Neonatal death

Neonatal death is the term used to describe the death of a baby within four weeks of its birth, and around 20,000 babies a year die in the first 28 days.

There are many causes of neonatal death but premature birth is the most common, being a factor in 30 percent of neonatal deaths. Sadly, the earlier a baby is born the more likely he is to suffer from complications and the less likely he is to survive. While more than 90 percent of babies born at 27 weeks live, this figure drops to 50-70 percent for babies born at 24-25 weeks, and 20-35 percent for babies born around 23 weeks. Even preemies who are much further along are vulnerable to respiratory distress syndrome and infections due to their immature lungs and immune systems.

Babies born with chromosomal abnormalities and those with heart defects are also at risk. You and your caregivers may be prepared for this if your prenatal tests have revealed a problem. Complications that arise in labor and birth also take their toll. Thankfully neonatal death is very rare these days, as women are monitored closely and any problems are usually picked up straightaway.

If your baby dies shortly after his birth your caregivers may ask if you want to hold him – do what feels right to you when it comes to saying goodbye. The doctors may also ask if you would like a memento, such as a lock of your baby’s hair or a copy of his footprints. Although you will be overwhelmed at this time, these things can be a huge comfort later on. Your doctors can also refer you to a grief counselor and support groups.

Your doctors may be able to carry out tests to determine why your baby died if the reason isn’t clear. The results of these tests can be vital if there is an underlying genetic cause, since you will need to know if any future babies might be affected.

If you’ve experienced a bereavement, you might wish to visit our section on losing a baby for help and advice.The March of Dimes can offer information on pregnancy and newborn loss (www.marchofdimes.com).