The Stillbirth Summit Introduces the New Pregnancy Buzz Phrase ~ EPV!!!

Bear with me ~ to write about all the researchers and their findings present at the Stillbirth Summit in one sitting would require lots of time and several glasses of wine!!! So, I have decided to introduce you to one researcher per blog and write about what I took away from their lectures in my notes. If you are confused by my interpretation ~ you can Google it, research it & digest it. Take it or leave it; pass it on or delete it. Just know, these men and women will change the face of stillbirth with their passion and fire. They will pull stillbirth from the shadows and place it brightly in the light of day. They will find answers for us; prevention is their intention.

The Stillbirth Summit opened the eyes of all who attended. Dr. Alexander Heazell, MBChB, PhD, MRCOG, Maternal & Fetal Health Research Centre, University of Manchester, UK, delivered the simple yet poignant statement during the first presentation of a colleague, “We understand stillbirth very badly.” There was no pretentiousness. There were no scholarly noses looking down at us. The cards were on the table for everyone to see. Over the next 3 days the researchers would share their passion, frustrations and greatly needed research with us all.

When you listen to Dr. Harvey Kliman, MD, PhD, Director of Reproductive and Placental Unit, Yale University School of Medicine, you come away with one word embedded deeply in your brain: PLACENTA!!! The man is amazing and quick to state, “It is the simple things, tissue etc. which ends up in the pathology lab to be looked at. The information in it tells us why this loss happened.” Kliman is emphatic ~ the placenta is the key to what’s going on in a “loss” investigation and the placenta "must go to pathology."

While all eyes are on the fetus, Kliman explains a small fetus means a small abnormal placenta and “Doctors should know about abnormal placentas. Not knowing anything about the placenta is like driving a car without any gas!!!”

The “small” placenta is one major placental issue. The small placenta does not happen “all of the sudden.” The normal ratio of the fetus to placenta is 6:1. Once it goes beyond 7:1 or 8:1 it crashes. The placentas falling in the 10th to 90th percentiles are optimal. It is the ones which are in the < 10% or > 90% which will pose the problem. The baby and placenta tend to grow at the same rate and ratio up to 36 weeks. But what happens when the placenta is small and cannot supply the growing fetus? Intrauterine Growth Restriction (IUGR) develops. This concern plays a large part in delivering small and low birth weight babies, decreasing amniotic fluid (the amniotic fluid index) within the uterus, and putting your baby at risk for intrauterine death ~ if not detected. The extremes of a lesser ratio or a greater ratio between the baby and placenta indicate the need for diligent monitoring, care and concern.

One sign of a small and insufficient placenta is the onset of decreased fetal movements:

Can your heath care provider know about this beforehand? Yes.

Can something be done about it? Yes.

This can be detected by using standard ultrasound equipment. The measurement is called Estimated Placental Volume (EPV). Or, now there is even an EPV app, http://itunes.apple.com/us/app/epv-calculator/id406708196?mt=8, for your phone. According to Dr. Kliman, EPV should be incorporated in prenatal care and would take all of 15 seconds to do!!! The app costs a mere $29.99!!! So ~ why is Estimated Placental Volume not being calculated by every doctor, midwife and health care member who sees a pregnant woman for her OB appointment? The overriding reason for using this simple and inexpensive device can mean the difference between life and death for your baby. If a small placenta is detected, mom and baby will be monitored closely and a happy healthy outcome is easily achievable as baby can be delivered early if necessary.

According to Kliman, the placenta is part of the fetus and should be checked at a 10 week ultrasound. It should then be checked by ultrasound around 18 weeks. If the placenta is small at this time, there is nothing to do but keep an eye on it. When the placenta is small or large, the need  for closer monitoring is needed. 

Sounds to me ~ Estimated Placental Volume deserves to be the new pregnancy buzz phrase of 2012. If you are pregnant, why not ask to have your baby’s EPV checked the next time you visit your doctor, midwife or health care team? You may ask, “Why?” Quite simply, your baby’s life might just be depending on it…

To Tell All Moms Or Not ~ That Is The Question???

