Case report intrauterine fetal death in triplet gestation caused by fetofetal transfusion syndrome a case report lingling long a, jie yan, b, qiyan li a, ziqi zhou, haixiao deng, chudong wang, ying zoua, and jifeng caia,b adepartment of forensic science, school of basic medical science, central south university, changsha, china. Intrauterine fetal death and its correlation with preeclampsia. Apr 04, 2012 intra uterine fetal deadth iufd atau kematian janin dalam rahim adalah kematian janin dalam kehamilan sebelum terjadi proses persalinan pada usia kehamilan 28 minggu ke atas atau berat janin gram. Intrauterine fetal death and its correlation with preeclampsia abstract infant mortality is not only occur after birth, but may also occur while still in the womb or called intrauterine fetal death iufd. Usia maternal sebagai salah satu faktor risiko intrauterine fetal death merupakan kematian perinatal. Intrauterine fetal death is an important indicator of maternal and perinatal health of a given population.
This study aimed to determine the association between intrauterine fetal death and longterm qol, wellbeing, and depression. The incidence of fetal death varies according to maternal race. Faktor fetal yang paling dominan yaitu oligohydramnion 43 47. Intrauterine fetal death iufd is a serious incidence that has been shown to impact mothers psychological wellbeing in the shortterm. A stillbirth is a death that occurs after 20 weeks of gestation. The most dominant fetal factor was oligohydramnion 43 47. The principle of intrauterine fetal death is the final result of intrauterine growth restriction, fetal emergency, or undiagnosed infection so it can be cured.
Pdf analytical study of intrauterine fetal death cases and. For the purposes of this evidence summary this is referred to as late iufd. Intrauterine fetal death atau kematian janin dalam rahim adalah janin yang mati dalam rahim dengan berat badan 350 gram atau lebih atau kematian janin dalam. Penjelasan dari dokterpun kurasa sangat kurang, beliau hanya bilang kalau aku terkena infeksi saluran kemih.
Recent advances have improved the likelihood of identifying a cause. Apply clinical judgment when it is not known whether intrauterine fetal death occurred before or after 20 weeks gestation. Delivery of acardiac twin or of a fetus papyraceous when the timing of intrauterine demise is uncertain extraction of a dead fetus at maternal or. Here are five 5 perinatal loss nursing care plans and nursing diagnosis. The key to this is a logical and methodical approach to investigation. This document outlines the procedures for coding cause of fetal death using the 2003 revision of the u. Definition intrauterine fetal death refers to babies with no signs of life in utero after 24 completed weeks of gestation or weighing 500gm. Fifteen cases with absent or incomplete placental histology have been excluded. Miscarriage, also known as spontaneous abortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. Umbilical cord entanglement occurs during early pregnancy. The term is usually applied to losses at or after the 20th week of gestation.
Among nulliparous women, the odds ratios for late fetal death increased threefold among women with bmi values 25 to 29. Intrauterine fetal death refers to babies with no signs of life in utero. Synopsis obstetri, obstetri fisiologis dan obstetri patologis, edisi ii. Intrauterine fetal death caused by materal factors. Terdapat hubungan antara usia ibu saat kehamilan dengan kejadian intrauterine fetal death iufd di rsud dr.
The term is usually used for pregnancy losses that. Intrauterine fetal death in triplet gestation caused by feto. Intrauterine growth restriction iugr refers to poor growth of a fetus while in the mothers womb during pregnancy. An inability to obtain fetal heart modulates upon examination suggests intrauterine death. The most dominant maternal factors were anemia of 56 61.
