Document Detail

Unexplained intrauterine death near term.
MedLine Citation:
PMID:  3464259     Owner:  NLM     Status:  MEDLINE    
In Victoria, in 1984, intrauterine hypoxia of unknown aetiology accounted for 59 of the 252 perinatal deaths of infants with a birth-weight of 2,500 g or more. These unexplained deaths occur in approximately 1 in 1,000 pregnancies near term, and in more than 90% of cases the infants are neither small nor large for dates (tables 1 and 2). In 27 of the 59 cases, a fetoplacental function test (oestriol assay, cardiotocography) had been performed, and in 6 glucose tolerance had been tested either before or after the fetal death occurred. We endorse recent recommendations that all pregnant women should be screened for gestational diabetes at approximately 24-28 weeks' gestation as a possible means of reduction in the number of intrauterine deaths of mature infants. Consideration of these cases indicates that induction of labour should not be deferred after 37-38 weeks' gestation in high risk pregnancies, merely because tests of fetoplacental function are normal--i.e. laboratory tests should not outweigh clinical judgment especially in high risk pregnancies! It is considered that the cost of identification of these infants at risk of 'unexplained death', if possible, is likely to be justified by the fact that they are mature and apparently normal.
N A Beischer; C N De Garis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  26     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-11-20     Completed Date:  1986-11-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  99-101     Citation Subset:  IM    
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MeSH Terms
Birth Weight
Fetal Death / etiology*
Fetal Hypoxia / complications
Infant Mortality
Infant, Newborn
Placental Function Tests
Pregnancy Trimester, Third
Pregnancy in Diabetics / complications

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