Fetal death in utero

Changed by Avni K P Skandhan, 12 May 2015

Updates to Synonym Attributes

Updates to Synonym Attributes

Updates to Article Attributes

Body was changed:

Fetal death can be inferred fromis the term used when the death of a numberfetus occurs after the 20th week of sonographicpregnancy, prior to this, it is considered a miscarriage.

Epidemiology

1% of normal, uncomplicated pregnancies end in fetal death. 

In 13.7 % of the deaths, no cause is identified.

Causes

Maternal 
  • gestational hypertension
  • blood group incompatibility
  • metabolic disorders
  • intrauterine infections
Fetal
  • major anomalies
  • umbilical cord complications ( looping, knotting, twisting)
Placental

Ultrasound features

  • absent fetal heart beat
  • absent fetal movements
  • occasional findings
    • overlapping of skull bones (Spalding sign)
    • gross distortion of fetal anatomy (maceration(maceration)
    • soft tissue oedema: skin >5 mm
  • uncommon findings
    • thrombus in fetal heart
    • gas shadow in fetal heart (Robert's sign)

See also

  • -<p><strong>Fetal death</strong> can be inferred from a number of sonographic features</p><ul>
  • +<p><strong>Fetal death </strong>is the term used when the death of a fetus occurs after the 20th week of pregnancy, prior to this, it is considered a miscarriage.</p><h4>Epidemiology</h4><p>1% of normal, uncomplicated pregnancies end in fetal death. </p><p>In 13.7 % of the deaths, no cause is identified.</p><h4>Causes</h4><h5>Maternal </h5><ul>
  • +<li>gestational hypertension</li>
  • +<li>blood group incompatibility</li>
  • +<li>metabolic disorders</li>
  • +<li>intrauterine infections</li>
  • +</ul><h5>Fetal</h5><ul>
  • +<li>major anomalies</li>
  • +<li>umbilical cord complications ( looping, knotting, twisting)</li>
  • +</ul><h5>Placental</h5><ul>
  • +<li><a href="/articles/placental-insufficiency">chronic placental insufficiency</a></li>
  • +<li><a href="/articles/placental-abruption">placental abruption</a></li>
  • +<li><a href="/articles/chorioamnionitis">chorioamnionitis</a></li>
  • +</ul><h4>Ultrasound features</h4><ul>
  • -<li>gross distortion of fetal anatomy (maceration)</li>
  • +<li>gross distortion of fetal anatomy (<a title="Fetal maceration" href="/articles/fetal-maceration">maceration</a>)</li>

References changed:

  • 2. Merz E. Ultrasound in Obstetrics and Gynecology, Volume 1 Obstetrics. Thieme. (2011) ISBN:3131614722. <a href="http://books.google.com/books?vid=ISBN3131614722">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/3131614722">Find it at Amazon</a><span class="auto"></span>

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