Key clinical message expectant management of fetal death complicated by placenta previa occurring during midtrimester trimester may induce fetal placental atrophy and decrease uterine blood flow. In order to arrive at a potential cause of death, a number of investigations have been recommended in the diagnostic evaluation of intrauterine fetal death iufd. Oct 25, 2016 simplified cause of death, based on autopsy findings, in 1064 cases of intrauterine death, according to gestational age at death. Third trimester intrauterine fetal death caused by complex. K ematian janin di dalam kandungan kjdr, dalam dunia kedokteran dikenal dengan intra uterin fetal death iufd. Clinical management of the induction of labor in intrauterine. Intrauterine fetal demise is the clinical term for stillbirth used to describe the death of a baby in the uterus. Although the phenomena of intrauterine antepartum fetal death is unexplainable in 60% of cases, it has been very little studied. Intrauterine growth restriction iugr is a common and complex obstetric problem. When a dead fetus has been in utero for 34 weeks, fibrinogen levels may drop, leading to a coagulopathy. Cemach the perinatal mortality surveillance report, uk. Name of fetus optionalat the discretion of the parents 2. Apr 12, 2015 intrauterine fetal death is an important indicator of maternal and perinatal health of a given population. Bidan diharapkan dapat melakukan skrining dalam pendiagnosaan.
Osteogenesis imperfecta oi is a lethal hereditary connective tissue disease that affects the synthesis of type i collagen. Medical treatment for early fetal death less than 24 weeks uniceframoneda. They appear stuck, off track, as if they are running in place as life is passing them by. Despite careful evaluation during pregnancy of fetal wellbeing, about 2550%, 1 remains without a clear cause, coding for a new entity called sudden intrauterine unexplained death syndrome siuds. Longterm quality of life qol and depression after iufd is not known. Late intrauterine fetal death and stillbirth flashcards.
Pdf management of fetal death complicated by placenta. Faktor maternal yang paling dominan adalah anemia dan usia ibu saat hamil. The term is in contrast to miscarriage, which is an early pregnancy loss, and live birth, where the baby is. At least 60% of the 4 million neonatal deaths that occur worldwide every year. Mar 23, 20 intrauterine growth restriction iugr is a common and complex obstetric problem.
Current treatment options including surgical, physical, and medical. Fetal death due to nonlethal maternal carbon monoxide poisoning. Intrauterine fetal death atau kematian janin dalam rahim adalah janin yang mati dalam rahim dengan berat badan 350 gram atau lebih atau kematian janin dalam rahim pada kehamilan 20 minggu atau lebih. Stillbirth, fetal death the death of a baby before delivery. With severe malformation intrauterine death sometimes occurs. Intrauterine fetal death secondary to rh isoimmunization can be prevented with correct administration of antid ig.
Pdf objective to investigate, how causes of intrauterine fetal death iufd have changed in recent years with the advancement of prenatal. Induction of labour in late intrauterine fetal death. Iowa city, iowa death of the fetus after 20 weeks of gestation complicates about 1% of pregnancies. Pdf causes of intrauterine fetal death are changing in recent years. Clinical management of the induction of labor in intrauterine fetal. Longterm impact of intrauterine fetal death on quality of. In england and wales, on the other hand, intrauterine fetal death or stillbirth refers to fetal death after 24 weeks gestation. All policies and procedures must be approved by the appropriate processes within each facility i. Intrauterine fetal death lppmunila institutional repository. This study was conducted to analyze the maternal and fetal etiologies of intrauterine fetal death, and to assess the diagnostic accuracy of an antenatal ultrasound, in the year 2007208, at lady goschen hospital, mangalore.
Evidencebased information on intrauterine fetal death from hundreds of trustworthy sources for health and social care. Intrauterine fetal death, ask a doctor about diagnosis. This is described as late when it happens in a woman who is 24 weeks pregnant or more, and is estimated to occur in 1% of all pregnancies. It should be noted that parent groups prefer the term stillbirth to the other terms. In the united states, for example, intrauterine fetal death refers to fetal death after 20 weeks gestation2. A stillbirth can result in the feeling of guilt or grief in the mother. Case report intrauterine fetal death in triplet gestation caused by fetofetal transfusion syndrome a case report lingling long a, jie yan, b, qiyan li a, ziqi zhou, haixiao deng, chudong wang, ying zoua, and. Although the phenomena of intrauterine antepartum fetal death is unexplainable in 60%. Death iufd dapat disebabkan oleh faktor maternal, fetal dan kelainan patologis plasenta. Ending preventable stillbirths an executive summary for the lancets series pdf. Causes and risk of intrauterine fetal death verywell family.
