What is the situation of fetal demise?

Patient's question:

During the prenatal check-up, everything was normal. Two days before giving birth, the check-up was also normal. However, during the delivery check-up, there was no fetal heartbeat. What could be the reason?

Doctor's answer:

There are many causes of stillbirth. Half of them are caused by hypoxia, such as placenta previa, congenital malformations, intrauterine growth restriction, infections, etc. Clinically, there are also many stillbirths with unknown causes, but upon examination, it is found that they all have histological abnormalities in the placenta, such as hemorrhagic endometritis, acute chorioamnionitis, placental posterior hematoma, etc. For example, exposure to toxic substances from environmental pollution, home renovation, pets at home, incorrect medication, alcohol abuse, and smoking by pregnant women, etc.

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