The sudden demise of fetus in the womb is the worst trauma to the mother and her entire family. It affects physically, mentally, emotionally and financially. The mothers carry the tragic memories throughout their life with a sense of guilt, that they could not do anything to save their child. It also does shake the confidence of the Doctor who was involved in the antenatal care. In spite of knowing the limitations of medical science, they do suffer from distress and anxiety.
Whenever the fetal demise occurs in first half of pregnancy i.e. less than 20 weeks of gestation, it is classified as abortion or miscarriage. However, the demise after 20 weeks gestation or more than 500 grams is classified as Intra Uterine Fetal Demise.
In this moment of great grief, rather than blame game & fault finding, it is advisable to direct the energy and resources in investigating the cause so that the recurrence can be prevented.
What would be the symptoms in Mother with IUFD?
How to diagnose IUFD ?
Causes of IUFD in Pregnancy?
A. Immediate Causes:
B. Chronic Causes:
2. Lethal Chromosomal or Genetic Abnormalities.
3. Blood abnormalities and hemolytic disorders.
4. Maternal or Fetal Infections.
5. Pregnancy in extreme of age.
6. Unknown causes.
How to deal with IUFD?
Induction of artificial labor pains with the help of medicines to facilitate the normal vaginal delivery should be attempted. In rare cases, there may be a need for cesarean delivery.
Occasionally due to fear of poisoning, there may be tendency to take impulsive decision of cesarean delivery, but the unnecessary scar may prone the mother to increased risk of uterine rupture in next pregnancy. Hence, vaginal delivery is best.
Does IUFD leads to poisoning in mother?
The poisoning does not happen so easily. The demised fetus decomposes by two methods –
In majority, the labor will begin spontaneously to expel the fetus without causing any harm to the mother. However, in some mothers the infection or inflammatory process may lead to life threatening condition called as Disseminated Intravascular Coagulation, and may require intensive management.
Tips to support Mother and Family.
How to secure next pregnancy ?
The information is shared to create awareness towards Pregnancy and Childcare to reduce maternal and child deaths. Atmost care has been taken by the author to include the verified information from authentic sources. However, kindly discuss the same with your health care provider before implementation.