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YEAR 3 SUDDEN DEATH > Stillbirth > Flashcards

Stillbirth Flashcards

1
Q

what is still birth

A

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

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2
Q

what is miscarriage

A

the loss of a baby before 24 weeks of pregnancy

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3
Q

neonatal death is within how long of being born

A

28 days

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4
Q

age of what is a RF for still birth

A

over 40 or teens

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5
Q

what is an important modifiable RF for still birth

A

obesity

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6
Q

true/false

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

A

false - higher risk the more you smoke

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7
Q

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

A

yes X 4

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8
Q

what is considered an infant

A

up to 2 years old

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9
Q

what are some maternal infections that are RF for still birth

A 
CMV
parvo
herpes
malaria
syphilis
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10
Q

what are some medical complications that are RF for still birth

A 
pre-eclampsia and eclampsia
diabetes
obstetric cholestasis
multiple pregnancy
prolonged pregnancy
obesity
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11
Q

what are some common causes of intrapartum death

A 
placental abruption
maternal/fetal infection
cord prolapse
idiopathic hypoxia-acidosis
uterine rupture
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12
Q

what groups have a higher chance of still birth

A

ethnic minority groups

lower socio-economic classes

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13
Q

congenital abnormalities cause _% of still birth

A

6%

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14
Q

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

A

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

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15
Q

when should women feel a baby move

A

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

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16
Q

is reduced movement normal

A

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

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17
Q

do all babies move in the same way

A

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

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18
Q

women should sleep on their ____ during 3rd trimester

A

side

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19
Q

why is sleeping on your back bad for the baby

A

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

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20
Q

over what BMI can complications arise

A

30

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21
Q

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

A

obstetric cholestasis

22
Q

what vaccinations should pregnant mothers get

A

flu

23
Q

what supplements should pregnant women take

A

folic acid

vitamin D

24
Q

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

A

yes - any colour or clear

25
Q

what might fluid leaking from vagina be in pregnancy

A

possibly waters breaking or infection

26
Q

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

A 
infection screen
thrombophilia screen
blood group
diabetes 
thyroid screen
27
Q

what investigations are done after a still birth

A

post mortem
skin biopsy
placenta histopathology
blood tests

28
Q

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

A

depression
anxiety
PTSD

29
Q

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

A

true

30
Q

when might aspirin/fragmin be given during pregnancy

A

if thrombophilia screen or PET

31
Q

what is another name for cot death

A

SUDI

- sudden unexpected death of infancy

32
Q

who is always notified about a SUDI

A

police and PF

33
Q

when does SUDI occur

A

any sleep period not just night time

34
Q

can SUDI occur in someones arms

A

yes

35
Q

should parents let their baby sleep in their bed

A

no

36
Q

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

A

head can roll forwards

37
Q

babies should be put to sleep on their___

A

back

38
Q

can babies sleep with teddies/pillows

A

no

39
Q

how should a blanket be placed in a cot

A

tucked under babies arms

40
Q

can a baby sleep with a dummy

A

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

41
Q

women who are RhD- should have what test

A

Kleihauer

42
Q

what is a kleihauer test

A

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

43
Q

what should be given if there has been a FMH

A

Anti-RhD gammaglobulin

44
Q

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

A

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

45
Q

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

A

yes

46
Q

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

A

yes

47
Q

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

A

yes

48
Q

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

A

no

49
Q

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

A

yes

50
Q

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

A

yes within 24 hours

51
Q

what foods should be avoided during pregnancy

A 
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
52
Q

true/false

pregnant women are recommended to take vitamin A supplements e.g. fish liver oil

A

false - avoid

YEAR 3 SUDDEN DEATH (7 decks)

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