Stillbirth

Question 1

Causes of stillbirth

Answer 1

Fetal growth restriction
Nutrition
Genetic
Maternal disease

Question 2

3 things affecting developed world for stillbirth in mother?

Answer 2

• Hypertension - preeclampsia
• fetal growth restriction
• identification and induction of higher risk

Question 3

Classification of perinatal death?

Answer 3

-Congenital abnormality - eg. Anencephaly

Question 4

Perinatal infections?

Answer 4

Bacterial, GBS, ecoli, listerio, P arvo, CMV, HSV, rubella, H1N1

Question 5

What protozoan risk for stillbirth?

Answer 5

Toxoplasmosis

Question 6

Maternal medical conditions risk for maternal medical conditions?

Answer 6

DM
SLE
Obstetrics cholestasis

Question 7

Big infection prevention of stillbirth?

Answer 7

FLU vaccine
Reduce maternal Resp
Less still birth
50% less baby likely ICU: get IgG as well as pertussis

Question 8

What is hypoxia peripartum death?

Answer 8

Intrapartum events

Question 9

Biggest modifiable maternal risk factor for stillbirth

Answer 9

Obesity

Question 10

Growth restriction babies have how much more risk?

Answer 10

4 times more likely for stillbirth?

early detection is key.

Question 11

Maternal factors stillbirth?

Answer 11

DM
HTN
SLE, connective tissue disorder, thrombophilia, anti phospholipid syndrome

Question 12

Placental reasons for stillbirth

Answer 12

Placental abrupt ion
Chronic placental insufficiency
Twin-twin transfusion
Veto-maternal transfusion
Cord accident

Question 13

Complications of stillbirth?

Answer 13

Coagulopathy

Haemorrhage

Question 14

Breaking bad news

Answer 14

Warning shot
Then straight in with Dx.
Then explain
Be quiet
NOT YOUR FAULT.
Help, call someone, organize it.
Post-mortem question: gentle surgical, respectful manner
Here is my contact if needed