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Dr. Hazem Al-Mandeel
M.Intrauterine Fetal Demise • Definition: is fetal death after 20 weeks’ gestation but before the onset of labour. umbilical cord accidents. antepartum hemorrhage. Rh isoimmunization. D. • Complicates 1% of pregnancies • Etiology: the cause is unknown in 50% of cases Known causes include: HTN in pregnancy. fetal congenital anomalies. APA syndrome and Thrombophilias . prenatal infections.
? Serum hCG • Confirmation by Ultrasonography .Diagnosis • If the mother reports absence of fetal movements or if fetal heart tone is not detected by doppler devise.
and chromosomal anomalies. Manage next pregnancies as high-risk . • F/U: to determine cause of death. risk of chorioamnionitis. infections (TORCH). and 10% risk of DIC (if >5wks) Induction of labour can be initiated at any time. Screening for diseases.Management • Expectant approach: 80% goes into spontaneous labour within 2-3 weeks • Active approach: b/o emotional burden.