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moncler jackets for women Some 26,000 women in the United States give birth to a stillborn child each year. cheap moncler jackets It’s a harrowing experience for parents, and many eventually want to know what went wrong, in part to avoid going through a similar experience in the future. But in the days after delivery, moncler outlet sale when tests to search for a cause must be conducted, doctors are often hesitant to suggest them, and grief stricken parents often reluctant to permit them. moncler jackets for women

moncler outlet location A rigorous study released on Thursday found that two tests are particularly moncler usa effective in determining the cause of a stillbirth, a death of a fetus at or after 20 weeks of gestation. An best moncler jackets examination of the placenta helped find a cause in about two thirds of stillbirths, and a fetal autopsy helped in roughly 40 percent of cases, researchers reported. Genetic testing was the third most useful test, helping to pinpoint a cause 12 percent of the time. moncler outlet location

moncler coats for men « These tests have an impact, and now there’s more of a scientific rationale for their use, » said Dr. Emily S. Miller, an assistant moncler outlet online professor of obstetrics and gynecology at Northwestern University who was not involved with the study. moncler coats for men

moncler coats sale She predicted that this critical new data would not only persuade uk moncler sale more obstetrician gynecologists that placental testing « is something we really need to recommend, » but also help convince bereaved parents that moncler online store follow up testing is « worthwhile. » moncler outlet prices In some cases, knowing the cause of a stillbirth can help to guide management of subsequent pregnancies. moncler coats sale

moncler outlet mall The American College of Obstetricians and Gynecologists has long recommended a slew of possible tests after stillbirths, but this study, published in the journal Obstetrics and Gynecology, is the first nationwide attempt to calculate the relative discount moncler jackets utility of each. Researchers cheap moncler coats mens analyzed 512 stillbirths from 2006 to 2008 from 59 hospitals in five states: Utah, Rhode Island, Massachusetts, Georgia and Texas. The cases are part of second analysis of a study by the Stillbirth Collaborative Research Network, a group funded by the National Institutes of Health that moncler uk outlet aims to improve stillbirth reporting and to pinpoint its causes. moncler outlet mall

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moncler outlet That network of researchers had previously determined that complications during the birth process, including preterm cheap moncler jackets womens labor and premature rupture of the amniotic sac, accounted for 30 percent of stillbirths. Before labor, placental problems were the most common cause of stillbirth, accounting for roughly a quarter of cases. Genetic conditions or birth defects were responsible for about 14 percent of stillbirths, infection for 13 percent and umbilical cord issues another 10 percent. moncler outlet

moncler chicago Researchers defined whether a test was useful if it helped establish a probable or possible cause, or if it ruled out a possible cause. moncler chicago

Moncler Factory Outlet A detailed evaluation of the placenta is not always done after stillbirth because a perinatal pathologist is not available or a physician may not send it for analysis, experts said. And prior studies have estimated that fewer than half of stillbirths are evaluated by autopsy. Moncler Factory Outlet

moncler jackets Some of that reflects parents’ reluctance. « People are angry, upset, and they feel like it won’t make a difference, » said Dr. Some parents have cultural objections to autopsy, or think it’s God’s will that they suffer a loss, or they worry unnecessarily that the body won’t be back for burial in a timely fashion, he said. moncler jackets

cheap moncler jackets Physicians, meanwhile, also often struggle to have that difficult bedside conversation with grieving parents. « It’s uncomfortable, » said Dr. Silver. « Doctors just want to moncler sale outlet run away, » he said, but « it’s worth working through any reservation they may have. » cheap moncler jackets

moncler jackets cheap Several experts said moncler outlet woodbury the very act of moncler outlet trying to find a cause can bring emotional healing to some parents, even if no cause is ultimately determined. moncler jackets cheap

discount moncler jackets « Patients often come back after a loss wanting to know what their recurrence risk is, » said Dr. uk moncler outlet Kathryn Gray, a high risk obstetrician at Brigham and Women’s Hospital in Boston, who participates in reviews of stillbirth cases. « There’s moncler sale a lot of anxiety. » discount moncler jackets

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moncler coats for women For women who had high blood pressure during their pregnancies, for example, placental examination helped determine a cause in 90 percent of cases; autopsy was moncler outlet store able Moncler Outlet uk to pinpoint a cause in about half of such cases. moncler coats for women

moncler jackets toronto Autopsy was particularly helpful when stillbirth occurred at early gestational ages, the study found, often revealing evidence of sepsis, or body wide infection, in women who had had their membranes rupture preterm and pre labor, or in women whose membranes were inflamed by a bacterial infection. moncler jackets toronto

discount moncler outlet In some cases, knowing a probable cause can help guide a patient’s care in future pregnancies. If a baby is small, for example, the mother can be tested for so called « antiphospholipid » antibodies, which can indicate a problem with the maternal immune system. moncler sale online Then, Dr. Silver said, « Treatment in the next pregnancy may improve outcome. » discount moncler outlet

moncler outlet woodbury Another example: If a baby has abnormal features and an autopsy reveals birth defects and genetic test shows Trisomy 18, a common chromosomal problem, he said, « Genetic testing next time may be useful. » moncler outlet woodbury

moncler outlet store Despite the tests, some stillbirths remain unexplained. « It’s frustrating, » Dr. Miller said. But, she added: « Feeling like we are doing everything we can to understand why can cheap moncler jackets mens bring emotional closure. » moncler outlet store

buy moncler jackets toronto Two years ago, Dr. Eleni Michailidis, 40, delivered a stillborn son, Alexander, at 38 weeks; she recounted her story in an oral history to The New York Times in 2015. buy moncler jackets toronto

moncler outlets usa « You’re in such a cloud, » she said about the experience. « You’re not even sure you’re on the planet or not, so when you’re asked, ‘Can we take your baby and do this crazy thing,’ your first thought is, ‘Hasn’t this baby been through enough?' » moncler outlets usa

moncler outlet ny Her moncler womens jackets placenta showed signs of inflammation, but it was never clear if an infection was the cheap moncler sale cause, and the couple never got a definitive answer as to why Alexander was born dead moncler outlet ny.

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