Sudden fetal death with placental mesenchymal dysplasia complicated by placenta previa

The deterioration of the attachment of the placenta is associated with an increased risk of the development of its premature detachment, postpartum hemorrhages, intrauterine and intranatal fetal death. The fused placenta occurs approximately in 9% of women with placenta previa and in 0.004% of women without placenta previa. The timely made diagnosis of this pathologyis critically important for choosing the amount of surgical intervention for delivery, which is always associated with increased blood loss. This review examines issues of the diagnosis of placenta attachment. Data on advantages and disadvantages of ultrasound and MRI methods are given. The frequency of abnormal placentation is known to correlate with the increase in the number of surgical interventions on the uterus, in particular, the operation of cesarean section. In this regard, there is a need for accurate and early diagnosis of placenta attachment. Currently, the ultrasound method is leading in the detection this pathology, but this method has its drawbacks. In this review, the authors attempted to collect experience with the use of MRI for early diagnosis of abnormal placentation.

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A case of vaginal delivery after intrauterine fetal death (IUFD) with placenta previa in second trimester pregnancy by uterine artery embolization

Placenta ◽

10.1016/j.placenta.2019.08.032 ◽

2019 ◽

Vol 87 ◽

pp. 65

Author(s):

Aki Hayashi ◽

Mikio Morine ◽

Mikio Yamazaki ◽

Akane Kondo ◽

Kenji Hinokio ◽

...

Keyword(s):

Vaginal Delivery ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Fetal Death ◽

Placenta Previa ◽

Intrauterine Fetal Death ◽

Second Trimester ◽

Artery Embolization ◽

Trimester Pregnancy ◽

Second Trimester Pregnancy

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Incidence and risk factors of intra uterine fetal death: a retrospective study at a tertiary care centre in Kashmir, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191210 ◽

2019 ◽

Vol 8 (4) ◽

pp. 1517

Author(s):

Shabnam Ara ◽

Shazia Nisar ◽

Umrazia Bashir

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Fetal Death ◽

Placenta Previa ◽

Tertiary Care ◽

Maternity Hospital ◽

Intrauterine Fetal Death ◽

Tertiary Care Centre ◽

Factors Associated ◽

Tertiary Centre

Background: Intrauterine fetal death (IUFD) is the tragic event contributing to high perinatal mortality in developing countries. So many risk factors have been seen associated with IUFD that can be prevented with better antenatal care and timely detection at the earliest so that the prevalence can be decreased. This study was done to identify the risk factors associated with IUFD.Methods: This is a retrospective study from done from March 2017 to March 2018 at skims maternity hospital. IUFD was defined as fetal death beyond 20 weeks of gestation. Records were analyzed and data was compiled.Results: In our study there were total of 2500 deliveries out of which 70 were IUFD. Incidence was 28 per 1000 live births. It was found more common in the age group of 20-29 year (65.71%) %). Preeclampsia was the risk factor in 17.14% of cases , followed by abruption in 11.42% followed by placenta previa in 7.14% of cases. However, 20% of the cases had unidentified risk factor.Conclusions: Present study was an effort to compile common risk factors associated with IUFD at tertiary centre of Kashmir.

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Maternal and fetal death due to placenta previa/accreta ina concealed pregnancy - a case report

Medicinski pregled ◽

10.2298/mpns0606277j ◽

2006 ◽

Vol 59 (5-6) ◽

pp. 277-280

Author(s):

Bozidar Jovanovic ◽

Momcilo Djordjevic

Keyword(s):

Case Report ◽

Postpartum Hemorrhage ◽

Fetal Death ◽

Placenta Accreta ◽

Placenta Previa ◽

Uterine Wall ◽

The Other ◽

Lethal Outcome ◽

Major Hemorrhage ◽

Meconium Aspiration

Introduction. This is a case report of maternal and fetal death due to major hemorrhage of a patients with placenta previa/accreta in a concealed pregnancy. Bleeding is the leading cause of maternal mortality in obstetrics. Postpartum hemorrhage is the most important cause of maternal death. Placenta accreta is a severe complication involving an abnormal attachment to the uterine wall so that it cannot be easily separated from the uterus. Case report. Due to the fact that one part of the placenta is partially detached, while the other part has grown into the uterus, postpartum hemorrhage may occur with lethal outcome, unless the mother is hospitalized. Fetal death was caused by severe meconium aspiration. One way to prevent such complications is to support legal abortions. .

