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Nick Raine-Fenning · Posted: Thu Nov 23, 2006 6:41 pm Post subject: Causes of Stillbirth

The following are recognised causes of stillbirth

Select the single best option from the following list that fits the clinical description.

A Non-immune Hydrops
B Parvovirus Infection
C Twin-twin Transfusion
D Fetomaternal Haemorrhage
E Cholestasis
F Vasa Praevia
G Infection
H Placental Abruption
I Antiphospholipid Syndrome
J Uterine Rupture
K Drug Misuse
L Polyhydramnios
M Isoimmunisation
N Fetal Anaemia
O Cytomegalovirus
P Fetal Heart Block
Q Lethal Congenital Anomaly
R Cord Prolapse
S Rubella
T Maternal Diabetes
U Fetal Growth Restriction
V Oligohydramnios
W Birth Asphyxia
X Chorioamnionitis
Y Toxoplasmosis
Z Birth Trauma

Nick Raine-Fenning · Posted: Thu Nov 23, 2006 7:02 pm Post subject:

Here's another pretty comprehensive list.

See if you can come up with a few clinical scenarios that narrow this list down to 3-4 options and ultimately one best one Smile

Abik · Posted: Tue Feb 20, 2007 2:51 pm Post subject:

A woman attends the antenatal clinic for a planned check at 34 weeks. She complains of breathlessness. The FH is heard by the MW who is not happy and refers for a scan and consultant appointment the following week. Unfortunately, on scan the baby has died.

Abik · Posted: Tue Feb 20, 2007 2:57 pm Post subject:

A woman sees her midwife for a routine AN check at 36 weeks. She mentions aching in her wrists and knees and reduced FM. She has an increased SFH.

Abik · Posted: Tue Feb 20, 2007 3:00 pm Post subject:

A woman with a known placenta praevia at 36 weeks attends delivery suite with pain and PV loss. An FH is audible at 50bpm and a crash section resuls in a fresh stillbirth.

Abik · Posted: Tue Feb 20, 2007 3:05 pm Post subject:

A multip who was low risk in her first pregnancy, presents at 24 weeks for her first antenatal check. An anomly scan notes ? some abnormalities in the femur. On direct questioning, she remebers having a rash at around 12 weeks.

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

Abik · Posted: Tue Feb 20, 2007 8:02 pm Post subject:

Good thinking Raj
I was actually thinking of non-immune hydrops in the first. I thought maybe SVT hence the abnormal FH picked up by MW. Breathless due to poly?

The second is a trick - it is cord prolapse! Associated with placenta praevia due to malpresentation. PV loss is SRM (if I'd put SRM you'd have got it!)

Third is right - Rubella.
Well done Raj! Wink

wolverine · Century Club Joined: 16 Jan 2007 Posts: 394

Abi the king of EMQs

Nick Raine-Fenning · Posted: Tue Feb 20, 2007 8:17 pm Post subject:

I actually agree with wolverine and Raj in that the praevia one should be abruption. The incidence is increased in women with praevia, she has pain, and the baby dies.

The first one where mum is dyspnoeic could be polyhydramnios. Probably one of the most common causes of shortness of breath.
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