It's that time of the year for some women ~ a positive pregnancy test!!! WHOO HOO!!!


So, being the great friend you are, do you share the informational website, See Me, Feel Me or not? You certainly don't want to jinx this new pregnancy. Do you mention to your friend that becoming her baby's "in utero" advocate will alert her and her health care team to the possibility of a compromised baby by noting a decrease or increase in fetal movements? Should you also mention to this mom that she schedule an additional ultrasound around 28 weeks because this is the time baby will show a tendency to develop an umbilical cord problem?

What should you do? It's simple. Make a decision now to educate and empower all moms to be!!! Stillbirth is not an uncommon or rare event, and should be watched for in the last trimester of pregnancy especially. This needless tragedy happens 30,000 times a year in the USA alone ~ that is 82 times a day ~ each and every day.

Maybe you don't think you can make a difference in stopping stillbirth. Maybe you have never known anyone who has had a stillbirth or maybe it doesn't run in your family ~ yet!!! I know I was oblivious at one time. My husband and I are part of the medical community and we were uneducated.

But ~ now we know. We are now committed advocates for the stillborn. We will do whatever it takes to enlighten the medical community and parents to be, as well as, to find a cause as to "WHY" when there are or are not any answers. Let's all link arms and begin to fight the fight for those born still. Together is the only way we can begin to stop these tragedies.

The Starfish Story

Original Story by: Loren Eisley

One day a man was walking along the beach when he noticed

a boy picking something up and gently throwing it into the ocean.

Approaching the boy, he asked, “What are you doing?”

The youth replied, “Throwing starfish back into the ocean.

The surf is up and the tide is going out. If I don’t throw them back, they’ll die.”

“Son,” the man said, “don’t you realize there are miles and miles of beach and hundreds of starfish?

You can’t make a difference!”

After listening politely, the boy bent down, picked up another starfish,

and threw it back into the surf. Then, smiling at the man, he said…”

I made a difference for that one.”

See Me, Feel Me ~ The New Pregnancy "BUZZ" Phrase For 2011!!!

WOW ~ this year is going to be a brilliant one! A new website full of vital information has been launched for parents to be, as well as, health care providers. Learning the philosophy of See Me, Feel Me is an absolute must for all pregnant women.


All moms will love learning how to become their baby's "in utero" advocate. A change in baby's movements such as speeding up or slowing down could be the sign of a compromised baby. Becoming empowered through the educational and proactive measures of My Kicks Count, the possibility of the need for more advanced fetal heart rate monitoring and the knowledgeable guidance of your doctor and health care team allows you to become your baby’s “in utero” advocate.

A “Mom” with knowledge, who works proactively on her own, with her doctor and with her health care team, quietly evolves into her baby’s "in utero" advocate. Just as mammograms and colonoscopies are prevention for the masses, getting to know your baby's movements can help ensure a happy, healthy and hearty delivery day.

Feel the "BUZZ" ~ and ~ check out See Me, Feel Me ASAP!!!

King Tutankhamen ~ Call Him ~ “DAD”...

It is amazing to me to learn nestled with King Tut in his tomb were two fetuses. One was at least seven months gestation; I guess a 'stillbirth" by today's standards. The second fetus, a tinier more fragile female, was also tucked alongside her dad; I wonder, stillbirth vs. miscarriage?
Were these two little girls the pharaoh's daughters? DNA testing, to confirm true lineage, is the key needed to unlock this vexing scientific question. Although the data is somewhat incomplete, the study suggests one of the infants is truly Tutankhamen's daughter and, most likely, the second infant is as well. Whilst it was believed this King had no heirs to succeed him ~ I guess maybe he “almost” did.


Stillbirth has been around since the beginning of time. The pain and heartache associated with babies who never draw their first breath is as devastating today as it was back in the Golden Age of the Pharaohs. Educating and empowering parents to be, as well as, health care professionals with the tools to end this needless tragedy, is our goal.


Just how precious and irreplaceable is a stillborn baby to grieving parents and family? I guess we only need to look at King Tut ~ as this child king chose to embark on his journey into eternity with his two baby daughters snuggled closely by his side.