still birth Flashcards
1
Q
how common?
A
1/160 pregnancies
2
Q
components of evaluation?
A
maternal chart review
fetal inspection
placental inspection
3
Q
is fetal autopsy useful?
A
yes- can provide explanation in 30% of cases
4
Q
is placental examination/testing for infection useful?
A
yes- can provide explanation in 15% of cases
5
Q
is APAS testing useful?
A
yes - useful in determining 10% of cases
6
Q
testing for inherited thrombophilias useful?
A
no - not routine
7
Q
which is better: karyotype or microarray?
A
microarray- does not need living tissue, and can provide more nuance than karyotype can
8
Q
is KB useful?
A
yes
9
Q
other useful components?
A
- maternal eval for DM
10
Q
recurrence rate of unexplained stillbirth?
A
- ## different estimates; 2.5% likely vs 0.4% in women with prior live birth.
11
Q
antepartum surveillance in subsequent pregnancy?
A
32 weeks or 1-2 weeks prior to EGA of stillbirth. delivery at 39 weeks.
