To develop a differentiated approach to the tactics of pregnancy in women with fetal death in history. <...> The main group – 45 women who were integrated in laboratory and instrumental studies and careful observation during gestation. <...> A comparison group – 30 pregnant women with a history of AFD, which had passed standard obstetric supervision and examination in outpatient pregnancy care departments and entered in maternity hospital for the treatment of complications and preparation for delivery. <...> The control group – 30 pregnant women with physiological singleton pregnancy. <...> Differentiated approach to the conduct of subsequent pregnancy in women with a his-tory of AFD allowed to reduce the incidence of complications of gestation in relation to the comparison group: threatened abortion – 1.63 times, placental insuffi ci en cy – 1.33 times (40% vs. 53.3%), Preeclampsia was detected 1.2 times less, and 2 times more likely to develop only hypertension induced by pregnancy (85.7% in the intervention group versus 43% in the compari-son group), chronic fetal hypoxia was absent. <...> The use of the differentiated approach to the management of pregnancy possible reduces the frequency of premature deliveries in 8.6 times, increases the frequency of the planned delivery of 1.6 times to avoid the progression of the PI and repeated fetal death in wom-en with a AFD in anamnesis. <...> Key words: antenatal death of fetus, threatened abortion, gestosis, fetal hypoxia, placental insufficiency, preterm labour For citation: Strizhakov A.N., Ignatko I.V., Popova N.G., Baibulatova Sh. <...> Antenatal fetal death: management of the next pregnancies. <...> Ключевые слова: антенатальная гибель плода, угроза прерывания беременности, гестоз, гипоксия плода, плацентарная недостаточность, преждевременные роды Для цитирования: Стрижаков А. <...> Антенатальная гибель плода: тактика ведения последующей беременности Вопросы гинекологии, акушерства и перинатологии. 2016; 15(2): 5–8. <...> For correspondence: Aleksandr N. Strizhakov, academician of the Russian Academy of Sciences, head of the chair of obstetrics, gynaecology and perinatology of the therapeutic faculty, I.M.Sechenov First Moscow State Medical University Address: Address: 8/2 ul. <...> Trubetskaya, Moscow, 119991, Russian Federation Phone: (499) 782-3045 The article was received 09.02.2016, accepted for publication 25.04.2016 5 A.N.Strizhakov et. al / Вопросы гинекологии <...>