Vim & Vigor - Summer 2020 - UVA - 51

51

PHOTOS BY GETTY IMAGES (TOP) AND UVA HEALTH

department. "Don't call first," he
says. "In a high-risk situation, you
are wasting time."

Risk Factors

The biggest risk factor for stillbirth is
a previous stillbirth, Dr. Dudley says,
and obesity is the most well-known
risk factor. Moms with high-risk
pregnancies-those who have complicated pregnancies or preexisting
conditions (such as diabetes or high
blood pressure) or participate in
risky activities (such as smoking or
drinking alcohol)-are generally at
a higher risk for stillbirth. The risk
of stillbirth goes up rapidly in all

pregnancies after 41 weeks, so Dr.
Dudley recommends inducing labor
if it doesn't start naturally by then.
When Dr. Dudley sees a patient
who has had a previous stillbirth or
birth complication, it's important to
him to acknowledge the mother's
experience and break down stigma.
The labor and delivery care team at
UVA is trained in bereavement care
and prepared to help mothers through
the physical and emotional tolls of
stillbirth and pregnancy after loss.
"Whenever I see a patient who's
had a stillbirth, I will always ask
what they named their baby," Dr.
Dudley says. "There are a lot of

Donald Dudley,
MD, UVA Health
OB-GYN

women out there who suffer stillbirth. You don't realize this because
they either feel ashamed or embarrassed or they don't want to dredge
up those memories, and that's OK.
I acknowledge their baby and also
acknowledge the fact that there's
always that place in their heart for
this child who is part of their family."
He takes a deep dive into each
patient's history to understand
individual risk factors and develop
a plan for the new pregnancy to
allow for the best outcome.
"My reward," he says, "is when I
get to help patients and their families bring a healthy baby home." *
VIM & VIGOR SUMMER 2020

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3/24/20 4:18 PM



Vim & Vigor - Summer 2020 - UVA

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