The team of presenter Tati Machado informed on Tuesday, 13th, on social media that the journalist lost the baby she was expecting. She was 33 weeks pregnant (approximately 8 months) and went to the hospital after noticing the absence of fetal movements. At the hospital, it was confirmed that the fetal heartbeat had stopped due to causes that are still being investigated. 'Until then, the pregnancy had been going well and was almost at the end. [...] Given the situation, Tati had to go through a labor process, surrounded by love, courage, and deep pain,' the team said in the publication. When a fetal death occurs in the last three months of pregnancy, from the 28th week, it is considered 'late gestational loss' and 'intrauterine death,' explains obstetrician Elias Ferreira de Melo Junior, from the Brazilian Federation of Gynecology and Obstetrics (Febrasgo). According to the doctor, the two main causes of these cases are hypertension and diabetes, which may be pre-existing or develop during pregnancy. The obstetrician, who is president of the National Commission for Assistance to Abortion, Childbirth, and Puerperium of Febrasgo, notes that these conditions can cause placental insufficiency, a condition in which the placenta cannot provide sufficient oxygen and nutrients to the fetus. Juan Felix, a gynecologist and obstetrician at Hospital and Maternity Santa Helena, highlights that these conditions can cause vascular problems in the placenta, reducing blood flow to the fetus. In addition, he emphasizes that fetal malformations are another important possible cause. According to the specialists, when the mother has diabetes, the baby may need to produce more insulin - the hormone that controls blood sugar. This increase causes the fetus to grow faster, which can make the placenta unable to provide enough energy for it. In cases of hypertension, insufficiency can occur due to biochemical disorders, according to Melo Junior. Another possible cause, although less frequent, is thrombophilia, a condition in which the blood has an increased tendency to form clots, preventing adequate nutrition and oxygenation of the fetus. Infections, such as COVID-19 or toxoplasmosis, can also interfere with the baby's health. Falls and accidents are other possible reasons. However, late gestational loss is considered rare. 'In Brazil, the incidence is 1 to 1.2%', says Melo Junior. He emphasizes that there are cases of undetectable hypertension during pregnancy, which may explain the occurrence of intrauterine death even in cases of apparent health. 'Some pathologies that attack the placenta often begin to be perceived from the 30th or 32nd week, when the demand for nutrients begins to be stronger,' explains. Investigation The investigation to discover the cause of the loss involves various processes. The first is anamnesis, with a review of the mother's obstetric history and family antecedents. The second is composed of laboratory tests, evaluating the functioning of the mother's organs and systems. Additionally, a histopathological examination of the placenta and umbilical cord may be performed, allowing for microscopic analysis of the tissues and verification of any harmful coagulation. Imaging tests, such as the last ultrasound with a living fetus, can also provide answers. In some cases, an autopsy of the fetus may be necessary, including to rule out possible malformations. For Felix, seeking the causes is more than just an investigative question: it represents acceptance and security for the family 'The investigation is fundamental for prevention. When we seek the cause, what we are seeking is to prevent it from happening again, as well as to accept the family's pain.'
https://jornaldebrasilia.com.br/noticias/saude/o-que-pode-causar-perda-gestacional-na-reta-final-da-gravidez-como-aconteceu-com-tati-machado/