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Care of late intrauterine fetal death and stillbirth (Green-top Guideline No. 55)

Summary

The purpose of this guideline is to identify evidence-based options for parents and their families who have a late intrauterine fetal death (IUFD) after 24+0 completed weeks of pregnancy of a singleton fetus and to incorporate information on general care before, during and after birth, and care in future pregnancies.

The guidance is primarily intended for obstetricians and midwives but also for women and their families, general practitioners and commissioners of health care. This guideline does not include the management of pregnancies at the current limit of viability (22+0 to 23+6 weeks), multiple pregnancies with a surviving fetus, fetal death following late feticide, late birth of fetus papyraceous or the management of specific medical conditions associated with increased risk of late IUFD although many of the principles may be extrapolated to these clinical situations.

Recommendations about the psychological aspects of late IUFD are focused on the main principles of care to provide a framework of practice for maternity clinicians.


Version history

The first edition of this guideline was published in 2010. This is the second edition of this guideline, published in 2024. Next review due: 2027 unless otherwise indicated.

Developers’ declarations of interest

Available on request

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