Stillbirth Flashcards
what is still birth
when a baby dies after 24 weeks gestation and before or during labour
what is miscarriage
the loss of a baby before 24 weeks of pregnancy
neonatal death is within how long of being born
28 days
age of what is a RF for still birth
over 40 or teens
what is an important modifiable RF for still birth
obesity
true/false
smoking 1 cigarette a day carries the same risk for still birth as 20 a day
false - higher risk the more you smoke
does having a previous still birth increase your risk of another?
yes X 4
what is considered an infant
up to 2 years old
what are some maternal infections that are RF for still birth
CMV parvo herpes malaria syphilis
what are some medical complications that are RF for still birth
pre-eclampsia and eclampsia diabetes obstetric cholestasis multiple pregnancy prolonged pregnancy obesity
what are some common causes of intrapartum death
placental abruption maternal/fetal infection cord prolapse idiopathic hypoxia-acidosis uterine rupture
what groups have a higher chance of still birth
ethnic minority groups
lower socio-economic classes
congenital abnormalities cause _% of still birth
6%
what are some other RF for still birth that havent been mentioned
placental causes
IUGR
non-communicable diseases, nutrition and lifestyle factors
when should women feel a baby move
from 16-24 weeks should move more and more until 32 weeks and then roughly stays the same right up to and during labour
is reduced movement normal
no - should immediately tell midwife if baby has stopped moving or moving less
do all babies move in the same way
no all have a different pattern which mother should get used to
women should sleep on their ____ during 3rd trimester
side
why is sleeping on your back bad for the baby
the baby and womb put pressure on blood vessels supplying the uterus which can restrict BF to the baby
over what BMI can complications arise
30
itching during pregnancy (particularly of hands and feet) can be a sign of what during pregnancy
obstetric cholestasis
what vaccinations should pregnant mothers get
flu
what supplements should pregnant women take
folic acid
vitamin D
should the hospital be told about any fluid leaking/bleeding from vagina
yes - any colour or clear
what might fluid leaking from vagina be in pregnancy
possibly waters breaking or infection
what tests are done on blood of mother after a still birth
infection screen thrombophilia screen blood group diabetes thyroid screen
what investigations are done after a still birth
post mortem
skin biopsy
placenta histopathology
blood tests
women who have a still birth are more likely to develop what mental health conditions
depression
anxiety
PTSD
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
true
when might aspirin/fragmin be given during pregnancy
if thrombophilia screen or PET
what is another name for cot death
SUDI
- sudden unexpected death of infancy
who is always notified about a SUDI
police and PF
when does SUDI occur
any sleep period not just night time
can SUDI occur in someones arms
yes
should parents let their baby sleep in their bed
no
why should babies not be allowed to sleep in chair, swing etc
head can roll forwards
babies should be put to sleep on their___
back
can babies sleep with teddies/pillows
no
how should a blanket be placed in a cot
tucked under babies arms
can a baby sleep with a dummy
yes but if they do they must always - inconsistency increases risk of choking on it
women who are RhD- should have what test
Kleihauer
what is a kleihauer test
determines if there has been a FMH and if so of what size
what should be given if there has been a FMH
Anti-RhD gammaglobulin
if no blood sample can be obtained from baby or the cord how should fetal blood type be determined
ffDNA - free fetal DNA from maternal blood taken shortly after birth
is back ache/tightening that becomes stronger and more regular and lasts longer normal
yes
should a mother inform the midwife if she has a high temperature
yes
should a mother inform the midwife if she has a persistent high headache or problems with vision
yes
is severe pain just below the ribs in middle of tummy normal
no
should a mother inform the midwife if she has obvious swelling or hands, face or upper body
yes
should a mother inform the midwife if she has soreness around the vagina
yes within 24 hours
what foods should be avoided during pregnancy
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
true/false
pregnant women are recommended to take vitamin A supplements e.g. fish liver oil
false - avoid
