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Teaching presentation: Still Birth

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by

Sarah Anderson

on 17 December 2013

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Transcript of Teaching presentation: Still Birth

Teaching presentation: Still Birth
By: Sarah Anderson

What is Stillbirth?
An infant who, at birth, demonstrates no signs of life, such as breathing, heartbeat, or voluntary muscle movements
History and law's of Stillbirth
State laws require the reporting of fetal deaths, and Federal law mandates national collection and publication of fetal death data
Effect on the childbearing woman/family.
The parents will be devastated, some may grieve for months or years
The Crawford Family
This occurs after 20 weeks of pregnancy
Still birth occurs in about 1 and 160 pregnancies
What Causes stillbirth?
Birth defects
Placental problems
Poor fetal growth
infections
Chronic health conditions in the mother
Umbilical cord accidents

How is fetal death treated?
When stillbirth occurs prior to labor, the mother usually goes into labor spontaneously and delivers within two weeks
Labor many also be induced at any time after stillbirth is discovered using hormones and prostaglandins
Minnesota's definition of still birth: A fetal death report is
filed when a delivery resulting in stillbirth occurred in Minnesota and when at least 20 or more weeks of gestation had
elapsed before the delivery.
Who is at risk?
Women 35 years old or older
Malnutrition
Inadequate prenatal care
Smoking
Alcohol and drug abuse
Maternal obesity
Multiple gestation (twins or more)
African-American ancestry
Trauma
Post date pregnancy (longer than 42 weeks)

Preventions of stillbirth
A daily kick count

Avoid drugs, alcohol and smoking as these can increase your risk of stillbirth and other pregnancy complications.
Contact your health care provider immediately if you have any vaginal bleeding in the second half of pregnancy.
If you have had a previous stillbirth
Resources for families
Compassionate Friends
www.compassionatefriends.org


Missing GRACE Foundation
www.MissingGRACE.org
Bittersweet
Fairview ridges Hospital
on call: 612-672-7272.
Pregnancy and Newborn Loss Support Group
Center for Grief
www.griefloss.org
Now I law me down to sleep
https://www.nowilaymedowntosleep.org/

Nurses Role
The Professional’s Grief
It is normal to feel a sense of grief, lose, and powerlessness
Do not try to withdrawal from the situation this can cause communication barriers with parents
Attend the memorial service
Manage stress
Take breaks at work
Take time in your life for rest and relaxation
Learn and practice calming techniques
Acknowledge the loss
References
Stillbirth registration began in 1927
Minnesota Statutes 2005, section 144.2151, allow for the filing of a record of birth, resulting in stillbirth if a fetal death report.
When a baby dies, the mom is given very few choices as to medical procedures, and she may feel as if she has no control over her body.
Giving parents the opportunity to nurture their baby
Help the parents bathe and dress their baby
photographing perinatal loss
Memory box
Make 3D hand and foot mold or create hand prints in plaster or air dry clay.
Help the mom paint her baby girls’ fingernails and toenails, creating a unique bonding experience
Memorial service
1. Prepare the family
2. Create Memories
Relational, psychological and spiritual are the most common effects on the family
Mother may feel
Guilt or failure
Anger
Anxiety
Vulnerability
Loss of control
Father may feel
Anger
Loss of control
Confused
Anxiety
Allina Health. (n.d.). Grief Resources. Retrieved December 4, 2013, from http://www.allinahealth.org/ahs/grief.nsf/page/related_infant_child

Fetal Death. (2012, August 28). Centers for Disease Control and Prevention. Retrieved December 4, 2013, from http://www.cdc.gov/nchs/fetal_death.htm Friedman, R., & Gradstein, B. (1992). Stillbith - The Death of a Child. Surviving pregnancy loss (Rev. and updated. ed., pp. 57-72). Boston: Little, Brown.

ICEA. (2012). Grief . International Journal of Childbirth Education, 27(2), 4-96.

Lowdermilk, D. L. (2012). Maternity & women's health care (10th ed.). St. Louis, MO: Mosby.

Pregnancy Loss. (September 2010). March of Dimes . Retrieved December 3, 2013, from http://www.marchofdimes.com/loss/stillbirt

Minnesota Department of Health. (n.d.). Hospital Stillbirth Page. Retrieved December 4, 2013, from http://www.health.state.mn.us/divs/chs/osr/birthreg/hospitalstillbirth.html

Stadtlander, L. M. (2012). The Grief of Caring: Self Care in Helping Grieving Parents of Stillbirth. International Journal Of Childbirth Education, 27(2), 10-13. Now I Lay Me Down to Sleep. (n.d.). Become an Affiliate Photographer. Retrieved December 4, 2013, from https://www.nowilaymedowntosleep.org/

Stillbirth: Trying to Understand. (January, 2013). American Pregnancy Association. Retrieved December 4, 2013, from http://americanpregnancy.org/pregnancyloss/sbtryingtounderstand.html

Understanding the Basics of Stillbirth. (n.d.). International Stillbirth Alliance . Retrieved December 3, 2013, from http://www.stillbirthalliance.org/modules.php?name=Content&pa=showpage&pid=51
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