Stillbirths: The psychological and physical toll on expectant mothers

According to Dr Joan Okemo, Consultant Obstetrician and Gynaecologist at Aga Khan University Hospital (AKUH), Nairobi, a stillbirth often leaves parents overwhelmed and seeking answers. “Every expectant woman wishes to carry their pregnancy to full term without complications. However, sometimes stillbirths do occur, putting an end to the expectations,” she explains. The most alarming sign of a possible stillbirth is reduced or no foetal movement. “Lack of foetal movement should always be treated as a medical emergency,” Dr Okemo emphasises. Any noticeable change should prompt immediate consultation. The causes of stillbirth vary, and in some cases, may never be fully understood. Common causes include problems with the placenta, such as placental abruption or poor function, developmental abnormalities in the baby and maternal health conditions like poorly controlled diabetes or high blood pressure. Infections such as syphilis, malaria or COVID-19 can also play a role. However, in many cases, no clear cause can be identified.