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  • Intrauterine Fetal Demise (IUFD)

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    dbluekokok
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    Intrauterine fetal demise (IUFD) is defined as fetal death after 20 weeks of gestation but before the onset of labor. It complicates about 1% of pregnancies, with the cause unknown in around half of cases. Known causes include hypertension in pregnancy, diabetes, Rh isoimmunization, fetal anomalies, umbilical cord accidents, infections, bleeding, and blood clotting disorders. Diagnosis is confirmed by ultrasound if the mother reports an absence of fetal movement or heartbeat. Management options include expectant or active approaches, with induction of labor initiated if more than 5 weeks have passed due to risks of infection and bleeding. Follow up includes determining the cause of death and screening for infections or chromosomal issues

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    Intrauterine fetal demise (IUFD) is defined as fetal death after 20 weeks of gestation but before the onset of labor. It complicates about 1% of pregnancies, with the cause unknown in around half of cases. Known causes include hypertension in pregnancy, diabetes, Rh isoimmunization, fetal anomalies, umbilical cord accidents, infections, bleeding, and blood clotting disorders. Diagnosis is confirmed by ultrasound if the mother reports an absence of fetal movement or heartbeat. Management options include expectant or active approaches, with induction of labor initiated if more than 5 weeks have passed due to risks of infection and bleeding. Follow up includes determining the cause of death and screening for infections or chromosomal issues

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    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
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    752 vizualizări4 pagini

    Intrauterine Fetal Demise (IUFD)

    Încărcat de

    dbluekokok
    Intrauterine fetal demise (IUFD) is defined as fetal death after 20 weeks of gestation but before the onset of labor. It complicates about 1% of pregnancies, with the cause unknown in around half of cases. Known causes include hypertension in pregnancy, diabetes, Rh isoimmunization, fetal anomalies, umbilical cord accidents, infections, bleeding, and blood clotting disorders. Diagnosis is confirmed by ultrasound if the mother reports an absence of fetal movement or heartbeat. Management options include expectant or active approaches, with induction of labor initiated if more than 5 weeks have passed due to risks of infection and bleeding. Follow up includes determining the cause of death and screening for infections or chromosomal issues

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 4

    Intrauterine Fetal Demise (IUFD)

    Dr. Hazem Al-Mandeel

    Intrauterine Fetal Demise


    Definition: is fetal death after 20 weeks
    gestation but before the onset of labour. Complicates 1% of pregnancies Etiology: the cause is unknown in 50% of cases Known causes include: HTN in pregnancy, D.M, Rh isoimmunization, fetal congenital anomalies, umbilical cord accidents, prenatal infections, antepartum hemorrhage, APA syndrome and Thrombophilias

    Diagnosis
    If the mother reports absence of fetal movements or if fetal heart tone is not detected by doppler devise. ? Serum hCG Confirmation by Ultrasonography

    Management
    Expectant approach: 80% goes into
    spontaneous labour within 2-3 weeks Active approach: b/o emotional burden, risk of chorioamnionitis, and 10% risk of DIC (if >5wks) Induction of labour can be initiated at any time.

    F/U: to determine cause of death. Screening for


    diseases, infections (TORCH), and chromosomal anomalies. Manage next pregnancies as high-risk

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