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INTRA UTERINE

DEATH

Dr.P.S.HettipathiranaMBBS(COL),MD(Obs & Gyn),MRCOG(UK)

Senior e!t"rer# Cons"tant Obstetri!ian & Gynae!oo$ist

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De%nition

Baby 'eiere' ith no si$ns o* i*e, +nonto hae 'ie' a*ter - !opete' ee+s o*pre$nan!y/

(0n Sri Lan+a 1 ee+s *or statisti!a

p"rposes)

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Ca"ses2eta

Pa!enta

MaternaUne3paine'

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Ca"ses

Fetal causes Chroosoa & Geneti! anoaies

Birth 'e*e!ts

4on i"ne hy'rops

0n*e!tions 5 CM6,r"bea, paro B78,Herpes,aaria

Cor' a!!i'ents

Placental 9br"ption

Pa!enta ins":!ien!y

0ntrapart" asphy3ia

;in to tin trans*"sion Syn'roe

Chrioanionitis

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Ca"sesMaternal

9ntiphosphoipi' antibo'y Diabetes

Hypertention ;ra"a9bnora abor Sepsis

9!i'osis# Hypo3ia Uterine r"pt"re

Post ter pre$nan!y Dr"$s

;hrobophiia Cyanoti! heart 'isease

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Dia$nosis9bsen!e o* "terine $roth

Loss o* *eta oeent

9bsen!e o* *eta heart 5 Pinnar'#C;GDisappearan!e o* the si$ns & syptos o*

pre$nan!y

0a$in$ Spa'in$ si$n

U/S 1! accurateDia"n#sis

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History2aiy history

Re!"rrent abortions

'eep ein throbosis# P"onary eboois

Con$enita anoaies, 9bnora +aryotype

Materna History

Materna e'i!a !on'itions

Deep ein throbosis#P"onary ebois

Diabetes eit"s

Hypertention

;hrobophiia SL

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Past Obstetri! History

Baby ith !on$enita anoayhere'itary !on'ition

0UGR

Pa!enta abr"ption

0ntra "terine 'eath

Re!"rrent abortions

C"rrent Pre$nan!y

Materna a$e

Hypertention,DM

Soo+in$ , a!oho, or 'r"$ ab"se 9b'oina tra"a

Choestasis

Pa!enta abr"ption

PROM or PPROM

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M949G

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0nesti$ation$ause 2BC

Boo' Gp & antibo'y s!reen

Hb97 C Keiha"er Bet+e test 5 oo+ *or *eto aterna haeorrha$e

Seroo$i!a s!reenin$ *or R"bea,CM6, ;o3opasa

Syphyis, Herpes & Paroir"s

;hrobophiia s!reenin$ (antithrobin 000,Protein C & S , *a!tor 06

ei'en, "p"s anti!oa$"ant, anti!ar'ioipin antibo'ies) 2eta an' pa!enta a"topsy

Maternal $#%plicati#n =D0C

Coa$"ation tests

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D

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D

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Post part"S"ppression o* La!tation

Broo!riptine

Caber$oine

Co"nsein$ 5Bereaeent !are

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