Kontra indikasi induksi persalinan serupa dengan kontra indikasi untuk menghindarkan persalinan dan pelahiran spontan, diantaranya yaitu. Intrauterine fetal demise obstetric clinical algorithms wiley. Intrauterine death is confirmed by visualization of the fetal heart and the absence of cardiac activity. Delivery of delivery of acardiac twin or of a fetus papyraceous when the timing of intrauterine demise is uncertain extraction of a dead fetus at maternal or. Late intrauterine fetal death and stillbirth this is the first edition of this guideline.
The terms late fetal death, late fetal demise, stillbirth, and stillborn all refer to the delivery of a fetus. According to who and the american college of obstetricians and gynecologists, fetal death is a dead fetus in the. Iufd intra uterine fetal death kematian janin dalam. Beberapa kasus iufd tidak bisa dicegah, namun anda bisa mengurangi risikonya dengan mewaspadai penyebabnya dan melakukan langkah pencegahan yang tepat. This plan of care is directed on the emotional needs of the postpartal patient who must cope with the death of a child. Medical treatment for early fetal death less than 24 weeks.
The 1992 revision of the model state vital statistics act and regulations 1 recommends the following definition of. Kontra indikasi kontra indikasi induksi persalinan serupa dengan kontra indikasi untuk menghindarkan persalinan dan pelahiran spontan. This study was undertaken to study the maternal and fetal factors associated with intrauterine fetal death. Iugr is noted to affect approximately 1015 % of pregnant women. Intrauterine fetal death atau iufd adalah kondisi janin yang meninggal di dalam kandungan setelah kehamilan berusia 20 minggu.
Definisi intra uterine fetal deadth iufd jurnal bidan diah. The value of a work up in the setting of a stillbirth after 20 weeks is for counseling for future pregnancies, possibly to reduce the risk of subsequent stillbirths, to decrease morbidity, to facilitate emotional closure for the woman and her family, silver 2010 and. This is usually followed by expulsion of the fetus from the uterus within a few days. Analytical study of intrauterine fetal death cases and. Fetal death in utero does not present an immediate health risk to the woman, and labour will usually begin spontaneously after. Stillbirth is typically defined as fetal death at or after 20 to 28 weeks of pregnancy depending on the source. Maklum setahun yang lalu tepatnya 08 mei 2010, janin yang kukandung meninggal dalam kandungan. Fetal distress and intrauterine death umf iasi 2015. Causes of intrauterine fetal death are changing in recent years article pdf available in journal of perinatal medicine 461 january 2017 with 3,190 reads how we measure reads. Fetal death due to nonlethal maternal carbon monoxide poisoning get this book visit nap.
Fetal death in utero fdiu, also known as intrauterine death iud, is the term used when the death of a fetus occurs after the 20th week of pregnancy. The common causes of intrapartum death include placental abruption, maternal and fetal infection, cord prolapse, idiopathic hypoxiaacidosis and uterine rupture, tests should be directed to identify scientifically proven causes of late iufd. The risk factors associated to fetal death were abruptio placentae, syphilis, few prenatal care visits, one or more previous stillbirths, hospitalization during pregnancy, diabetes, age above or equal to 25 years, hypertension during pregnancy, anemia and age below 20 years. Stillbirth usually refers to a pregnancy loss after 20 weeks of gestation 1, and a miscarriage or spontaneous abortion refers to a pregnancy loss before 20 weeks. Medical treatment for early fetal death less than 24. Induksi persalinan adalah upaya memulai persalinan dengan caracara buatan sebelum atau sesudah kehamilan cukup bulan dengan jalan merangsang timbulnya his.
