Wednesday, December 31, 2008

Welcome

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Saturday, June 7, 2008

'No stillbirth link' to Caesarean

Having a Caesarean does not raise the risk of a stillbirth in a subsequent pregnancy, a study has found.

The University of Calgary study contradicts previous research which suggested an increased risk.

The study suggests a mother's obesity - not whether she has a Caesarean - may instead be the key factor.

The study, which appears in the journal BJOG, suggests that previous research has failed to take this factor properly into account.

Our study strongly suggests that previous Caesarean section does not increase the risk of stillbirth in subsequent pregnancies

However, health professionals advise woman not to opt for a Caesarean lightly, as it is a major surgical procedure, with a risk of complications.

Researcher Dr Stephen Wood said the finding was particularly important as the number of Caesareans had increased in recent years.

He said obesity had been consistently linked to both Caesareans and stillbirths, but it had proved difficult to tease out its independent effect on each.

Confounding factors
The Calgary study examined 157,029 second births, and took potentially confounding factors, such as maternal weight, into consideration.

Once they had done that they found that, among women who had previously had a Caesarean, the stillbirth rate was 2.1 per 1,000, compared with 1.6 per 1,000 in women who had no Caesarean history - not a statistically significant difference.

The researchers admit that they were not able to completely account for maternal weight, but had done so far more than previous research.

Dr Wood said: "Our study strongly suggests that previous Caesarean section does not increase the risk of stillbirth in subsequent pregnancies.

"Although previous research has made a link between the two, it is likely that maternal obesity played a part as it was not controlled for."

Professor Philip Steer, editor-in-chief of BJOG, said: "Caesarean section rates are increasing across the developed world and the increase in risks for subsequent pregnancies have been well-documented.

"The increase in stillbirth risk previously reported was especially concerning, so it is somewhat reassuring that the study by Dr Wood and his team suggests that this may have been due to the confounding factor of maternal obesity."

Link to story

Thursday, May 8, 2008

Stillbirth rate not coming down

The number of stillbirths remains stubbornly high, a report says.

The Confidential Enquiry into Maternal and Child Health (CEMACH) study blames factors such as obesity, social deprivation and mother's age.

In 2006 the stillbirth rate in England, Wales and Northern Ireland was 5.3 per 1,000 total births, compared to 5.4 per 1,000 in 2000.

However, the report found there has been a reduction in the number of babies dying in the month after birth.

These neonatal deaths went from 3.9 per 1,000 live births in 2000 to 3.4 per 1,000 in 2006.

These new figures confirm that more research is desperately needed into finding the causes of stillbirth, so that more babies lives can be saved

The number of babies dying in the neonatal period from twin pregnancies has also fallen, from 22.3 per 1,000 births in 2000 to 19.3 per 1,000 births in 2006.
The report also highlights the poor uptake of post-mortem examinations for stillbirths (38% in 2006 compared with 48% in 2000) as one key reason why the cause of so many stillbirths is still unknown. More

Saturday, April 19, 2008

San Fransisco Chronicle Stories

CALLING ALL ANGELS

The stillbirth of a baby is a devastating occurrence. When are we going to find out why it happens? And when will we start talking about it?

THE LOSS
Life changes when you see a pair of pink lines on a pregnancy test strip. If it's good news, your life becomes a 38-week countdown to holding your future, safely swaddled in your arms. You read books, you post sonogram pictures on the fridge, you make plans for a nursery, you put your name on child care center waiting lists.

[Listen to Podcast]

You don't plan for the doctor to tell you your future has no heartbeat. You don't plan to deliver a baby who will never open his eyes. You don't plan on coming home with an urn of ashes instead of a bag of diapers. (continue reading)


HOPE WITH A HEARTBEAT

With worry a constant companion, the author embarks on another pregnancy, post-stillbirth

It can't happen again.

That's what my doctor told me. She said stillbirth is such a rare occurrence that it never happens twice.

I knew she was wrong. I'd seen the stories of women with multiple losses on online message boards. I'd read studies showing women who have had one stillbirth are at an increased risk for another.

Besides, if subsequent losses weren't possible, why designate women with a prior stillbirth as high risk or recommend increased fetal monitoring? Is it because no doctor wants to be blamed for overlooking something a second time around? Or is it because women with a loss begin to question the gap in knowledge in a system they trusted with the lives of their babies?
I didn't say anything to her. I didn't know how.

I knew my doctor said it to reassure me that this time my baby would live. She didn't want me to worry.

What she didn't realize, and what every parent who has lost a child knows to be the only hard-and-fast rule of a subsequent pregnancy, is that worry and doubt are as constant a companion as prenatal vitamins. Nothing a doctor says or does causes the worry.

It has been there since the first time I thought about getting pregnant again.

It will be there until I hold a living, breathing baby in my arms.

