https://idwiki.org/index.php?action=history&feed=atom&title=Intrauterine_fetal_demise 2026-05-13T01:10:47Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Intrauterine_fetal_demise&diff=5818&oldid=prev 2020-08-08T02:19:11Z

<p></p> <a href="https://idwiki.org/index.php?title=Intrauterine_fetal_demise&amp;diff=5818&amp;oldid=5021">Show changes</a>

Aidan https://idwiki.org/index.php?title=Intrauterine_fetal_demise&diff=5021&oldid=prev 2020-07-18T11:51:53Z

<p>Text replacement - &quot;Clinical Presentation&quot; to &quot;Clinical Manifestations&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 11:51, 18 July 2020</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 39:</td> <td colspan="2" class="diff-lineno">Line 39:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Multiparty</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Multiparty</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <del style="font-weight: bold; text-decoration: none;">Presentation</del> ==</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <ins style="font-weight: bold; text-decoration: none;">Manifestations</ins> ==</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Decreased fetal movement</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Decreased fetal movement</div></td> </tr> <!-- diff cache key site7_mediawiki:diff:1.41:old-4293:rev-5021:wikidiff2=table:1.13.0:bc2a06be --> </table>

Aidan https://idwiki.org/index.php?title=Intrauterine_fetal_demise&diff=4293&oldid=prev 2020-07-04T01:17:41Z

<p>Imported from text file</p> <p><b>New page</b></p><div>== Definition ==<br /> <br /> * Death of fetus in the uterus antepartum after 20 weeks gestation<br /> ** Also called intrauterine fetal demise (IUFD)<br /> * Compared to stillbirth, where death is ante- or peripartum after 20 weeks gestation<br /> ** Fresh: delivered within 24h of fetal death<br /> *** Zero degree: red skin suggests less than 8h dead<br /> ** Macerated: delivered after 24h of fetal death<br /> *** First degree: peeling skin suggests more than 8h from death<br /> *** Second degree: 2-7 days, effusion of skin<br /> *** Third degree: &amp;gt;7 days, yellow liver<br /> * Spontaneous abortion if less than 20 weeks gestation<br /> <br /> == Etiology ==<br /> <br /> * Idiopathic, most commonly<br /> * Maternal<br /> ** Diabetes<br /> ** Antiphospholid syndrome<br /> ** TORCH syndrome<br /> ** Preeclampsia<br /> ** Quite rinse rupture<br /> ** Porphyria<br /> * Fetal<br /> ** Multiple gestation<br /> ** Growth restriction<br /> ** Hydrocephalus<br /> * Placental<br /> ** Abruption<br /> ** Insufficiency<br /> <br /> == Risk factors ==<br /> <br /> * African-American<br /> * Maternal infertility<br /> * Maternal age &amp;gt;40 years<br /> * Male fetus<br /> * Multiple gestation<br /> * Multiparty<br /> <br /> == Clinical Presentation ==<br /> <br /> * Decreased fetal movement<br /> * Absent fetal heart beat<br /> <br /> == Investigations ==<br /> <br /> * Ultrasound for diagnosis<br /> ** Spalding sign: overlapping fetal skull bones<br /> ** Robert sign: gas in the heart and vessels<br /> * Assess for DIC<br /> ** Platelets<br /> ** Fibrinogen<br /> ** INR/PTT<br /> * To investigate etiology<br /> ** CBC<br /> ** Blood glucose or HbA1c<br /> ** Lupus anticoagulant<br /> ** VDRL and TORCH screen<br /> ** Placental culture<br /> * Examine the fetus after delivery for signs of trisomies, hydrocephalus<br /> ** X-ray<br /> ** MRI<br /> ** Autopsy<br /> <br /> == Management ==<br /> <br /> * Diagnose with ultrasound<br /> * Assess risk of DIC<br /> * Deliver the fetus, preferably vaginally<br /> ** Induction (preferred)<br /> *** First-line:<br /> **** Misoprostol 25-50mcg q4<br /> **** If no progress after 24h, consider Caesarian section<br /> *** Second-line: oxytocin<br /> ** Expectant management<br /> *** Expected to deliver in 1-2 weeks<br /> *** Counsel the patient<br /> *** Follow coagulation status to monitor for DIC<br /> * Evaluate the fetus after delivery<br /> * Counsel and reassure the parents<br /> * Prevent breast milk<br /> ** First-line: carbigoline once<br /> ** Last-line: bromocriptine<br /> <br /> [[Category:Obstetrical medicine]]</div>

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