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    3.fetal Death Kuliah

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    IKM FKUNSOED
    The document discusses fetal death assessment and incidence of congenital heart disease (CHD) and stillbirth. Some key points: - CHD occurs in 30% of newborns globally, but is underestimated due to diagnostic difficulties. Stillbirth incidence of CHD is 0.79%. - Of 1360 total births studied, 58 cases were stillbirths with structural abnormalities. 8 of these were diagnosed with abnormalities in utero, including hydrops fetalis and central nervous system malformations. - Structural abnormalities are present in 25% of stillbirths. Chromosomal abnormalities are found in 38% of 750 stillbirths with structural defects, most commonly Trisomy 21, Monosomy

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    3.fetal Death Kuliah

    Uploaded by

    IKM FKUNSOED
    6 views13 pages
    The document discusses fetal death assessment and incidence of congenital heart disease (CHD) and stillbirth. Some key points: - CHD occurs in 30% of newborns globally, but is underestimated due to diagnostic difficulties. Stillbirth incidence of CHD is 0.79%. - Of 1360 total births studied, 58 cases were stillbirths with structural abnormalities. 8 of these were diagnosed with abnormalities in utero, including hydrops fetalis and central nervous system malformations. - Structural abnormalities are present in 25% of stillbirths. Chromosomal abnormalities are found in 38% of 750 stillbirths with structural defects, most commonly Trisomy 21, Monosomy

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    3.Fetal death kuliah

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    The document discusses fetal death assessment and incidence of congenital heart disease (CHD) and stillbirth. Some key points: - CHD occurs in 30% of newborns globally, but is underestimated due to diagnostic difficulties. Stillbirth incidence of CHD is 0.79%. - Of 1360 total births studied, 58 cases were stillbirths with structural abnormalities. 8 of these were diagnosed with abnormalities in utero, including hydrops fetalis and central nervous system malformations. - Structural abnormalities are present in 25% of stillbirths. Chromosomal abnormalities are found in 38% of 750 stillbirths with structural defects, most commonly Trisomy 21, Monosomy

    Copyright:

    © All Rights Reserved
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    6 views13 pages

    3.fetal Death Kuliah

    Uploaded by

    IKM FKUNSOED
    The document discusses fetal death assessment and incidence of congenital heart disease (CHD) and stillbirth. Some key points: - CHD occurs in 30% of newborns globally, but is underestimated due to diagnostic difficulties. Stillbirth incidence of CHD is 0.79%. - Of 1360 total births studied, 58 cases were stillbirths with structural abnormalities. 8 of these were diagnosed with abnormalities in utero, including hydrops fetalis and central nervous system malformations. - Structural abnormalities are present in 25% of stillbirths. Chromosomal abnormalities are found in 38% of 750 stillbirths with structural defects, most commonly Trisomy 21, Monosomy

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    of 13

    Fetal Death Assessment

    Incidence of CHD
    Congenital defect

    CHD 30% • Global prevalence of CHD


    among newborns  3.7 -
    17.5 per 1,000
    Stillbirth • Underestimate 
    CHD 0,79%
    difficulties in definition
    and unrecognized .
    Incidence of fetal death (dr Soetomo: data 2017)
    Congenital IUFD
    abnormalities
    (structure) =
    58 cases

    Total of birth = 1360


    • There were 8 cases IUFD that diagnose of
    abnormalities in utero
    • Hydrops Foetalis  5
    • Holoprocencephalon + Omphalocele  1
    • Hydrocephalus + Massa Intracranial  1
    • Anencephalus  1
    Reported from Dutch:
    • 25% of still birth have structural  Trisomy 21  31%
    abnormalities.  Monosomy X  22%
     Trisomy 18  22%
    • Among 750 of stillbirth with 38% had chromosomal  Trisomy 13  6%
    structural abnormalities abnormalities  Other chromosomal abn
     19%.

    It should be included chromosomal


    investigation
    Most Frequent type of stillbirth according to GA
    24-27 weeks 28-37 weeks > 37 weeks
    Infection (19%) Unexplained (26%) Unexplained (40%)
    Abruptio placenta (14%) Fetal malnutrition (19%) Fetal malnutrition (14%)
    Anomalies ( 14%) Abruptio placenta (18%) Abruptio placenta ( 12%)
    Fretts et all. Ob Gyn 1992.
    Definision
    • 1 week to 8 weeks  embyo
    • > 8 weeks  Fetus
    • Still birth  no sign of life > 28 weeks of gestasional (viable)
    • Perinatal death  still birth + neonatal death
    • Neonatal death  until 1 month
    Etiology stillbirth
    • Unknown 25-60%
    • Can be attributed to:
    • Maternal Conditions
    • Fetal Conditions
    • Placental Conditions
    Malformation:
    Morphological defect
    resulting from an Deformation : Abnormal
    intrinsic abnormal form; shape or position of
    Dysplasia:
    development process structure caused by
    abnormal
    mechanical factors.
    organogenesis of
    tissue.
    Syndrome: Group of
    defects caused by
    abnormal fetal
    development
    Evaluation of stillbirth
    in General
    Management after stillbirth
    Thank you

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