Nine months is a long time to wait to find out if this time it'll be different. It's hell. But hell with hope and a heartbeat.
(continue reading)

Helping with a Research Project

We are conducting a study about medical bad news delivery and the communication between patient and care provider. We are particularly interested in looking at communication about stillbirth diagnosis as well as parents who have had a neonatal death (death of a baby less than 28 days after birth) or a pregnancy loss diagnosis. We are hoping to learn more about this kind of communication and offer insights to care-providers about the effects of these interactions.

We would like to express our sincere sympathy for your loss. If you are interested in sharing information about your diagnosis, we invite you to fill out a questionnaire about your experiences when you were given the news of the death of your baby. The survey is confidential. Data collected will be used in completion of a master’s program at San Francisco State University.

-This study is open to men and women 18 or older.
-The study is available online at: www.surveymonkey.com/nld

For more information, email Suzanne Pullen at spullen@sfsu.edu.

New Blogs Recently Submitted

A warm welcome to the following Bloggers:

Saturday, March 22, 2008

Blogs Recently Submitted

A warm welcome to the following Bloggers:

Saturday, February 23, 2008

Short film

You can see a short film named Stars made by Robert Stillman for his wife after the stillbirth of their son at 8 months here.

Update: thanks to the commenter who highlighted that this video has been removed. Hope some readers were able to view it before this happened.

Friday, February 15, 2008

New Finding May Help Explain Development Of Preeclampsia

ScienceDaily (Feb. 11, 2008) — In a study of pregnant women, those with pregnancy-induced high blood pressure were found to have higher levels of a peptide that raises blood pressure in the pieces of tissue linking mother and fetus, according to researchers at Wake Forest University Baptist Medical Center. The finding, reported online in the journal Hypertension, may help explain how the disorder develops.

Preeclampsia, or high blood pressure induced by pregnancy, affects 7 to 10 percent of pregnancies in the United States and is the second-leading cause of maternal mortality. It is the leading cause of pre-term delivery and contributes significantly to stillbirths and death in newborns.

The researchers found that in women with preeclampsia, levels of angiotensin II (Ang II), a hormone that constricts blood vessels and causes blood pressure to rise, was doubled in the chorionic villi, part of the placenta that links mother and fetus and supplies food and oxygen.

"This finding may be part of the preeclampsia puzzle," said Lauren Anton, a graduate student who is first author on the research. "Anything that gets us closer to understanding this disease is important because there is no treatment and no cure and women are still delivering babies too early."

The researchers theorize that Ang II may restrict the fetal vessels that lie within the chorionic villi, which not only raises blood pressure, but also lowers oxygen and nutrient flow to the baby and may result in lower birth weight and other complications of preeclampsia.

The study involved 21 women with preeclampsia and 25 women without the disorder. After delivery, tissue sections were taken from the center of the placenta for analysis. More

KickTrak counts baby's kicks for you

February 11, 2008

The American Pregnancy Organization recommends that mothers-to- be pay close attention to the inter-uterine movements, rolls and kicks of their unborn child, as this is a good indication that all is well with their baby. If fetal movement changes significantly or there are less than ten movements within two hours it could be an indication of problems. Many obstetricians recommend daily monitoring, particularly from 26 weeks and there is good reason to do so, as stillbirths claim a shocking 70 lives per day in the United States.

Kick count is the term used to describe maternal counting and monitoring of fetal movements. It is recognized that it is a reliable and effective way to safely keep a close check on baby. Until now, kick-counting meant that mothers had to sit with pen and paper in hand to time their baby’s movements for a period of ten kicks, record the results and then compare the details with the previous timed periods. This is no easy task and most mothers can tell you about “pregnancy brain”, the total inability to concentrate on anything for more than a few minutes. Now they won’t need to, kickTrak is a handheld digital monitor which offers an innovative and easy solution to kick counting More

Sunday, February 3, 2008

Healing and hope through stillbirth research

The hardest day of Tara Adams' life was the day she returned home after giving birth last summer. Instead of carrying Kylie in her arms, Adams clung to tokens: molds of her stillborn daughter's hands, wisps of hair, a photograph. And she made plans to bury her baby.

Adams had a healthy pregnancy she felt her daughter kick just one week before her delivery one month early so one question was constant: "Why? Why would this happen?" the 31-year-old South Jordan mother of three recalls. "You almost think back, what did I do wrong? Did I do something I shouldn't have?"

To help parents nationwide seeking similar answers, the University of Utah is analyzing all stillbirths in Salt Lake County from 2006 through 2008 and attempting to pinpoint the many causes of death.

Most parents who lose their babies during pregnancy never find out the true cause. With almost 27,000 losses a year, stillbirth is 10 times more likely to happen than Sudden Infant Death Syndrome. But pregnancy loss remains largely unscrutinized in the United States. Doctors are hesitant to suggest autopsies. Insurance companies may not cover them. And there's an attitude that fetal death is "God's will," or is at least unavoidable.

For the thousands of parents who never get to bring their babies home, the research under way represents hope. Doctors can't prevent stillbirths if they don't know what caused them in the first place.

