FINALS ANAES SAQ 74: INTRAUTERINE FETAL DEATH (IUFD)

Описание: a) What are the implications of managing a patient with an intrauterine fetal death (IUFD) at 36-weeks gestation? (55%)
b) How does the presence of an IUFD influence the choice in the method of pain relief in labour? (20%)
c) Which abnormal haematological results would contraindicate epidural analgesia? (25%)

Additional Q&A

+Causes of IUFD:
A. Maternal (5-10%): Hypertensive disorders, DM, infection, hyperpyrexia, antiphospholipid syndromes, thrombophilias, abnormal labour, post term pregnancy, SLE
B. Fetal (25 - 40%): chromosomal abnormalities, major structural anomalies, infection, Rh incompatibility, non immune hydrops, growth restriction
C. Placental (20-35%): antepartum hemorrhage (placenta previa/abruptio), cord accident, twin transfusion syndrome, placental insufficiency
D. Iatrogenic: external cephalic version, drugs
E. Idiopathic (25-35%)

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