Management of intrauterine death geneva foundation for. The term is usually used for pregnancy losses that happen after the 20th week of gestation. Fetal monitoring tests can give some guidance in deciding when to advise delivery. Some use the cutoff of 20 weeks of gestation after which fetal death is known as a stillbirth. By law in ireland, all unnatural stillbirths and intrauterine deaths must be. Fetal growth restriction in adolescent ewes overnourished during early to mid.
Intrauterine fetal death is sadly a common occurrence and one which all labour ward personnel should be trained to manage. Misoprostol for induction of labour to terminate pregnancy in the second or third trimester for women with a fetal anomaly or after intrauterine fetal death. Standard report of fetal death certification format. By comparison, the risk of stillbirth at term from any cause was one in 529 pregnancies during the same period 1989 to 1991. Apr 30, 20 intrauterine fetal death iufd is defined by the full nice guideline on the induction of labour and the rcog guideline on late intrauterine fetal death and stillbirth as fetal death at 24 weeks gestation or later. Nov 01, 2014 a stillbirth is a death that occurs after 20 weeks of gestation.
This study was conducted to determine the frequency of antenatal intrauterine fetal death iufd and the associated maternal and fetal risk factors in women who presented at a regional tertiary. Purpose and scope to identify evidencebased options for women and their relatives who have a late intrauterine fetal death iufd. Epidemiology, pathophysiology,and pathogenesis of fetal. The causes can be many, but most often involve poor maternal nutrition or lack of adequate oxygen supply to the fetus. This differentiation is important for statistical purposes because in many states an intrauterine fetal death does not have to be reported at less than 20 weeks or 350 gram birth weight it varies from state to state. Management of intrauterine death step initial counseling breaking bad news sympathetic hearing discuss the options of early induction or conservative management for 12 weeks step 1 breaking the bad news maintain dialogue with family members offer counseling support confirmation of diagnosis mother complains of. Mar 09, 2015 intrauterine fetal death iufd fetal death before onset of labour or fetus with no signs of life in utero after 20 weeks of gestation definition varies. Intrauterine fetal death is a death that occurs when fetus weight is 350 grams or more or after 20 weeks of gestation. Intrauterine fetal death in triplet gestation caused by.
Thus, the objective of this study was to verify the incidence of cesarean sections and related conditions in a cohort of pregnant women with intrauterine fetal death iufd and the management to anticipate labor with medicine andor foley catheter. Sebenarnya artikel ini aku cari untuk memenuhi keinginan tahuku tentang iufd intra uterine fetal death kematian janin dalam kandungan. The fetal death itself does not constitute an indication for cesarean section1, therefore the surgery should. Intrauterine fetal demise, also known as stillbirth, can be caused by any number of illnesses or conditions and sometimes has no obvious cause. Iufd adalah kematian hasil konsepsi sebelum dikeluarkan dengan sempurna dari rahim ibunya tanpa memandang tuanya kehamilan sarwono, 2005 intra uterine fetal death iufd adalah terjadinya kematian janin ketika masih berada dalam rahim yang beratnya 500 gram dan atau usia kehamilan 20 minggu atau lebih.
Facility name if not institution, give street and number. Yang dimaksud dengan iufd adalah janin dalam rahim yang beratnya gram atau lebih, usia kehamilan telah mencapai 28 minggu atau lebih. Of various means of diagnosing fetal life and death, realtime ultrasound visualization of the fetal heart is the most accurate. Stillbirths contribute substantially to perinatal mortality in developed countries with a prevalence ranging between 4 and 6 per births. Stillbirth is common, with 1 in 200 babies born dead. The most dominant maternal factors are anemia and age. Absence of association of inherited thrombophilia with unexplained thirdtrimester intrauterine fetal death. This revision introduces substantial changes in how cause of fetal death is collected. Intrapartum fetal deaths and unexpected neonatal deaths in the. Any disease that causes high fever in pregnancy and toxic illness can cause fetal death.
17 706 382 5 244 425 893 782 23 875 659 1320 836 886 1322 100 521 619 48 254 482 1000 155 147 71 1164 278 85 1412 669 1061