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I would acknowledge it by saying you're sorry for what she's going through, and to let you know if there is anything you can do for her, and then leave it at that. I would say don't phrase anything as a question that she needs to respond to ("How are you feeling?", etc) because sometimes it can be really hard to respond. If you just tell her you're sorry she can say thank you and move on if she doesn't want to discuss it.

I agree with Mamamoose as well. While I didn't have a stillborn, I did have a miscarriage. It felt nice when a coworker or friend or family member just said sorry to me. I felt like they were acknowledging my pain. I was very hurt by certain friends that said nothing at all and just acted like nothing happened. Just a simple, "I'm so sorry for you loss" is all that's needed.

@MsLipGloss: I agree. After my MC, I appreciated it when coworkers that I was close (enough to have discussed the pregnancy with them) to said something like "hey, that sucks, I'm sorry," but I would NOT have wanted to talk about it with someone I hadn't chosen to tell about the pregnancy in the first place. I know it would have been meant well, but I'd have definitely felt like my privacy was violated if someone said something after just hearing it through the grapevine. I know my supervisor had to tell a few of the directors because I was missing time and had to revise some assignments, but I appreciated the fact that she worked with them on my schedule and I got to make the call of whether I wanted to talk to them about it or not (I didn't, and none of the directors ever brought it up, but I know it came into play later with my next pregnancy when they were really cool about being flexible with my schedule).

@MsLipGloss: Hmmm good point if others weren't supposed to know.

I work in a small office of 15 people. So I told my boss what happened and news pretty much spread to everyone. He did later apologize for not keeping the matter private. But before I went back to work, I knew everyone knew because they sent me a card in the mail. So I did have people say sorry to me that never even knew I was pregnant in the first place. I wasn't too bothered by it. I was kind of glad everyone knew and I didn't have to tell them. But I guess if you aren't supposed to know and she doesn't think you know... it might be kind of awkward saying something to her. Tough call.

If she had announced her pregnancy at work. you should be fairly safe in using MamaMoose's suggestion.
Otherwise, since she was out for so long, you could do something as simple as "I'm glad to see you back - let me know if there's anything I can do to help."

I would leave a nice note on her desk.

When people know (and you know they know) and they choose to ignore it...that is the absolute worst. I still have negative feelings towards DH's family for this. A nice note would've done wonders without the awkwardness of it being said verbally (which could also be upsetting to her)