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Chapter-11 Unexplained Fetal Death

BOOK TITLE: Manual of Postpartum Hemorrhage and High-Risk Pregnancy

Author
1. Dutta Chaitali
ISBN
9789352703708
DOI
10.5005/jp/books/18024_12
Edition
1/e
Publishing Year
2018
Pages
5
Author Affiliations
1. Kolkata, West Bengal, India
Chapter keywords
Fetal death, fetal heart tone, pregnancy, prenatal diagnostic procedure, neonatal management, vascular endothelial growth factor, VEGF, sudden infant death syndrome, SIDS

Abstract

This chapter describes unexplained fetal death. In most patients, the only symptom is decreased fetal movement. Although on auscultation inability to obtain fetal heart tones is suspicious, ideally death must be confirmed by real-time ultrasound. Once diagnosed, management needs to be directed both towards ascertaining the cause of death, and terminating the pregnancy with minimal risk to the mother. Attempting to determine the cause of fetal death remains important because it may influence estimates of recurrence, future preconception counseling, pregnancy management, prenatal diagnostic procedures and neonatal management. Another important purpose of investigation is to assess present maternal wellbeing and ensure prompt management of any potentially life threatening maternal disease.

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