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Summary Still Birth

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A 1-4 page document written by a final year medical student with distinction grades in the uploaded modules. These notes are concise and of very high quality - using a combination of textbooks, lectures, and current guidelines (NICE and RCOG). These documents are the only resource you should need f...

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  • December 19, 2018
  • 2
  • 2017/2018
  • Summary
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MedStudentUK
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

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