Which statement accurately describes stillbirth?

The statement describing stillbirth as intermediate and late fetal deaths is accurate because stillbirth specifically refers to the loss of a fetus at or after 20 weeks of gestation. Medical definitions typically categorize fetal deaths that occur before this gestational age as miscarriages or spontaneous abortions, while those that occur at 20 weeks or later are classified as stillbirths. Therefore, the correct definition aligns with the understanding that stillbirth encompasses those instances where the fetus has reached a viable gestational age, making it appropriate to refer to these tragic events as intermediate or late fetal deaths.

In contrast, the other statements inaccurately define the concept. For instance, describing stillbirth as any fetal death before 20 weeks does not fit the clinical definition, as these are not considered stillbirths. Similarly, defining stillbirth as any death of a fetus during delivery does not capture the critical distinction of gestational age. Finally, indicating that any miscarriage occurring after 28 weeks constitutes a stillbirth is misleading, since losses post-28 weeks are typically characterized as stillbirth only if they follow the definitions established for viability, which lie at 20 weeks. Thus, understanding stillbirth within the framework of intermediate and late fetal deaths ensures clarity and aligns with medical definitions.