A pregnant woman suffering from Preeclampsia,with 30 weeks of pregnancy presented with a history of not able to perceive fetal movements,reduced breast size.
On USG examination,the following picture was seen.Identify this condition.
C. Intrauterine Death
D. Hydatidiform mole
Ans:C. Intrauterine Death.
- It is the term used when the death of a fetus occurs after the 20th week of pregnancy.
- Prior to this, it is considered a miscarriage.
- The mother may notice less movement in the fetus for several days, and her breasts may diminish in size.
- In cases of hypertension the blood pressure sometimes falls.
- The uterus may be found to be smaller than the duration of pregnancy
- gestational hypertension
- blood group incompatibility
- metabolic disorders
- intrauterine infections
- major anomalies
- umbilical cord complications ( looping, knotting, twisting)
- chronic placental insufficiency
- placental abruption
- absent fetal heart beat
- absent fetal movements
- overlapping of skull bones (Spalding sign)
- gross distortion of fetal anatomy (maceration)
- soft tissue oedema: skin >5 mm
- echogenic amniotic fluid (fetal demise fragments)
- thrombus in fetal heart
- gas shadow in fetal heart (Robert sign)