What is the cause of IUFD?
Hyper-coiled cord (HCC) and umbilical ring constrictions were the most frequent cause of IUFD in both periods. The relatively decreased prevalence of IUFD due to velamentous cord insertion and umbilical cord entanglement, HCC and umbilical cord constriction was increased.
What is the difference between IUFD and stillbirth?
The Perinatal Mortality Surveillance Report (CEMACH)3 defined stillbirth as ‘a baby delivered with no signs of life known to have died after 24 completed weeks of pregnancy’. Intrauterine fetal death refers to babies with no signs of life in utero.
What are the complications of IUFD?
Most common complication associated with IUFD was Disseminated Intravascular Coagulation (DIC) in 18 (22.5%) followed by Sepsis in 8 (10%), Acute Renal Failure (ARF) in 3 (3.7%), Maternal mortality in 1 (1.2%). Conclusions: Anemia, PIH, accidental haemorrhage were leading causes of IUFD.
What are the signs of IUFD?
Symptoms that may indicate IUFD include: Not feeling the fetus moving or kicking. Pain in the abdomen. Infection or high fever.
How do you test for IUFD?
A fetal autopsy is the most likely test to reveal a cause of IUFD, but some parents are uncomfortable with this. Amniocentesis can be performed to test for genetic conditions that may have been causative. Additionally, the placenta should be examined.
What are the signs of intrauterine fetal death?
Radiographic features
- absent fetal heartbeat.
- absent fetal movements.
- occasional findings. overlapping of skull bones (Spalding sign) gross distortion of fetal anatomy (maceration) soft tissue edema: skin >5 mm.
- uncommon findings. thrombus in fetal heart. gas shadow in fetal heart (Robert sign)
How is IUFD diagnosed?
Doppler ultrasound is used as a confirmatory adjuvant. It is felt that by combining Doppler and 2 dimensional diagnostic B-mode ultrasound the diagnosis of intrauterine fetal death can be made within 48 hours after suspected death in pregnancies more than 14 weeks and with scans a week apart if less than 14 weeks.
How is intrauterine fetal death diagnosed?
Diagnosing Intrauterine Fetal Demise
- Ultrasound: Checking for signs of movement and life within the womb.
- Non-Stress Testing: The fetus is connected to a fetal heart monitor for 20 minutes to ensure proper heart rate.
- Biophysical Profile: An ultrasound and a non-stress test together check for vital signs in the fetus.
What is the most common cause of fetal death?
The most common causes were obstetric conditions (150 [29.3%; 95% CI, 25.4%–33.5%]), placental abnormalities (121 [23.6%; 95% CI, 20.1%–27.6%]), fetal genetic/structural abnormalities (70 [13.7%; 95% CI, 10.9%–17.0%]), infection (66 [12.9%; 95% CI, 10.2%–16.2%]), umbilical cord abnormalities (53 [10.4%; 95% CI, 7.9%– …
How do you handle intrauterine death?
Prostaglandins, without priming with mifepristone are commonly used in the treatment of intrauterine death. The success rates with prostaglandins range from 67% to 100%2, 3. Use of prostaglandins and their analogues are limited by dose related side effects, which can to be minimised by vaginal administration.
Is fetal demise an emergency?
It is also important for you to know that a fetal demise in the second trimester is not a medical emergency so treatment is not immediately indicated.
What causes fetal death in pregnancy?
A stillbirth is the death of a baby in the womb after week 20 of the mother’s pregnancy. The reasons go unexplained for 1/3 of cases. The other 2/3 may be caused by problems with the placenta or umbilical cord, high blood pressure, infections, birth defects, or poor lifestyle choices.