INTRAUTERINE FETAL DEATH

incidence = 1% of pregnancies Etiology unknown in 50% hypertension, DM erythroblastosis fetalis congenital anomalies umbilical c...

incidence = 1% of pregnancies

Etiology

1. unknown in 50%
2. hypertension,
3. DM
4. erythroblastosis fetalis
5. congenital anomalies
6. umbilical cord or placental complications
7. intrauterine infection
8. antiphospholipid Abís

Clinical Features history

1. decreased perception of fetal movement by mother examination
2. SFH and maternal weight not increasing
3. absent fetal heart tones (not diagnostic) investigations
4. absent cardiac activity and fetal movement on U/S required for diagnosis
5. high MSAFP

Management

1. labour induction
2. must monitor for maternal coagulopathy (10% risk of DIC)
3. psychologic aspects of fetal loss
4. investigations to determine cause
5. subsequent pregnancies high risk