fetal death</topic><topic>management</topic><topic>Misoprostol - administration & dosage</topic><topic>Mothers - psychology</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Oxytocics - administration & dosage</topic><topic>Oxytocin - administration & dosage</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy Trimester, Third</topic><topic>Prostaglandins - administration & dosage</topic><topic>stillbirth</topic><topic>Stillbirth - psychology</topic><topic>Time Factors</topic><topic>Urinary Catheterization - methods</topic><topic>Vaginal Birth after Cesarean</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chakhtoura, Nahida A., MD, MsGH</creatorcontrib><creatorcontrib>Reddy, Uma M., MD, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chakhtoura, Nahida A., MD, MsGH</au><au>Reddy, Uma M., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of stillbirth delivery</atitle><jtitle>Seminars in perinatology</jtitle><addtitle>Semin Perinatol</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>39</volume><issue>6</issue><spage>501</spage><epage>504</epage><pages>501-504</pages><issn>0146-0005</issn><eissn>1558-075X</eissn><abstract>Abstract Stillbirth is a common adverse outcome of pregnancy. Management should be individualized based on gestational age, maternal condition, prior uterine surgery, availability of skilled professionals, and maternal desires. This article discusses available data on management by gestational age and prior uterine surgery. Expectant management is a viable option for women and families who desire it and do not have any contraindications. In the second trimester, misoprostol induction and dilatation and evacuation are effective in the evacuation of the uterus. In the third trimester, induction of labor with prostaglandins, mechanical dilators, and augmentation with oxytocin is appropriate. Care should be taken with women with prior cesarean delivery; prostaglandins ideally should be avoided. Delivery by cesarean section should be performed selectively, i.e., when there is a maternal indication.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26341069</pmid><doi>10.1053/j.semperi.2015.07.016</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abortion, Induced - methods Adult Cesarean Section - methods Contraindications Directive Counseling Female Gestational Age Humans intrauterine fetal death management Misoprostol - administration & dosage Mothers - psychology Neonatal and Perinatal Medicine Oxytocics - administration & dosage Oxytocin - administration & dosage Practice Guidelines as Topic Pregnancy Pregnancy Trimester, Second Pregnancy Trimester, Third Prostaglandins - administration & dosage stillbirth Stillbirth - psychology Time Factors Urinary Catheterization - methods Vaginal Birth after Cesarean |
| title | Management of stillbirth delivery |
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