What is ACOG in pregnancy?

The American College of Obstetricians and Gynecologists Committee on Obstetric Practice Society for Maternal-Fetal Medicine.

How do you confirm fetal demise?

An inability to obtain fetal heart tones upon examination suggests fetal demise; however, this is not diagnostic and death must be confirmed by ultrasonographic examination. Fetal demise is diagnosed by visualization of the fetal heart and the absence of cardiac activity.

What is the management of IUFD?

For medical management of IUFD at ≥ 14 to ≤ 28 weeks: Suggest the use of combination mifepristone plus misoprostol over misoprostol alone. Suggested regimen: 200 mg mifepristone administered orally, followed 1–2 days later by repeat doses of 400 μg misoprostol administered sublingually or vaginally every 4–6 hours.

What are the 3 trimesters of pregnancy ACOG?

Trimesters: The 3-month periods of time in pregnancy. They are referred to as first, second, or third.

Is fetal demise an emergency?

It is also important for you to know that a fetal demise in the second trimester is not a medical emergency so treatment is not immediately indicated.

How common is intrauterine fetal demise?

Second trimester intrauterine fetal death is typically recognized as a demise after 20 weeks of gestation or a fetal weight of more than 500 grams. It affects about 1 in 100 pregnancies each year in the United States, and the rate has declined by more than 25% in the last 15 years.

What is intrauterine fetal demise?

Quick Answer. Intrauterine fetal demise (IUFD), or stillbirth, is the medical term for a baby that dies in the womb after the 20th week of pregnancy. Intrauterine fetal demise is never the desired outcome of pregnancy, but it can happen for a variety of reasons such as a genetic disease or infection.

What are the complication of IUFD?

Most common complication associated with IUFD was Disseminated Intravascular Coagulation (DIC) in 18 (22.5%) followed by Sepsis in 8 (10%), Acute Renal Failure (ARF) in 3 (3.7%), Maternal mortality in 1 (1.2%). Conclusions: Anemia, PIH, accidental haemorrhage were leading causes of IUFD.

When does an embryo become a fetus ACOG?

For 8 weeks after implantation, it is called an embryo. From 9 weeks after implantation until birth, it is called a fetus.