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Saturday, June 30, 2012

Causes of Fetal Death

Seven days after I gave birth to a stillborn baby girl, hubby accompanied me to see the doctor for a post natal check-up at the same time secured all necessary documents from the hospital to support my medical insurance and SSS maternity claims.

Upon reading the “certificate of fetal death”, the following causes were indicated in the “section 19: Causes of Fetal Death; (I have to refer to the internet to understand the medical terms written)
  •  Main disease/condition of the fetus is FETAL ASPHYXIA. According to the freedictionary Fetal Asphyxia is a condition of hypoxemia, hypercapnia, and respiratory and metabolic acidosis that may occur in the uterus. Among possible causes are uteroplacental insufficiency, abruptio placentae, placenta previa, uterine tetany, maternal hypotension, and compression of the umbilical cord. In my understanding this is a condition wherein the fetus is deprived with adequate oxygen.
  • FETAL GROWTH RESTRICTION. Accordingly fetal growth restriction or Intrauterine growth restriction refers to the poor growth of baby inside the mother’s womb and does not genetically determined achieve their potential size.  
  •  Main maternal disease/condition affecting fetus: CHRONIC UTEROPLACENTAL INSUFFICIENCY. I believe this is a condition wherein there is an insufficient blood flow to the placenta during pregnancy.
  • ANTIPHOSPHOLIPID SYNDROME. Is a the condition wherein there is a disorder in the immune system that characterized by excessive clotting of blood and the presence of antiphospholipid antibodies in the blood. You can read more about it by visiting www.medicinenet.com. 
  • POOR OBSTERIC HISTORY.  My doctor told me that the case of stillbirth (my 2nd child) is related to my first pregnancy. My first child was born pre-termed (36 weeks) and has a weight of 4.6lbs, meaning that there is something wrong with me. In case I’ll get pregnant again, I am a kind of patient that needs proper care. The fetus should be monitored regularly and I need proper medications to correct my present condition.
I’m hoping to get pregnant again. And I think I found the right OB, a high risk pregnancy specialist to take care of me. I was lucky that my first born was properly monitored by my OB back in Iligan City.  My 2nd pregnancy had proper monitoring only for the first 4 months (while in Iligan City) but after I got transferred in Cagayan de Oro City, it was really an agony for me finding an OB. I went to an OB with no ultrasound in her clinic, she’s a typical OB for a normal pregnant woman. If only I could turn back time, I should have gone directly to a high risk pregnancy specialist. If only I have known earlier.  But it was too late. All I have now is regret. At least with this tragic experience I learned my lesson and pregnancy should not be taken for granted even if you think you are physically healthy.