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Principais fatores de risco associados ao óbito fetal: revisão integrativa

Revista Eletrônica Acervo Saúde ◽

10.25248/reas.e6407.2021 ◽

2021 ◽

Vol 13 (2) ◽

pp. e6407

Author(s):

Thais de Albuquerque Corrêa ◽

Elisama da Paz Oliveira Lima ◽

Aniely Tavares Da Silva ◽

Luciana da Silva Barreto ◽

Renata Paula Pereira Da Silva ◽

...

Keyword(s):

High Risk ◽

Fetal Death ◽

Placenta Previa ◽

De Medicina

Objetivo: Identificar na literatura as principais causas associadas ao óbito fetal. Métodos: Trata-se de uma revisão integrativa de literatura com busca na base de dados da BIREME (Biblioteca regional de Medicina) utilizando os descritores: ‘’Morte fetal”, “fetal death”; “Pregnancy High Risk” e “Gravidez de alto risco”. Os critérios de inclusão consistiram em artigos publicados nos últimos cinco anos, com texto completo disponível. Após a seleção dos critérios de inclusão e exclusão, foram selecionados 09 artigos lidos na íntegra e suas informações foram compactadas e organizadas. Resultados: Prevaleceram as causas mais presentes de óbitos fetais: transtorno materno hipertensivo, complicações da placenta, placenta prévia e diabetes. Esses motivos de óbito fetal foram associados às gestantes com idade acima de 35 anos, além de possuírem alguns fatores de risco, tais como: baixo nível socioeconômico, tabagismo, uso de drogas, obesidade e gestantes que tiveram uma má qualidade da assistência pré-natal e escassez no acompanhamento intraparto. Considerações finais: É considerável ressaltar a importância dos indicadores de mortalidade perinatal, que indica o estado de saúde e qualidade prestada a assistência as gestantes.

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Risk Factors Related to Intrauterine Fetal Death

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v17i01.1534 ◽

2019 ◽

Vol 17 (01) ◽

pp. 46-50

Author(s):

Achala Thakur ◽

Pritha Basnet ◽

Rubina Rai ◽

Ajay Agrawal

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Caesarean Section ◽

Fetal Death ◽

Traumatic Event ◽

Past History ◽

Placenta Previa ◽

Intrauterine Fetal Death ◽

Singleton Pregnancy ◽

Important Indicator

Background: Intrauterine fetal death is a traumatic event. Stillbirth rate is an important indicator to assess the quality of antenatal care. The objective of the study was to identify the risk factors related to intrauterine fetal death in patients admitted with intrauterine fetal death.Methods: It was a descriptive study conducted in the department of Obstetrics and Gynaecology at B. P. Koirala Institute of Health Sciences from January to December 2014. Patients admitted with singleton pregnancy with intrauterine fetal death after 28 weeks gestation were included. Results: There were 11,006 obstetric admissions. Of them, 152 women had intrauterine fetal death. There were 128(84.2%) women between 20-35 years of age. Out of 152, 81(53.3%) women were preterm and 39(2.1%) women were postterm. Primigravida were 77(50.7%) followed by 35(23%) of second gravida. Hypertension was the commonest identified risk factor in 30(26.78%) women. Out of 152 women, 49(32.2%) had not received formal education. Ten (6.6%) women had a past history of fetal death. Four (2.6%) women had medical disorder before pregnancy. One hundred and twenty five (82.2%) women had vaginal delivery, 21(13.8%) had caesarean section and 6(3.9%) had laparotomy for rupture uterus. The commonest indication for caesarean section was placenta previa for 7(33.33%) women. Four (2.6%) women had diabetes. Ninety five (62.5%) were male and 57(37.5%) were female babies. Five (3.3%) babies had malformations. Conclusions: Hypertension in pregnancy was found to be the most common identified risk factor for intrauterine fetal death. Keywords: Fetal death; pregnancy; risk factors.

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