ASK THE EXPERT
Q I’VE just found out I’m pregnant and I am worried about possible complications. Is there anything I can do to reduce the risks of having a stillbirth?
KATE Marsh, midwifery manager at the baby charity Tommy’s (tommys.org), says: “New research from Tommy’s has sadly found that things we can’t control can make stillbirth more likely, such as age – as well as deprivation, unemployment, stress and abuse.
“But there are some ways to reduce the risk. Keeping antenatal appointments is key, as these are designed to spot problems early. In-between, call your midwife or maternity unit with any concerns.
“Tommy’s latest research found drinking a lot of caffeine could raise stillbirth risk, so cut down as much as possible.
“If you smoke, get help to quit; this is the most important change you can make. Smoking can harm your baby in many ways, including raising stillbirth risk, but quitting in the first trimester reduces this risk to a non-smoker’s level. Drugs and alcohol can also seriously complicate pregnancy so should be avoided. Breaking habits isn’t easy, so ask for help if you need it.
“From 16 to 24 weeks, you’ll start to feel your baby moving, and they’ll likely settle into a unique pattern of movements which continue until they’re born. This is a sign they’re okay; if they’re struggling, they move less, to preserve energy. Mums report feeling reduced movements in around half of stillbirths, so get to know your baby’s pattern of movements and seek help immediately if things change.
“Tell your midwife about any worrying symptoms – like bleeding or stomach pains and itching, headaches or feeling unwell – which can be symptoms of pregnancy conditions that can raise stillbirth risk. Research how to avoid infections that can harm your baby, and get a flu vaccine.
“Evidence shows going to sleep on your side in the third trimester can help reduce stillbirth risk. If you wake up in a different position, don’t worry, just get back onto your side. In late pregnancy, lying on your back means the combined weight of baby and womb can restrict the flow of blood and oxygen to the baby.
“Finally, if you’re still worried, talk to your midwife or GP.”