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1. Intrauterine Fetal Demise (IUFD) Dr. Hazem Al-Mandeel
2. 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
3. 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
4. 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