When Is It Safe to Conceive After Stillbirth?

Worried Couple with Female Doctor
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After a stillbirth, it's normal to go through a period of grieving for the loss of your baby. For some people, the idea of getting pregnant again is too difficult to consider. Others find a sense of healing in a new pregnancy journey. If you decide that you'd like to conceive again, here's what you can expect during the process.

Conception After a Stillbirth

About 50% of women choose to become pregnant again after a stillbirth. It's common to have a heightened level of anxiety or depression during subsequent pregnancies and postpartum with your new child.

Giving birth to another baby isn't a cure-all for the mental health symptoms from your previous stillbirth. It's wise to seek emotional support after a pregnancy loss, regardless of whether you decide to embark on another pregnancy or not.

Medically, there's no solid evidence that warrants waiting a specific amount of time before you conceive again. It's commonly advised to wait about three months after a pregnancy loss to let your body return to normal, but there are no significant physiological benefits associated with waiting.

Unless you have individual medical circumstances that require a longer waiting period, the decision about if or when to conceive again should be based on you and your partner's mental and emotional readiness to take on another pregnancy. Here are some of the risk factors for stillbirth and ways to care for your mental health.

Stillbirth Risks

In the United States, stillbirth occurs in one out of every 160 deliveries. Stillbirth is typically defined as a fetal death beyond the 20th week of gestation. Some of the risks of stillbirth are preventable and some are not.

If the cause of your stillbirth is known, work with your doctor to determine your risk of recurrence. Many people who have experienced a stillbirth are capable of healthy and safe future pregnancies.

The risk factors associated with stillbirth include:

  • Assisted reproduction: In vitro fertilization (IVF) increases the risk of stillbirth by two- to three-fold after adjusting for other variables.
  • Co-morbid conditions: Mothers with diabetes or high blood pressure are at higher risk of stillbirth.
  • Male fetus: Worldwide data indicates a 10% higher risk of stillbirth in male babies versus females.
  • Maternal age: The chances of stillbirth are higher for mothers under age 15 or over age 35 compared to those who fall between this age range.
  • Maternal weight gain: A pre-pregnancy BMI above 25, or excessive weight gain during pregnancy, are both associated with a greater risk of stillbirth.
  • Past pregnancy issues: A history of small for gestational age babies, preeclampsia, cesarean section, or past stillbirth increases the risk of future stillbirths.
  • Pregnant with multiples: There is a 2.5-times higher risk of stillbirth in a twin pregnancy compared to singletons.
  • Pregnancy complications: Placental abruption, fetal growth restriction, genetic abnormalities, infection, and late-term births are all associated with higher rates of stillbirth.
  • Race: Non-Hispanic Black women have double the rate of stillbirth compared to other racial groups.
  • Substance abuse: Illicit drug use, smoking, and exposure to secondhand smoke increase the risk of stillbirth.
  • Umbilical cord events: About 10% of stillbirths are associated with abnormalities in the umbilical cord.

Reduce your stillbirth risk by not smoking during pregnancy (and avoiding second-hand smoke), getting regular prenatal care, and following the general recommendations on how to have a healthy pregnancy. If you're overweight or have diabetes or high blood pressure, work on getting a good handle on your health before conception to improve your pregnancy outcome.

Take the time to seek help with substance abuse and alcohol dependency before trying to conceive.

Stillbirth and Mental Health

Oftentimes, close friends and family members aren't emotionally equipped to provide the right kind of support during tragedies like a stillbirth. Grief is a sensitive topic that makes many people uncomfortable. If you're unable to find comfort in the company of loved ones, seeing a qualified therapist can provide you with tools to wade through the tides of grieving.

Mindfulness techniques such as yoga, deep breathing, and meditation can make a positive impact while grieving a stillbirth. Ask your doctor about a mental health referral or group program to address your emotions and help clear the path forward.

A Word From Verywell

It's OK to have mixed feelings about the idea of another pregnancy after a stillbirth. You should never feel rushed or pressured to conceive again soon if you aren't ready. What is right for one couple might not be right for another. Always remember that help is available to support you on whichever path you choose to take.

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