Dating of the intrauterine fetal demise
Dating of the intrauterine fetal demise - Live erotik cam demo
In addition it is hoped that families will be provided with information about the cause of death, as well as emotional guidance.
For statistical purposes, fetal losses are classified according to gestational age.In addition, not all states interpret the weeks of gestation in the same manner.The purpose of this guideline is to help identify high risk populations and aid in the development of risk-reducing interventions. Risk factors for sudden intrauterine unexplained death: epidemiologic characteristics of singleton cases in Oslo, Norway, 1986-1995. A death that occurs prior to 20 weeks' gestation is usually classified as a spontaneous abortion; those occurring after 20 weeks constitute a fetal demise or stillbirth.Many states use a fetal weight of 350 g or more to define a fetal demise.Home Chapter Home Jobs Conferences Fellowships Books Advertisement Placenta Placental findings in specific newborn/fetal or maternal conditions Fetal death Reviewers: Mandolin Ziadie, M. (see Reviewers page) Revised: 13 November 2011, last major update October 2011 Copyright: (c) 2003-2011, Pathology Outlines.com, Inc.
Definition ========================================================================= ● Intrauterine fetal demise that may be due to maternal factors (diabetes, preeclampsia, infection), placental abnormalities (vasculopathy, ischemia, infarction) or fetal anomalies (chromosomal disorders, congenital anomalies, ) ● Chorioamnionitis, deciduitis or villitis may be present, thus warranting culture of the placenta Gross description ========================================================================= ● The degree of maceration of the fetus and involution of the placenta are helpful indicators for the length of intrauterine demise Micro description ========================================================================= ● The microscopic changes are similar to those seen in fetal thrombotic vasculopathy (FTV), but are seen diffusely throughout the placenta ● Early / recent demise (24 48 hours) shows nuclear debris in blood vessels or villous vessels ● This is followed by vascular septation in larger vessels with sequential changes in smaller vessels and terminal villi then villous fibrosis ● Other non-specific changes include calcification / increased mineralization of the trophoblastic basement membrane Micro images ========================================================================= Various images End of Placenta Fetal death This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patient's clinical data using reasonable medical judgment.Information from third parties may also be protected by copyright.The loss of a fetus at any stage is a fetal demise. Oron T, Sheiner E, Shoham-Vardi I, Mazor M, Katz M, Hallak M. Froen JF, Vege A, Ormerod E, Stray-Pedersen B [Finding the cause of death in intrauterine death--which examination should be done? When the question of fetal death arises during labor, an internal fetal monitor can be applied to the presenting part. Photographs of unclothed infant should include: View of the whole body including the limbs; include frontal, dorsal and lateral views Profile views of the head Close-up frontal view of the face Additional photographs of any abnormal part A single AP plain radiograph of the whole body (including hands and feet) is obtained with limbs extended and in the anatomic position if possible (limbs can be held in place by non-radiopaque tape): obtain lateral views if abnormalities are noted on the AP film or to define bones suspected or known to have a structural anomaly If dwarfism is present, additional AP and lateral views of the infant limbs, head and spine should be obtained If consent is not given for a full autopsy, ask the parent to consider a limited autopsy such as external examination by pathologist/clinical geneticist or internal examination limited to brain and/or spinal cord; chest organs or abdominal organs as appropriate In addition to investigating the medical aspects of a stillbirth, it is important to consider the psychological effects on the family.