IUD Flashcards
What is an intrauterine death?
Death of a foetus at any stage after the 1st trimester (12/40) and before the onset of labour
What is a late foetal loss?
A baby born between 22+0 and 23+6 with no signs of life
What is a stillbirth?
A baby born after 24/40 showing no signs of life
What is a neonatal death?
A live baby born at 20/40 or later (or with BW >400g) who died before 28 completed days after birth
What is a perinatal death?
Stillbirths and neonatal deaths in the 1st week of life
When does a stillbirth not need to be registered?
- If <24/40
- If foetal papyraceous is discovered at birth
What is a foetal papyraceous?
A mummified foetus
What are the 4 elements of the Saving Babies Lives care bundle?
- Reduce smoking in pregnancy
- Risk assessment and surveillance for foetal growth restriction
- Raising awareness of RFM
- Effective foetal monitoring during labour
What are some ways in which mothers may detect an IUD?
- Reduced/absent FM
- PV bleeding
- Abdominal pain
- Premature labour
- Offensive discharge
- Feeling that ‘something is wrong’
What are some ways in which midwives may detect an IUD?
- No change in fundal height
- SGA
- Rigid, painful abdomen that’s difficult to palpate
- Unable to auscultate FHR
Why should delivery of an IUD not be delayed?
Increasing risk of APH
What are some maternal causes of perinatal death?
- Infection
- Cord problems (e.g. prolapse, true knot)
- Placental separation/ insufficiency
What are some foetal causes of perinatal death?
- Hypoxia
- Prematurity
- RDS
- Meconium aspiration
- Failed resuscitation
- Rhesus disease
How should the 1st episode of RFM be managed?
- Midwife review
- SHO review if still not happy after CTG
- CTG for 30 mins - 1 hour (looking for movements and must meet Dawes-Redman criteria)
How should subsequent episodes of RFM be managed?
Reg review
