Dating of the intrauterine fetal demise

Posted by / 11-Oct-2016 14:11

Dating of the intrauterine fetal demise

INTRODUCTION: Dilation and evacuation for intrauterine fetal demise has been associated with higher rates of morbidity and mortality compared with dilation and evacuation for abortion.To date, this risk has not been well studied, and no clear recommendations exist for perioperative management.Prenatal diagnosis and prenatal screening are aspects of prenatal care that focus on detecting anatomic and physiologic problems with the zygote, embryo, or fetus as early as possible, either before gestation even starts (as in preimplantation genetic diagnosis) or as early in gestation as practicable.They use medical tests to detect problems such as neural tube defects, chromosome abnormalities, and gene mutations that would lead to genetic disorders and birth defects, such as spina bifida, cleft palate, Tay–Sachs disease, sickle cell anemia, thalassemia, cystic fibrosis, muscular dystrophy, and fragile X syndrome.Unadjusted analyses were performed using Student's t test or Wilcoxon rank-sum test for continuous variables and Fisher's exact or [chi]2 test for categorical variables.RESULTS: During the study period, 97 dilation and evacuations were done for patients with intrauterine fetal demise.“Incompetent cervix” and the oft-related process of acute intra-amniotic infection are commonly associated with preterm delivery, whether due to premature membrane rupture Both may cause fetal or neonatal death due to extreme prematurity.Fetal death from sepsis is uncommon, especially in low-risk (community hospital) settings.

The intent of such screening and diagnosis is to enable pregnant women to make informed decisions regarding the pregnancy and be better prepared in the event of the birth of an affected infant.The screening focuses on finding problems among a large population with affordable and noninvasive methods, whereas the diagnosis focuses on pursuing additional detailed information once a particular problem has been found, and can sometimes be more invasive.Screening can also be used for prenatal sex discernment.Placentas from fetal deaths due to the antiphospholipid antibody syndrome demonstrate the classic pathology of multifocal placental infarcts and uteroplacental thrombosis.This second-trimester histology is not common in first-trimester losses in women with this syndrome.

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