I am so sorry for everyone's losses...
In Ann Douglas' book Trying Again
(2000:30-48), she lists the following major causes of stillbirth:
Problems with the baby:
Maternal health problems:
-diabetes, hypertension, heart disease, kidney, liver, lung, parathyroid, and sickle cell disease, lupus, toxemia
infections during pregnancy:
-CMV, Fifth's disease, listeriosis, rubella, toxoplasmosis, STDs
-placental insufficiency, placental abruption, placental previa
problems with the uterus:
-incompetent cervix, fibroids, uterine abnormalities
umbilical cord problems:
-two vessel cords, straight cord, abnormal cord insertion, prolapsed cord, knots, nuchal cord, torsion, cord strictures, amniotic band syndrome
complications from a multiple pregnancy
She also states that about 60% of stillbirths are unexplained...
Our daughter's death was unexplained as well. We also a a "textbook pg," low-risk and totally normal, under the care of a midwife. We lost out daughter right on her due date and after a normal exam the week before...
The autopsy we had done (and the pathology on my placenta) officially gave the cause of death as unexplained, but several small irregularities turned up in the report that gave a clue as to what went wrong. My placenta was small and there was some evidence of asymmetrical IUGR in the baby (so, the placenta was not functioning well by the end). It showed signs of cellular inflammation that impacted the blood flow, but we aren't if that was caused by infection or not as I never tested positive for any infections. And the cord was inserted "eccentrically," whatever that entails...we tried to have genetic testing done on our daughter, but they could not culture her cells.
I guess the testing depends on your comfort levels and philosophy about this new pg. I know for us, with pg #2, we wanted more testing done in advance and wanted more monitoring to help prevent something similar from happening again, especially as we had no concrete reason for it. We had an amnio done (and chromosomal tests-all normal
) and that helped a bit. I'm actually glad that we did have more testing this time as something new cropped up that was different from last time but could have caused the loss of another baby. I tested positive for Rh antibodies with the 2nd pg (despite the shots to prevent them) and so my second pg had a lot of scans and monitoring to make sure our baby was doing as well as she could (and was not getting too anemic from Rh disease) and we induced and got her out at 37w. She's healthy as can be today...Maybe the Rh stuff was a blessing in disguise (although I hated it at the time with all the stress it caused) as we were able to monitor our DD more frequently and it gave us a little more peace of mind.
So, I guess IMO I would get the bloodwork. There might be some info in there that is helpful when going through this next pg...
Good luck. ((HUGS))