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<p>Stillbirths are serious events in obstetrics and serve as a&#xa0;sensitive indicator of the quality of perinatal care. Despite highly advanced perinatal medicine, an increase in the stillbirth rate has been observed in Germany in recent years. Assessment and prevention are hampered by inconsistent definitions, limited international comparability, and fragmented data. While the civil status definition in Germany stipulates the lower limit of stillbirth as reaching the 24th&#xa0;week of gestation or a&#xa0;birth weight of at least 500 g, international thresholds and even regional burial laws within Germany vary. Stillbirths often result from a&#xa0;combination of placental, maternal, fetal, umbilical cord-related, or intrapartum factors. A&#xa0;robust classification of causes therefore requires standardized diagnostic assessment, particularly placental histology, as well as structured interdisciplinary case analyses. However, Germany currently lacks a&#xa0;national, interoperable birth and stillbirth registry that systematically collates civil registry, clinical, pathological, and psychosocial information. As a&#xa0;result, causes, preventable factors, and gaps in care are often inadequately recorded, which hinders a&#xa0;preventive approach. Furthermore, stillbirths are associated with psychosocial distress for the families and healthcare teams involved. A&#xa0;national strategy should therefore combine systematic data collection, standardized classification, audit-based quality improvement, targeted prevention, and structured psychosocial aftercare. Only by integrating all these aspects can gaps in care be identified and preventable stillbirths reduced in the long term.</p>

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Totgeburten in Deutschland – Wo stehen wir?

  • 期刊论文

  • 发表日期：

    2026年7月27日

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  • Amira Göpfrich,
  • Rosa Masloub,
  • Florentine Seckendorf,
  • Peter Bartmann,
  • Joachim W. Dudenhausen,
  • Klaus Vetter,
  • Lars Hellmeyer,
  • Brigitte Strizek,
  • Tanja Groten,
  • Josefine Königbauer

摘要

Stillbirths are serious events in obstetrics and serve as a sensitive indicator of the quality of perinatal care. Despite highly advanced perinatal medicine, an increase in the stillbirth rate has been observed in Germany in recent years. Assessment and prevention are hampered by inconsistent definitions, limited international comparability, and fragmented data. While the civil status definition in Germany stipulates the lower limit of stillbirth as reaching the 24th week of gestation or a birth weight of at least 500 g, international thresholds and even regional burial laws within Germany vary. Stillbirths often result from a combination of placental, maternal, fetal, umbilical cord-related, or intrapartum factors. A robust classification of causes therefore requires standardized diagnostic assessment, particularly placental histology, as well as structured interdisciplinary case analyses. However, Germany currently lacks a national, interoperable birth and stillbirth registry that systematically collates civil registry, clinical, pathological, and psychosocial information. As a result, causes, preventable factors, and gaps in care are often inadequately recorded, which hinders a preventive approach. Furthermore, stillbirths are associated with psychosocial distress for the families and healthcare teams involved. A national strategy should therefore combine systematic data collection, standardized classification, audit-based quality improvement, targeted prevention, and structured psychosocial aftercare. Only by integrating all these aspects can gaps in care be identified and preventable stillbirths reduced in the long term.