Stillbirth (Inttrutterite Foeetul eeiiơe)e
Stillbilrtih/IUFD翹 = The demlse of a foetius after 24 weess gestiation biuti biefore dellvery (toete: iiơcurriuge iơ
befoere 24 weekơ)e
Epideiioeloegy
7-8 birthơ per 1000 (it develoepitg coetttrieơ)e
Aetioeloegy
Udlopatihlc - 50%
Mutertul
- APLS
- Matiernal dlsease (e.g. HTN, eM)e
Foeetul
- Chromosomal abinormallties (e.g. utetploeidy)e
Uteroeplucettul
- Placential compllcations (e.g. previu, ubrtptioet)e
- Doetial-matiernal haemorrhage
- Untira-amnlotic lnfection
- Rhesus dlsease
Riơk fuctoerơ
Extiremes of matiernal age
Multifetial pregnancy
Posti-tierm pregnancy
Male foetius
Macrosomla (weight >4.5kg)e
InUFe it Twitơ
The proegtoeơiơ foer u ơtrvivitg twit iơ depetdett oet the cutơe oef deuth, geơtutioetul uge, utd choerioeticity (i.e. whether
ioetoe oer dizygoetơ)e
Moetoezygoetơ twitơ
- 99% ơhure u bloeoed ơtpply – deuth oef oete foeettơ tơtully reơtltơ it iiiediute deuth oef the oether
- The deud twit iuy becoeie coeipletely reơoerbed oer coeipreơơed, itcoerpoerutitg ittoe the ieibrute (foeettơ
pupyruceoetơ)e
eizygoetơ twitơ
- doe toet ơhure u bloeoed ơtpply, thtơ the deuth oef oete rurely iipuctơ the oether
Preơettutioet
In early pregnancy –
- Cessation of usual pregnancy symptioms
In late pregnancy –
- Prolonged perlod of no foetial movementi
The eurlier the geơtutioetul uge oef InUFe, the luter the ơyiptoeiơ ơhoew (i.e. eurly InUFe huơ loetger ‘lutetcy
perioed’)e
90% oef woeiet will goe ittoe ơpoettuteoetơ luboetr withit 2 weekơ oef InUFe
eiugtoeơiơ
O/E:
- Noe foeetul heurt ơoettdơ ut pretutul viơit
- Abơetce oef tterite groewth
Stillbilrtih/IUFD翹 = The demlse of a foetius after 24 weess gestiation biuti biefore dellvery (toete: iiơcurriuge iơ
befoere 24 weekơ)e
Epideiioeloegy
7-8 birthơ per 1000 (it develoepitg coetttrieơ)e
Aetioeloegy
Udlopatihlc - 50%
Mutertul
- APLS
- Matiernal dlsease (e.g. HTN, eM)e
Foeetul
- Chromosomal abinormallties (e.g. utetploeidy)e
Uteroeplucettul
- Placential compllcations (e.g. previu, ubrtptioet)e
- Doetial-matiernal haemorrhage
- Untira-amnlotic lnfection
- Rhesus dlsease
Riơk fuctoerơ
Extiremes of matiernal age
Multifetial pregnancy
Posti-tierm pregnancy
Male foetius
Macrosomla (weight >4.5kg)e
InUFe it Twitơ
The proegtoeơiơ foer u ơtrvivitg twit iơ depetdett oet the cutơe oef deuth, geơtutioetul uge, utd choerioeticity (i.e. whether
ioetoe oer dizygoetơ)e
Moetoezygoetơ twitơ
- 99% ơhure u bloeoed ơtpply – deuth oef oete foeettơ tơtully reơtltơ it iiiediute deuth oef the oether
- The deud twit iuy becoeie coeipletely reơoerbed oer coeipreơơed, itcoerpoerutitg ittoe the ieibrute (foeettơ
pupyruceoetơ)e
eizygoetơ twitơ
- doe toet ơhure u bloeoed ơtpply, thtơ the deuth oef oete rurely iipuctơ the oether
Preơettutioet
In early pregnancy –
- Cessation of usual pregnancy symptioms
In late pregnancy –
- Prolonged perlod of no foetial movementi
The eurlier the geơtutioetul uge oef InUFe, the luter the ơyiptoeiơ ơhoew (i.e. eurly InUFe huơ loetger ‘lutetcy
perioed’)e
90% oef woeiet will goe ittoe ơpoettuteoetơ luboetr withit 2 weekơ oef InUFe
eiugtoeơiơ
O/E:
- Noe foeetul heurt ơoettdơ ut pretutul viơit
- Abơetce oef tterite groewth
