Antenatal: Foetal Mortality Flashcards
What is perinatal morality
Number of still births and early neonatal deaths per 1,000 live births and still births
How do WHO define perinatal morality
Number of still births, early neonatal death and late neonatal death per 1,000 live births and still births
What is an early neonatal death
Death of neonate within 7d of live birth
What is a late neonatal death
Death of neonate between 7-21d of live birth
Give 5 factors that increase perinatal morality
Low socio-economic class Young mother >40-years Pre-term Multiple pregnancies (4-5th pregnancy) Asian or Afro-carribean
Define still-birth
A child delivered >24W, that at time of delivery did not breathe or show any other signs of life
Define still-birth rate
Still births per 1,000 live births and still births
What is the main cause of still-births
Unknown
What are 5 causes of still-birth
Unknown (25%) Placenta (12%) APH (11%) Congenital anomalies (11%) HTN (6%) IUGR (6%) Infection (5%)
What are 5 risk factors for still birth
Maternal age Obesity Smoking Previous C-Section IVF Multiple pregnancy
How will stillbirth present
Absent foetal movements
How is still-birth diagnosed
Absence HR on US
What maternal investigations are performed in still-birth
Kleihaur Cross-match Coagulation screen Anti-cardolipin antibodies HbA1c TORCH Screen Urine - for cocaine Cervical swabs
What foetal investigations are performed for foetus
Full post-mortem foetus
Cord blood (for infection)
Foetal and placental swabs
What test should all rhesus negative women have following stillbirth
Kleihaur
