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Может произойти на любом сроке беременности, но чаще всего — во втором триместре [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n\nГибель может быть полной (ребёнок умирает полностью) или частичной [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/).\n\n## Причины\nНекоторые причины антенатальной гибели плода: \n* **Инфекционные заболевания матери** (например, токсикоплазмоз, листериоз) [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Хронические заболевания матери** (сахарный диабет, гипертония) [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Аномальное развитие плода** (врождённые дефекты) [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Плацентарные нарушения** (например, плацентарная недостаточность) [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Травмы** (например, ДТП, падения) [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Курение, алкоголь и наркотики** [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n\nИногда причина гибели остаётся невыясненной [2](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/antenatal-fetal-death).\n\n## Симптомы\nНекоторые симптомы антенатальной гибели плода: \n* отсутствие движений плода [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/)[9](https://diseases.medelement.com/disease/%D0%BC%D0%B5%D0%B4%D0%B8%D1%86%D0%B8%D0%BD%D1%81%D0%BA%D0%B0%D1%8F-%D0%BF%D0%BE%D0%BC%D0%BE%D1%89%D1%8C-%D0%BC%D0%B0%D1%82%D0%B5%D1%80%D0%B8-%D0%BF%D1%80%D0%B8-%D1%83%D1%81%D1%82%D0%B0%D0%BD%D0%BE%D0%B2%D0%BB%D0%B5%D0%BD%D0%BD%D1%8B%D1%85-%D0%B8%D0%BB%D0%B8-%D0%BF%D1%80%D0%B5%D0%B4%D0%BF%D0%BE%D0%BB%D0%B0%D0%B3%D0%B0%D0%B5%D0%BC%D1%8B%D1%85-%D0%B0%D0%BD%D0%BE%D0%BC%D0%B0%D0%BB%D0%B8%D1%8F%D1%85-%D0%B8-%D0%BF%D0%BE%D0%B2%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D1%8F%D1%85-%D0%BF%D0%BB%D0%BE%D0%B4%D0%B0-%D0%B8-%D0%B0%D0%BD%D1%82%D0%B5%D0%BD%D0%B0%D1%82%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B9-%D0%B3%D0%B8%D0%B1%D0%B5%D0%BB%D0%B8-%D0%BF%D0%BB%D0%BE%D0%B4%D0%B0-%D0%BA%D1%80-%D1%80%D1%84-2024/18345); \n* отсутствие сердечных тонов плода [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/); \n* снижение объёма плодных вод [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/); \n* кровянистые выделения из влагалища [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/); \n* боли в нижней части живота [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n\nУменьшение частоты шевелений плода наблюдается в 70% случаев антенатальной гибели плода за 1–3 суток до её возникновения [9](https://diseases.medelement.com/disease/%D0%BC%D0%B5%D0%B4%D0%B8%D1%86%D0%B8%D0%BD%D1%81%D0%BA%D0%B0%D1%8F-%D0%BF%D0%BE%D0%BC%D0%BE%D1%89%D1%8C-%D0%BC%D0%B0%D1%82%D0%B5%D1%80%D0%B8-%D0%BF%D1%80%D0%B8-%D1%83%D1%81%D1%82%D0%B0%D0%BD%D0%BE%D0%B2%D0%BB%D0%B5%D0%BD%D0%BD%D1%8B%D1%85-%D0%B8%D0%BB%D0%B8-%D0%BF%D1%80%D0%B5%D0%B4%D0%BF%D0%BE%D0%BB%D0%B0%D0%B3%D0%B0%D0%B5%D0%BC%D1%8B%D1%85-%D0%B0%D0%BD%D0%BE%D0%BC%D0%B0%D0%BB%D0%B8%D1%8F%D1%85-%D0%B8-%D0%BF%D0%BE%D0%B2%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D1%8F%D1%85-%D0%BF%D0%BB%D0%BE%D0%B4%D0%B0-%D0%B8-%D0%B0%D0%BD%D1%82%D0%B5%D0%BD%D0%B0%D1%82%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B9-%D0%B3%D0%B8%D0%B1%D0%B5%D0%BB%D0%B8-%D0%BF%D0%BB%D0%BE%D0%B4%D0%B0-%D0%BA%D1%80-%D1%80%D1%84-2024/18345).\n\n## Диагностика\nДля диагностики антенатальной гибели плода используют: \n* **Ультразвуковое исследование** — позволяет определить сердечные тоны плода и его движения [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Допплерографию** — определяет кровоток в сосудах плода и плаценты [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Анализ крови матери на гормон хорионический гонадотропин (ХГЧ)** — он вырабатывается плацентой и увеличивается в случае гибели плода [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/).\n\n## Лечение\nЛечение антенатальной гибели плода зависит от срока беременности и состояния здоровья матери [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/): \n* **Если гибель плода произошла на ранних сроках** — может потребоваться медикаментозное вызывание родов [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n* **Если гибель плода произошла на более поздних сроках** — может потребоваться хирургическое удаление плода [1](https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/). \n\nТактика индивидуальна, зачастую решение принимает консилиум врачей [6](https://n-d-c.ru/publications/427/antenatalnaya-gibel-ploda/).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/","shownUrl":"https://semeynaya.ru/directions/ginekologiya/antenatalnaya-gibel-ploda/","title":"Антенатальная гибель плода","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/antenatal-fetal-death","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gynaecology/antenatal-fetal-death","title":"Антенатальная гибель плода - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":3,"url":"https://www.Huggies.ru/library/planirovanie/oslozhneniya-pri-beremennosti/antenatalnaya-gibel-ploda","shownUrl":"https://www.Huggies.ru/library/planirovanie/oslozhneniya-pri-beremennosti/antenatalnaya-gibel-ploda","title":"Антенатальная гибель плода: причины внутриутробной смерти плода | статьи от Huggies","shortUrl":"Huggies.ru","isTranslated":false,"description":"","greenUrl":"Huggies.ru"},{"sourceId":4,"url":"https://gemostaz.ru/uslugi/tsentr_ginekologii/lechenie-besplodiya/antenatalnaya-gibel-ploda/","shownUrl":"https://gemostaz.ru/uslugi/tsentr_ginekologii/lechenie-besplodiya/antenatalnaya-gibel-ploda/","title":"Антенатальная гибель плода - лечение в Москве","shortUrl":"gemostaz.ru","isTranslated":false,"description":"","greenUrl":"gemostaz.ru"},{"sourceId":5,"url":"https://mesedclinic.ru/treatment/antenatalnaya-gibel-ploda/","shownUrl":"https://mesedclinic.ru/treatment/antenatalnaya-gibel-ploda/","title":"Mesed Clinic","shortUrl":"mesedclinic.ru","isTranslated":false,"description":"","greenUrl":"mesedclinic.ru"},{"sourceId":6,"url":"https://n-d-c.ru/publications/427/antenatalnaya-gibel-ploda/","shownUrl":"https://n-d-c.ru/publications/427/antenatalnaya-gibel-ploda/","title":"Антенатальная гибель плода НДЦ Королев","shortUrl":"n-d-c.ru","isTranslated":false,"description":"","greenUrl":"n-d-c.ru"},{"sourceId":7,"url":"https://ProBolezny.ru/antenatalnaya-gibel-ploda/","shownUrl":"https://ProBolezny.ru/antenatalnaya-gibel-ploda/","title":"Антенатальная гибель плода: причины, симптомы и лечение в статье гинеколога Кондратенко Ю. 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