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Chapter 14 - Intrauterine Fetal Death

from Section 1 - Obstetric Aspects of Antenatal Care

Published online by Cambridge University Press:  23 February 2023

By
Michelle Rougerie  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

You are called by your obstetric trainee to assist in the assessment and care of a 33-year-old G2P1 with a singleton pregnancy presenting to the emergency assessment unit at 36+3 weeks’ gestation with decreased fetal movements. Bedside sonography reveals fetal demise, confirmed by second opinion. Her prenatal chart will be requested from the hospital center affiliated with her obstetric provider.

Keywords

Late intrauterine fetal demise, risk factorsCounselling and care provider–patient communicationMaternal-fetal investigations, antenatal and postnatalFuture prenatal management
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 187 - 196
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine. Management of stillbirth: obstetric care consensus no. 10. Obstet Gynecol. 2020;135(3):e110–e132.CrossRefGoogle Scholar
Flenady, V, Oats, J, Gardener, G, et al. Care around the time of stillbirth and neonatal death guidelines group. Clinical Practice Guideline for Care Around Stillbirth and Neonatal Death. Version 3.4, NHMRC Centre of Research Excellence in Stillbirth. Brisbane, Australia, January 2020.Google Scholar
Ladhani, NNN, Fockler, ME, Stephens, L, et al. No. 369 – management of pregnancy subsequent to stillbirth. J Obstet Gynaecol Can. 2018;40(12):1669–1683.CrossRefGoogle ScholarPubMed
Leduc, L. No. 394 – stillbirth investigation. J Obstet Gynaecol Can. 2020;42(1):92–99.CrossRefGoogle ScholarPubMed
Perinatal Society of Australia and New Zealand and Centre of Research Excellence Stillbirth. Clinical practice guideline for the care of women with decreased fetal movements for women with a singleton pregnancy from 28 weeks’ gestation. Centre of Research Excellence in Stillbirth. Brisbane, Australia, September 2019.Google Scholar
Queensland clinical guidelines: Stillbirth care. Queensland: Queensland government; 2018.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Green-Top Guideline No. 55: Late intrauterine fetal death and stillbirth. London; October 2010, updated February 2017.Google Scholar
World Health Organization (WHO). Stillbirths. Available at www.who.int/maternal_child_adolescent/epidemiology/stillbirth/en/. Accessed December 25, 2020.Google Scholar
Wojcieszek, AM, Shepherd, E, Middleton, P, et al. Interventions for investigating and identifying the causes of stillbirth. Cochrane Database Syst Rev. 2018;4(4):CD012504.Google ScholarPubMed

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