Fetal death

Fetal death's disease overview

What is

What is pregnancy?

fetal death is the condition of the fetus dying in the womb before being born, after the 20th week of pregnancy. If the fetus is dead before the 20th week of pregnancy, it is called miscarriage.

Most women who have had a pregnancy will have a healthy child in the next pregnancy. If the fetus is stored caused by chromosomal disorders or umbilical cord problems, the possibility of occurring again will be small. If the cause of pregnancy is caused by a chronic disease of the mother or a parental genetic disorder, the risk of occurrence will be higher. On average, the chance of successful pregnancy in the future is over 90%.

Causes of Fetal death's disease

Causes of fetal death include:

Birth defects, with or without chromosomal abnormalities

Abnormal umbilical cord: The umbilical cord (the umbilical cord from the vagina before the baby is born) has prevented the supply of oxygen before the baby can breathe on its own . The umbilical cord is at risk of knot, wrapped around the baby's limbs or neck before the pregnancy book

The placenta, abnormal source of nourishing nourishment: the placenta is separated from the uterus too early

Pathology in a mother such as diabetes or hypertension, especially hypertension due to pregnancy or pre -eclampsia

Pregnancy growth in the uterus: causing fetus to be at risk of dying from nutrition

Fetal malnutrition: Fetal growth in the uterus is at high risk of death and many complications during pregnancy, before and after birth

Infections during pregnancy: in the 28th week of pregnancy, if the mother or the fetus suffer from infections such as erythema, acute bacterial infection, cytomegalovirus, listeriosis and syphilis Many risks of pregnancy will die.

Exposure to environmental agents such as pesticides or carbon monoxide

Individual or family with a history of blood clotting such as thrombosis, thrombosis or pulmonary embolism.

Other causes: financial stress, emotional change, stress during pregnancy; Smoking or marijuana increases the risk of fetal loss two or three times compared to normal people ..

Symptoms of Fetal death's disease

Symptoms of fetal death include:

Decreased pregnancy movement, no longer fetal fetal fetus after 28 weeks.

The fetal movement is a sign that the fetus is developing healthy. Although there are no conventional data is normal for the fetus because each baby is different. The fetal movement will increase gradually during pregnancy until the pregnancy is 32 weeks of age and then remain the same until birth. The mother can check the fetal movement by counting the number of fetuses at the same time of the day starting from the 28th week of pregnancy and finding the average level of fetal movement. If the number of fetuses changes significantly or if it is not possible to feel the fetus moves at least 10 times in two hours, you should go to the hospital to be checked ..

Abnormal fetal heart at ultrasound, no longer hearing the fetal heart is a manifestation of fetal death

Signs of normal pregnancy such as morning sickness, appetite

Obvulating, heavy belly is a sign of fetal death

Vaginal hemorrhage is the phenomenon of fetal death

Automatic breasts for colostrum, the breast is no longer tight

Unexpectedly rupture of amniotic fluid despite signs of labor

Dizziness

High fever

intense back pain

Cramps

Signs of pregnancy that pregnant women need to know

People at risk for Fetal death's disease

Luu still can affect any pregnant woman.

There are many factors that increase the risk of stored pregnancy such as:

Ever fetal death

Alcohol or drug abuse

Smoking

obesity

under 15 years old or over 35 years old.

Prevention of Fetal death's disease

Before pregnancy:

General health examination to soon detect and treat problems that can cause adverse effects on pregnancy

Treatment of chronic diseases such as diabetes, hypertension, ...

Maintain a reasonable weight

During pregnancy: To minimize the status of stillbirth, pay attention to the following:

Stop smoking

Avoid alcohol, beer and medicine during pregnancy because the substances in alcohol, beer and medicine can affect the development of pregnancy, causing miscarriage and fetus

Pay attention to the prenatal signs, count the fetal movement to be able to monitor the development of the best fetus

Ensure reasonable weight during pregnancy

Protect yourself, avoid infections and limit foods that doubt about quality or expiry date

Report to the doctor if there are signs of fetal loss such as abnormal vaginal bleeding or abdominal pain during the day

Exam your doctor if any other allergies or difficulties during pregnancy.

Full prenatal check -up to monitor the development and health of pregnancy

Apply a healthy lifestyle with a balanced diet.

Increasing folic acid absorption during pregnancy can reduce the risk of birth defects.

Be careful when traveling to avoid an accident. Avoid wearing high heels and wearing seat belts when traveling in a car.

Diagnostic measures for Fetal death's disease

Clinical examination, listening to fetal heart with hand -held doppler:

The uterus is smaller than the gestational age, especially valuable if the uterine height is reduced between two measurements

Hard to touch the pregnancy.

Do not hear fetal heart.

Testing:

Pregnancy ultrasound gives accurate results, early and firmly diagnosis: no pregnancy, distorted pregnancy head, can see the phenomenon Rounds in the skull due to the scalp peeling off. Little or all amniotic fluid

Quantifying fibrinogen in the blood: assessing the effects of fetus on blood clotting. This is an important and necessary test before the cesarean intervention.

Testing to find the cause of the fetus: Different depending on the case

Testing to do if you want to get pregnant after the pregnancy

Fetal death's disease treatments

What should I do?

Fetal dying should be removed from the mother's body immediately because if the fetus is stored in the womb for a long time, it will cause many dangerous complications for the mother and affect the ability to become pregnant in these. Next time.

If the mother's health condition is stable, you can wait for natural labor or labor.

If the mother's health is at risk of being affected, the doctor needs to take the baby as soon as possible. It is rare for stored fetus to be removed by cesarean section.

Adjust the condition of coagulation disorders (if any) before cesarean intervention:

Fibrinogen intravenously

Fresh blood in all

Heparin: dose 5000 - 10000UI/day

Cervical and uterine grated:

Applicable to cases of fetal loss that is a smaller uterus than a 3 -month pregnant uterus (or uterine height below 8cm)

The tips are harder than the abortion because the fibrosis is attached to the uterus.

Pay attention to good pain relief because of difficult procedures, proactively taking uterine medications and post -scrap antibiotics. Monitor the status of vaginal bleeding after cesarean section.

Labor:

Applies to all cases of fetal loss that is larger than the uterus.

Improved Stein method: Use estrogen 10mg/day for 3 days, until Wednesday, venous oxytocin transmission causes uterine contractions, maximum dose of 30UI/day, every 3 days in a row , các đợt cách nhau 7 ngày. Thông thường thai được sổ ra sau 1 đến 2 ngày truyền đầu tiên.

Pure venous oxytocin transmission: like the improved Stein method but not used before estrogen. The advantage of this method is to shorten the treatment time and the successful results are similar to the Stein method.

use prostaglandin: is the most popular method today. The drugs are often used in the prostaglandin E2 group. The dosage depends on the gestational age. The lines can be vaginal placement, anal or under the tongue. Note the contraindications of prostaglandin and oxytocin.

For difficult cases: if there is no coagulation disorder, no infection, wait for natural labor.

See also:

Testing to do if you want to get pregnant after pregnancy

Need to know

How to handle fetal death out of the mother's body

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