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Flashcards in stillbirth Deck (64)
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1

if you have an intrauterine death how can you deiver

either vaginally or c section
vaginally safetr

2

when you dicover an intrauterine death do you need to immediateky deiver or get a c section

no most will go home again unless acutely unwell

3

is there investigations post stillbirth

parents are offered them including a post mortem

4

do you need to have a post mortem post till borth

no

5

what is a still birth

death of the baby either in eutero (>24weesks) or during labour

6

if a baby dies before 24 weeks what is it called

misscaridge

7

if a baby des between 22-24 weeks wat is it called

late misscaridge

8

are stillbirths common

1 in 250

9

what is happening with the rates of still birth

they are slowly decreasing

10

what is a main thing that we are trying to reduce in order to reduce stillbirth

reducing preterm birth

11

do we usually find out the caus eof still birth

a lot of the time but still a lot are unexplained

12

what are the risk factors for stillbirth

placental disease
IUGr
congenital causes
aternal infection
old or young mother
maternal medical conditions
twins
post dates babies
obesity in mum
prev stillbirth
antepartum heamorrage
maternal antibodies

13

what are the most common causesof intrapartum deah

placental abruption
maternal and fetal infection
chord prolapse
uterine rupture

14

what infcetions in mum increase risk of stillbirth

cmv
parvo
herpes
malaria
siphilis

15

what sorts of medical issue sin mum can cause still birth

pet and eclampsia
dabetes
obstetric cholestitis

16

is it mosre common for a still birth to die before laour or during

befre

17

when will we induce regular pregnancies and why

41 weeks and 5 days as post term babies high risk of stillbirth

18

what percentage of stillborths will be an unknown cause

46%

19

hat are the initiatives in place to reduce stillbirths

saving babies lives care bundles
care by same midwife through pregnancy
avoid extreme preterm
more outreach clinics
reducing health inequalities

20

what can mums monitor that is a sign of a still birth

they monitor for fetal movements whch if reduced can be sign of still birth

21

tell me about what featl moevments should be like

from 24 weeks you should be able to feel them all the time up until birth

22

what are the main info points that we give to women to keep them and their baby healthy through pregnancy

go to sleep on side in 3rd trim
stop smoking
stay a healthy weight
avoid alcohol and drugs
look after yourself
contact hospital if any leaking fluid or vaginal discharge

23

what is itching in pregnancy a sign of

obstretocholistitis which can cause stillbirth

24

what vaccines should you get in preg

flu and pertussis

25

why is it important to go to all your antenatal check ups

to get info about still birth
to get measured fro growth
to get baby hb checked
to get bp ad urine taken

26

who are vit d supplements in pregnancy important in

obese women

27

tell me about the pmrt tool in still borth

after a still birth and you have all the investigations back its a big mdt including the parents that looks into what caused the stillbirth and any future improvements that could eb made

28

after you have informed a women that the baby has died what is the first ting you do

make sure she isn't acutey unwell with something like infection or abruption

29

when a women comes in with suspected still birth when do you atke her history to look for risk factors for it

befire you do the scan

30

if a stillbirth women is rh neg what is the management

she gets antid and a klier tst and if positive then her anti d is increased