L8: IUFD Flashcards

1
Q

Def of IUFD (Stillbirth)

A
  • Death of fetus in utero after 20 weeks

OR

  • If fetal weight is ≥ 500)gm.
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2
Q

Incidence of IUFD (Stillbirth)

A
  • 80% of stillbirths occur before term.
  • ≥ 50% of stillbirths occur before 28 weeks gestation.
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3
Q

Types of IUFD (Stillbirth)

A
  • Antenatal IUFD: Fetal death before onset oflabor.
  • Intranatal death: Fetal death during labor
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4
Q

Etiology of Antenatal IUFD

A
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5
Q

Etiology of Antenatal IUFD

  • Maternal
A
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6
Q

Etiology of Antenatal IUFD

  • Fetal
A
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7
Q

Etiology of Antenatal IUFD

  • Placental
A
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8
Q

Etiology of Antenatal IUFD

  • Cord
A
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9
Q

Etiology of Antenatal IUFD

  • Idiopathic
A

30-50%

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10
Q

Complications of Antenatal IUFD

A
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11
Q

Dx of Antenatal IUFD

A
  • Symptoms
  • Signs
  • INVx
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12
Q

Dx of Antenatal IUFD

  • Symptoms
A
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13
Q

Dx of Antenatal IUFD

  • Signs
A
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13
Q

Dx of Antenatal IUFD

  • INVx
A
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14
Q

Dx of Antenatal IUFD

  • Pregnancy Test
A

Turns -ve within 2-3 weeks after fetal death.

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15
Q

Dx of Antenatal IUFD

  • US
A
16
Q

Dx of Antenatal IUFD

  • X-Ray
A
17
Q

Managment of Antenatal IUFD

A
  • wait 4 weeks for spontaneous expulsion
  • TOP
  • After TOP
18
Q

Managment of Antenatal IUFD

  • Waiting
A

65-80% of fetuses will be expelled

19
Q

Managment of Antenatal IUFD

  • TOP
A
20
Q

Managment of Antenatal IUFD

  • Indications of TOP
A
  1. Nonoccurrence of spontaneous expulsion.
  2. Mother is anxious.
  3. Development of complications.
21
Q

Managment of Antenatal IUFD

  • methods of TOP
A
22
Q

Def of Intranatal Death

A

Death of fetus (during) labor.

23
Q

Managment of Antenatal IUFD

  • After TOP
A
24
Q

Etiology of Intranatal Death

A
25
Q

Def of Neonatal Death

A

Death of neonate during 1st month after birth.

26
Q

Etiology of Neonatal Death

A
27
Q

Etiology of Neonatal Death

  • Death During 1st week
A
28
Q

Etiology of Neonatal Death

  • Death After 1st week
A

Mainly due to infection especially umbilical & respiratory infections).