20.500.12556/DiRROS-29336 Structured stillbirth management in Slovenia outcomes and comparison with international guidelines Background: Stillbirth remains a major public health issue with long-lasting psychological impacts. Despite advancements in prenatal diagnostics, many stillbirths remain unexplained. Slovenia has implemented a structured, centralized algorithm for stillbirth investigation and care. Content: This mini-review analyzes a decade of clinical data (2013-2023) from the Department of Perinatology at University Medical Centre Ljubljana (UMC Ljubljana), assessing the outcomes of Slovenia's stillbirth management algorithm. The Slovenian approach is also compared with international guidelines from ACOG, RCOG, CNGOF, PSANZ, SOGC, and FOGSI. Slovenia reports one of the lowest stillbirth rates in Europe - 2 per 1,000 births at ≥24 weeks and 1.4 per 1,000 at ≥28 weeks. At UMC Ljubljana, fetal death rates remained stable between 0.4 % and 0.6 %. The structured algorithm includes maternal history, laboratory testing, placental and fetal pathology, and genetic evaluation. Active induction is preferred over expectant management, and routine TORCH screening and centralized committee oversight are emphasized. Summary: Slovenia's structured, algorithm-based system has led to notably low stillbirth rates, supported by uniform clinical care and systematic investigations. Although Slovenia's experience is encouraging, these results derive from a single-center national registry without comparative cohort analysis, limiting attribution of outcomes to specific elements of the algorithm. Outlook: Future progress will involve the expansion of WES access and full ICD-PM implementation by 2027, enhancing data comparability and facilitating broader international research. Slovenia international guidelines investigation algorithm perinatal mortality stillbirth structured care Slovenija mednarodne smernice preiskovalni algoritem perinatalna umrljivost mrtvorojenost strukturirana oskrba true false true Angleški jezik Slovenski jezik Neznano 2026-05-08 14:34:33 2026-05-08 14:34:33 2026-05-09 03:44:22 0000-00-00 00:00:00 2026 0 0 str. 108-115 iss. 1 Vol. 54 Jan. 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.2/.7 0300-5577 10.1515/jpm-2025-0325 257016067 RAZ_Dolanc_Merc_Maja_2026.pdf RAZ_Dolanc_Merc_Maja_2026.pdf 1 39ECEE91C63A7AD5E8BF85C8A9616773 3fa6fd8c0b99bc6cabb06c3b06917b5e9bb22810e35f7eac05faca50ea73bb85 69243509-4ada-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43928 https://www.degruyterbrill.com/document/doi/10.1515/jpm-2025-0325/html 1 45b91642-4ada-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43926 Univerzitetni klinični center Ljubljana 0 0 0