Assess Stillbirth Risk Factors

Enter maternal characteristics and pregnancy complications to quantify risk relative to the general population. Values are approximations based on published associations.

Use pre-pregnancy or first prenatal visit BMI.

Estimated absolute risk

0.40%

4.0 per 1000 births

Risk category

Baseline risk

Continue routine prenatal care while maintaining healthy lifestyle habits.

Suggested interventions

  • Maintain routine prenatal visits, kick counts, and evidence-based lifestyle habits.
Estimates derived from population data (e.g., ACOG, SMFM, Stillbirth CRE) and should augment—not replace—individualized clinical judgement.

How to Use This Calculator

1

Collect key maternal risk factors

Gather history of prior stillbirth, hypertension, diabetes, smoking, IVF, and fetal growth issues.

2

Enter current pregnancy complications

Update risk estimate if growth restriction or twin pregnancy develops.

3

Develop a follow-up plan

Use results to prioritize antenatal testing, counseling, and modifiable risk factor interventions.

Formula

Absolute risk (%) = Baseline risk (0.35%) + Σ risk multipliers (in percentage points) for each factor:
• Age ≥35 (+0.12%), ≥40 (+0.30%)
• BMI 30–34.9 (+0.12%), 35–39.9 (+0.20%), ≥40 (+0.30%)
• Nulliparity (+0.05%), Smoker (+0.18%), Chronic hypertension (+0.25%), Diabetes (+0.20%)
• Previous stillbirth (+0.80%), FGR (+0.50%), Multiple gestation (+0.40%), IVF (+0.10%)

Full Description

Stillbirth risk is multifactorial. Maternal age, obesity, hypertension, diabetes, smoking, previous stillbirth, fetal growth restriction, assisted reproduction, and multiple gestation increase risk. This calculator approximates absolute risk to aid counseling; it is not a validated prediction model. Clinical decisions should consider race/ethnicity, socioeconomic determinants, prenatal care access, and genetic conditions. Implement evidence-based risk reduction: optimize chronic disease management, encourage smoking cessation, prescribe low-dose aspirin when indicated, and schedule antenatal testing for high-risk pregnancies.

Frequently Asked Questions

Is this calculator a validated risk model?

No. It synthesizes risk contributions from population studies to provide directional guidance. Use alongside validated tools when available.

How often should I reassess risk?

Reassess when new complications arise (e.g., growth restriction, hypertension) or lifestyle factors change.

Can risk be reduced?

Yes. Smoking cessation, weight management, aspirin prophylaxis, tight glucose/BP control, and fetal movement awareness reduce risk.

When should delivery be considered?

High-risk patients may benefit from delivery at 37 weeks or earlier, guided by maternal-fetal medicine consultation and fetal testing results.