Intrauterine Fetal Demise Flashcards
how many weeks is an early pregnancy loss?
prior to 20 weeks gestation
what is a spontaneous abortion?
a miscarriage
what is an induced abortion?
therapeutic abortion
sign of eptotic pregnancy
severe abdominal pain
how many weeks is considered an intrauterine fetal demise
after 20 weeks
cause of IUFD
unknown
risk factors for IUFD
-post-term pregnancy
-renal disease
-substance abuse
-infection
-hypertension
-advanced maternal age
-multiple gestation
-blunt trauma
-Rh disease
-uterine rupture
-diabetes
-congenital anomalies
-obesity
-cord accident
-abruption or hemorrhage
-premature rupture of membranes
diagnosis of IUFD
-no fetal movement
-no fetal heart tones on doppler
-ultrasound
nursing assessment of IUFD
-H&P
-induction
-expected management (have to stay in hospital to make sure all products of conception are out)
complications of IUFD
-blood clots
-infection (priority)
-pain
-fever
-V&D
-heavy bleeding
what patients often experience after IUFD
-experience a quiet birth without infant
-eclipsed by emptiness
-anger & anxiety
-loneliness & sorrow
-living without the infant, making it difficult to see others with young infants and experiencing differences with partner over the loss
the prices of grief after loss of a fetus
-accepting the reality of the loss
-getting over suffering from the loss
-adapting to the new environment without deceased newborn
-emotionally relocating the deceased newborn and proceeding with life
nursing management after IUFD
-provide accurate, understandable information to the family & be culturally sensitive
-acknowledge that the woman’s feeling of loss is legitimate
-reassure the mother that there was likely nothing she could have done to prevent the loss; this can dispel guilt
-provide reassurance about successful future pregnancies
-provide the family with baby mementos and pictures to validate the reality of death
-allow unlimited time with stillborn after birth to validate the death; provide time for the family members to be together & grieve
