Gorovitz & Borten, P.C.
Attorneys at Law

400-1 Totten Pond Road
Waltham, Massachusetts 02451
Tel: (781) 890-9095
Fetal Death - Stillbirth
Intrauterine fetal death can occur at any stage of pregnancy. Recurrent
pregnancy loss during the first trimester requires a more in-depth assessment
including genetic evaluation and counseling. Diagnostic ultrasound to determine
the precise gestational age of fetal loss is indicated. Examination of the dead
fetus and placenta are of extreme clinical significance following a recurrent
pregnancy loss.

The intrauterine fetal demise of an infant (stillbirth) during the second and third
trimester of gestation mandates an evaluation to see if the cause of fetal death
was diagnosable and preventable. Potential causes of intrauterine fetal death
include:

First trimester:

  • fetal abnormalities
  • chromosomal abnormalities
  • Hormonal imbalances
  • uterine abnormality
  • infection
  • autoimmune disorder

Second and third trimester:

  • fetal malformations
  • fetal infections
  • umbilical cord accident
  • fetal anemia
  • fetal-maternal hemorrhage
  • obstetrical disorders (preeclampsia)
  • placenta abruptio
  • fetal growth restriction (IUGR)
  • fetal distress

Although some of these conditions are beyond any medical treatment, most of
them are susceptible to being diagnosed in anticipation of the delivery of the
infant. Proper diagnosis and timely intervention in cases of fetal distress, fetal
anemia, preeclampsia, fetal growth restriction (IUGR) and placenta abruptio
require prompt delivery of a live infant with postnatal return to health.

While labor is a stressful event under most circumstances, infants tend to
tolerate the process of labor and delivery without any untoward long term injury.
Intrauterine fetal death during labor is rarely a sudden event. Proper monitoring
of the infant and the mother will usually show signs of fetal intolerance to the
uterine environment well in advance of the infant's demise. Indications of a
hostile intrauterine environment include:

  • decreased fetal movement
  • reduced amniotic fluid volume
  • small for gestational age
  • severe abdominal pain
  • vaginal bleeding
  • fetal distress

Prenatal evaluation by means of ultrasound, fetal monitoring and tolerance of
labor assessment will usually give an indication of a hostile intrauterine
environment which requires immediate delivery of the infant by means of
cesarean section. Failure to timely deliver an infant that shows signs of
intrauterine intolerance resulting in a stillbirth is generally the result of medical
negligence on the part of the treating medical provider. If your child's condition
was the result of medical negligence,
Dr. Borten and the medical malpractice
attorneys at Gorovitz & Borten can help you assert your rights and get the
compensation you deserve.
Contact Information
For a free confidential consultation and receive a response within 24 hours (when
possible), please contact us by phone, fax or e-mail with your question or concern.

Telephone:  781-890-9095     -     Fax:   781-890-9098
                                                                                              
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Electronic mail:
Questions or Inquiries to:
inquiry@gbmedlaw.com

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