IUFD

Question 1

Define IUFD x2

Answer 1

Death of a fetus >28wks GA/ >1000g

Question 2

Risk of retained >= 4/5weeks

Answer 2

DIC

Question 3

Pathophysiology of DIC in IUFD

Answer 3

Decomposing fetus releases thromboplastic factors

Question 4

Maternal causes x5

Answer 4

DM, HTN
Malaria
Substance abuse
Uterine rupture
Poor nutritional status
Advanced maternal age

Question 5

Fetoplacental causes x4

Answer 5

Hydrops fetalis
TORCH infections
Congenital /chromosomal abnormalities
IUGR due to placental insufficiency

Question 6

Describe the 2 types of still birth

Answer 6

Fresh- death within 24 hours
Macerated- death over 24 hours

Question 7

Describe macerated still birth grade 2 x3

Answer 7

Extensive skin peeling, Red serous effusions in chest or abdomen, 2-7days

Question 8

10 USS findings of IUFD

Answer 8

Balls sign
Oligohydramnios
Echogenic amniotic fluid
Absent fetal movements
Soft tissue edema
Spalding sign
Halo sign
Roberts signs
Absent cardiac activity
Distorted fetal anatomy

Question 9

Management of IUFD x5

Answer 9

Expectant management may allow up to 3 weeks
Induction of labor
Adequate anesthesia
Bereavement counselling
Placental evaluation and perinatal autopsy

Question 10

Characteristics of DIC x4

Answer 10

Systemic activation of clotting cascade
Micro thrombin formation
Platelet consumption
Counsumption of clotting factors