Still Birth Flashcards
during pregnancy, what must be examined for in stillbirth?
pre-eclampsia
chorioamnionitis
placental abruption
what test do women who are rhesus D -ve need to have and why?
kleihauer test to check for foetal maternal haemorrhage
what to do if there has been a large foeto-maternal haemorrhage?
adjust anti-rhd upwards and repeat test within 24 hours
define stillbirth
when a baby dies after 24 weeks of pregnancy and before or during birth
most common causes of stillbirth
placental abruption maternal and foetal infection cord prolapse idiopathic hypoxia uterine rupture
list risk factors for stillbirth
- Placental causes
- Intrauterine growth restriction
- Congenital abnormalities
- Maternal infections = cytomegalovirus, parvo, herpes, malaria and syphilis
- Non communicable diseases
- Nutrition and lifestyle factors
- Extremes of age
- Ethnic minority groups
- Lower socioeconomic class
- Pre-eclampsia and eclampsia
- Diabetes
- Obstetric cholestasis
- Multiple pregnancy, twin to twin transfusion
- Prolonged pregnancies
- Obesity
- Smoking
- Previous stillbirth
- Antepartum haemorrhage
- Maternal antibodies
do babies move less/stop moving before a stillbirth
yes usually
how should women sleep in third trimester
on there side to stop the womb being deprived of oxygen
lifestyle advice for pregnancy
quit smoking
stay a healthy weight
avoid alcohol and drugs
important vitamins/vaccines for pregnancy
folic acid and vitamins D
flu vaccine
when should immediate steps towards quick delivery be taken?
sepsis
pre-eclampsia
placental abruption
membrane rupture
what does a blood test needs to be taken for to determine if labour can be delayed?
disseminated intravascular coagulation (blood clots form throughout the body)
what warning needs to be given if birth is delayed?
value of post mortem and appearance of baby deteriorates the longer birth is delayed
what investigations may be necessary after a stillbirth?
post mortem skin biopsy placenta histopathology blood micro
