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Fetal death, fetal demise [1] Ultrasound is often used to diagnose stillbirth and medical conditions that raise the risk. Specialty: Obstetrics and Gynaecology, neonatology, pediatrics, Symptoms: Fetal death at or after 20 / 28 weeks of pregnancy [1] [2]: Overview tab Causes: Often unknown, pregnancy complications [1] [3] Risk factors
Among women who know they are pregnant, the miscarriage rate is roughly 10% to 20%, while rates among all fertilisation is around 30% to 50%. [1] [7] In those under the age of 35, the risk is about 10% while in those over the age of 40, the risk is about 45%. [1] Risk begins to increase around the age of 30. [7]
Preeclampsia is considered to be linked with Placental Disease, as well as intrauterine growth restriction (IUGR) and placental abruptions are risk factors that lead to placental disease. [10] Especially when these symptoms are evident at early stages of pregnancy. [ 3 ]
It’s more likely to happen to women who have never been pregnant or are younger than 20 years old. Research shows that adolescents ages 14 to 19 have a higher risk of IUD expulsion than older women.
Up to 30ml of foetal-maternal transfusion may take place with no significant signs or symptoms seen in either mother or foetus. [3] Loss in excess of this may result in significant morbidity and mortality to the fetus. Fetal-maternal haemorrhage is one cause of intrauterine death (IUD).
When symptoms develop, they tend to develop suddenly. Common symptoms include: sudden-onset abdominal pain [5] [8] contractions that seem continuous and do not stop [5] vaginal bleeding [5] [8] enlarged uterus (disproportionate to the gestational age of the fetus) [5] decreased fetal movement [5] decreased fetal heart rate. [5]
For women ages 40–44, the birth rate increased 4 percent between 2021 and 2022 (and has been continually inching up since 1985), while the birth rate for women ages 45 and over increased 12 percent.
Severe pre-eclampsia is a significant risk factor for intrauterine fetal death. A rise in baseline blood pressure (BP) of 30 mmHg systolic or 15 mmHg diastolic, while not meeting the absolute criteria of 140/90, is important to note but is not considered diagnostic.