Stillbirth

Question 1

what is still birth

Answer 1

when a baby dies after 24 weeks gestation and before or during labour

Question 2

what is miscarriage

Answer 2

the loss of a baby before 24 weeks of pregnancy

Question 3

neonatal death is within how long of being born

Answer 3

28 days

Question 4

age of what is a RF for still birth

Answer 4

over 40 or teens

Question 5

what is an important modifiable RF for still birth

Answer 5

obesity

Question 6

true/false

smoking 1 cigarette a day carries the same risk for still birth as 20 a day

Answer 6

false - higher risk the more you smoke

Question 7

does having a previous still birth increase your risk of another?

Answer 7

yes X 4

Question 8

what is considered an infant

Answer 8

up to 2 years old

Question 9

what are some maternal infections that are RF for still birth

Answer 9

CMV
parvo
herpes
malaria
syphilis

Question 10

what are some medical complications that are RF for still birth

Answer 10

pre-eclampsia and eclampsia
diabetes
obstetric cholestasis
multiple pregnancy
prolonged pregnancy
obesity

Question 11

what are some common causes of intrapartum death

Answer 11

placental abruption
maternal/fetal infection
cord prolapse
idiopathic hypoxia-acidosis
uterine rupture

Question 12

what groups have a higher chance of still birth

Answer 12

ethnic minority groups

lower socio-economic classes

Question 13

congenital abnormalities cause _% of still birth

Answer 13

6%

Question 14

what are some other RF for still birth that havent been mentioned

Answer 14

placental causes
IUGR
non-communicable diseases, nutrition and lifestyle factors

Question 15

when should women feel a baby move

Answer 15

from 16-24 weeks should move more and more until 32 weeks and then roughly stays the same right up to and during labour

Question 16

is reduced movement normal

Answer 16

no - should immediately tell midwife if baby has stopped moving or moving less

Question 17

do all babies move in the same way

Answer 17

no all have a different pattern which mother should get used to

Question 18

women should sleep on their ____ during 3rd trimester

Answer 18

side

Question 19

why is sleeping on your back bad for the baby

Answer 19

the baby and womb put pressure on blood vessels supplying the uterus which can restrict BF to the baby

Question 20

over what BMI can complications arise

Answer 20

30

Question 21

itching during pregnancy (particularly of hands and feet) can be a sign of what during pregnancy

Answer 21

obstetric cholestasis

Question 22

what vaccinations should pregnant mothers get

Answer 22

flu

Question 23

what supplements should pregnant women take

Answer 23

folic acid

vitamin D

Question 24

should the hospital be told about any fluid leaking/bleeding from vagina

Answer 24

yes - any colour or clear

Question 25

what might fluid leaking from vagina be in pregnancy

Answer 25

possibly waters breaking or infection

Question 26

what tests are done on blood of mother after a still birth

Answer 26

``` infection screen thrombophilia screen blood group diabetes thyroid screen ```

Question 27

what investigations are done after a still birth

Answer 27

post mortem skin biopsy placenta histopathology blood tests

Question 28

women who have a still birth are more likely to develop what mental health conditions

Answer 28

depression anxiety PTSD

Question 29

true/false women who have had a still birth will have more frequent fetal and maternal surveillance in following pregnancies as well as more scans and BP/GTT checks

Answer 29

true

Question 30

when might aspirin/fragmin be given during pregnancy

Answer 30

if thrombophilia screen or PET

Question 31

what is another name for cot death

Answer 31

SUDI | - sudden unexpected death of infancy

Question 32

who is always notified about a SUDI

Answer 32

police and PF

Question 33

when does SUDI occur

Answer 33

any sleep period not just night time

Question 34

can SUDI occur in someones arms

Answer 34

yes

Question 35

should parents let their baby sleep in their bed

Answer 35

no

Question 36

why should babies not be allowed to sleep in chair, swing etc

Answer 36

head can roll forwards

Question 37

babies should be put to sleep on their___

Answer 37

back

Question 38

can babies sleep with teddies/pillows

Answer 38

no

Question 39

how should a blanket be placed in a cot

Answer 39

tucked under babies arms

Question 40

can a baby sleep with a dummy

Answer 40

yes but if they do they must always - inconsistency increases risk of choking on it

Question 41

women who are RhD- should have what test

Answer 41

Kleihauer

Question 42

what is a kleihauer test

Answer 42

determines if there has been a FMH and if so of what size

Question 43

what should be given if there has been a FMH

Answer 43

Anti-RhD gammaglobulin

Question 44

if no blood sample can be obtained from baby or the cord how should fetal blood type be determined

Answer 44

ffDNA - free fetal DNA from maternal blood taken shortly after birth

Question 45

is back ache/tightening that becomes stronger and more regular and lasts longer normal

Answer 45

yes

Question 46

should a mother inform the midwife if she has a high temperature

Answer 46

yes

Question 47

should a mother inform the midwife if she has a persistent high headache or problems with vision

Answer 47

yes

Question 48

is severe pain just below the ribs in middle of tummy normal

Answer 48

no

Question 49

should a mother inform the midwife if she has obvious swelling or hands, face or upper body

Answer 49

yes

Question 50

should a mother inform the midwife if she has soreness around the vagina

Answer 50

yes within 24 hours

Question 51

what foods should be avoided during pregnancy

Answer 51

``` soft cheese undercooked/raw meat and fish poor quality eggs vitamin A supplements e.g. fish liver oil liver and liver products unwashed raw fruit and veg ```

Question 52

true/false | pregnant women are recommended to take vitamin A supplements e.g. fish liver oil

Answer 52

false - avoid