"Look at SIDS: SIDS deaths have dropped dramatically [since] they started doing research," says Rose Carlson, program director of the Missouri-based national office of Share Pregnancy and Infant Loss Support. "People haven't focused." The U. is doing its research as one of five universities in the Stillbirth Collaborative Research

The network is attempting to answer basic questions: How often does stillbirth occur? What are the causes, and what are the best protocols to investigate the deaths? Robert Silver, chief of the U.'s division of maternal and fetal medicine and principal investigator for Utah's portion of the study, notes researchers have done a better job of preventing infant death. Infant mortality dropped 35 percent from 1985 to 2001; stillbirth rates declined just 17 percent in the same time period. More

Wednesday, January 23, 2008

New Blogs Recently Submitted

A warm welcome to the following Bloggers:

Monday, January 21, 2008

Coffee "raises miscarriage risk"

Pregnant women should consider avoiding caffeine, say researchers who found even moderate consumption in early pregnancy raises the miscarriage risk.

Currently, the Food Standards Agency sets an upper limit during pregnancy of 300mg - or four cups of coffee a day. But an American Journal of Obstetrics and Gynaecology study found more than 200mg of caffeine a day doubled the risk compared to abstainers.

Experts said they would review the data to see if advice needed changing.

Pat O'Brien, consultant obstetrician and spokesman for the Royal College of Obstetricians and Gynaecologists, said based on the findings he would now be advising women in their first 12 weeks of pregnancy to abstain from caffeine altogether.

"The first 12 weeks is a very vulnerable time for the baby. It's when most miscarriages occur," he explained.

He said most women in early pregnancy went off the taste of caffeinated drinks anyway and so should not find abstaining from them too difficult. But he said it was unclear whether pregnant women needed to avoid caffeine in later pregnancy. More

Sunday, January 20, 2008

New Blogs Submitted

There have been a number of new blogs submitted recently. Please know that, due to time constraints of our volunteers, they have not yet been added. However, we will add them as soon as possible, and we appreciate your patience. If you are worried that your submission was not received, please email us for confirmation.

Tuesday, January 1, 2008

Book deals with joy and grief of twins

Book deals with joy and grief of twins
Frisco: After losing one daughter, mother chronicles feelings
12:00 AM CST on Thursday, December 27, 2007
By DAN X. McGRAW / Special Contributor to The Dallas Morning News


Jennifer Hander plays with daughters Alexa, 2, and Addison, 13 months, at their home in Frisco. Ms. Hander has published a book, A Place of Peace, about the loss of Alexa's twin, Alysa.
They show her first day and her last, and what could have been for the Hander family's first pregnancy.

But 28 days after she was born, Alysa died because of complications of twin-to-twin syndrome. Her sister, Alexa, survived.

"We thought we were having the perfect pregnancy," Jennifer Hander said. "We were scared and shocked when we found out."

As Ms. Hander cared for Alexa during the first year of her life, she chronicled her feelings of losing one of her twin daughters. This year, the Frisco mother published a book, A Place of Peace, that documents that journey.

The twins' condition was diagnosed six months into the pregnancy. The syndrome causes twins to share blood vessels throughout the pregnancy, and at some point, one baby transfers its blood to the other, Ms. Hander said.

The cause of the syndrome, which occurs only in identical twins, is not known, Ms. Hander said.
Like many new parents, the Handers were unaware of the syndrome. The twins were delivered an hour after their parents were told about it.

Doctors who delivered the twins predicted that the Handers had a 90 percent chance of losing one child and an 80 percent chance of losing both.

"We just hoped that things would be OK," Ms. Hander said.

Because of the sudden transfer of blood, Alysa was left with very little blood in her body, while Alexa had too much blood. Doctors at the Medical Center of Plano worked to correct both problems.

However, 28 days later, Alysa died in her mother's arms. During those days, Alysa suffered bleeding in her brain that proved fatal.

"You are living the two extremes," Ms. Hander said. "You are mourning the loss of one twin but celebrating the life of another. The other twin serves as the reminder of what you might have had."

Because of the critical condition of Alexa, doctors ordered Ms. Hander to remain at home for the first four months of Alexa's life, and visitors had to be diligent about washing their hands to avoid getting the baby sick, said Lex Hander, their father.

"We had to be very strict," Mr. Hander said. "It was definitely a time she [Jennifer Hander] surrendered herself."

As Ms. Hander watched Alexa, she jotted down her feelings and thoughts of losing Alysa. She began to confront her feelings head on. The journal eventually evolved into a book about her experience.

"I was hesitant to publish it at first, because it has my deepest, darkest thoughts," Ms. Hander said. "But I was able to get over that, and my hope is that people can see me as an example."
Ms. Hander said she hopes people who read the book can use it to confront their feelings of losing a twin or become educated about the syndrome.

"If I can help only one person, it was worth it."

As Alexa grows up, Ms. Hander is teaching and reminding her of her sister. Ms. Hander refers to Alysa as the other sister who is an angel to Alexa, and it isn't something she is about to give up.

"It is just something that I intend to raise her with," Ms. Hander said. "I don't want it to be something she would be distraught about later."