SUDI + still birth

Question 1

sudden unexpected death in infancy (SUDI)

Answer 1

diagnosis of exclusion
largest no of infant death in those age 2-6months

Question 2

triple risk model of SUDI

Answer 2

1. critical development period
2. vulnerable infant - preterm, maternal smoking
3. exogenous stess
   - prone position, overheating
   - head covering co sleeping
   - infections

Question 3

SUDI risk factors

Answer 3

illness, preterm, small for gestational age, boys
maternal depression
alcohol/substance misuse in parent
smoking pregnancy/postnatally
co-sleeping - swaddling *
sleeping prone or side sleeping

Question 4

causes of SUDI

Answer 4

infections
congenital - epileptic fit - tuberous sclerosis
NAI
accidents

Question 5

define still birth

Answer 5

when baby dies after 24wks + before or during birth

(pre-24weeks = miscarriage)

Question 6

lifestyle advice for pregnant eomen

Answer 6

sleep on side in 3rd trimester - can crush blood supply to uterus when on back
get flu vaccine
take folic acid
vit D
no smoke, eat healthy, no drink

“movement matters” from 24wks - not if baby reduces movements

Question 7

perinatal mortality review tool (PMRT)

Answer 7

• Standardised way of examining women who had lost babies
  
  • MDT systematic review - see how they can improve care

Question 8

labour + birth of stillborn

Answer 8

if complications (sepsis, PET, membrane rupture) take immediate steps for delivery

vaginal birth recommended
prolonged management reduces value of postmortem + appearance deterioration