Hi all, this is an interesting thread thanks for the info and the great discussion.
Addressing the issue of cord accident being thrown around as a cause for stillbirth. I just wanted to add my .02. BTW, my daughters were momo twins who were stillborn due to cord entanglement, I'm involved with several stillbirth groups and have written an article on stillbirth, it's causes and in paticular cord accident management. More than half of all stillbirths are classified as SADS (Sudden Antenatal Death Syndrome). In my experience, doctors are most likely to *not* give a reason for the death even if they suspect one. It's just plain *easier* to use "SADS" instead of running the many many tests and procedures required to find the true cause of death. Secondly, there is no standard protocol for stillbirth autopsies. Every office does them differently and not everyone is an expert on placentas and looking for evidence of cord injury. Even if a family requests an autopsy (I requested one but was denied), the information simply goes in the trash. There is no central repository for stillbirth research or statistics so we have no way of knowing exactly how many babies die of what and what evidence was used to come to that conclusion.
I'd like to address some fears mothers may have. From reading the thread, I feel like most of us are concentrating on accidents that happen at birth or during labor. It's in my experience that most fatal cord accidents happen in the last month of pregnancy, but before labor. There are warning signs you can be aware of, as was mentioned by the pp. I experienced most of these the day my daughters died (and yes mom2six, continual Bx hicks was a sign for me, they felt different from regular bx hicks though, it was more of an all day tightness which was sometimes painful):
Excessive hiccups (baby), hyperactivity (baby), decreased movement (please do kick counts every day!), fetal heart rate under 100 or more than 150 bpm, fetal shuttering or quivering, localized pain in the uterus (usually happens at night, it will be a sharp pain towards your side and will happen a few times in a row), frequent contractions (The Pregnancy Institute http://www.preginst.com/
If you're truly concerned about cord accidents, please read Dr. Collin's research at http://www.preginst.com/
. Like the pp mentioned however, he is *very* pro c/section. I don't agree with his belief that all pregnant women must have weekly or daily u/s to look for cord issues. However, I do agree that if you're experiencing the above symptoms, you should get a NST.