IUD

Question 1

Why are fetal movements important?

Answer 1

Fetal death may identified by a day or more of loss of fetal movements
Occasionally, extreme activity also identification of fetal death

Question 2

What is the incidence by MBRRACE (2013) of IUD?

Answer 2

15 babies died every day

Over 5,700 babies died before or during birth or within the first four weeks of life

Question 3

Name four things that mothers may mention that could indicate IUD or other issues

Answer 3

Reduced or absent fetal movements- No change in fundal height between antenatal checks

Vaginal bleeding- A baby small for gestational age

Abdominal pain- rigid, painful abdomen that is impossible palpate

Premature Labour- Unable to auscultate the fetal heart

Question 4

How would you diagnose IUD?

Answer 4

Diagnosis must be confirmed by ultrasound scan

Qualified and experienced sonographer to confirm absent fetal heart, which needs to be confirmed by a second clinician

Question 5

provide the 4 different terminology for the death of a neonate

Answer 5

Intrauterine death : Death of fetus at any stage in pregnancy after the first trimester and before the onset of labour.
•Late fetal loss: a baby born between 22+0 and 23+6 weeks gestation, showing no signs of life, irrespective of when the death occurred.
•Stillbirth: A baby born at or after the 24+0 weeks gestational age showing no signs of life, irrespective of when the death occurred
•Neonatal death: a live born baby (born at 20+0 weeks gestation or later, or with a birth weight of 400g or more if accurate estimation of gestation is not available) who died before 28 completed days after birth.
•Perinatal death: Stillbirths and neonatal deaths in the 1st week of life.
(MBRRACE,2015)