Professional Documents
Culture Documents
Supervisor
dr. Mutawakil J Paransa, Sp.OG Creator
Rashif Yali Anbia
(120001115039)
Introduction
Perinatal death estimated 7.6 million each
year
98% in
developing
countries
What is IUFD ?
Anamnesis
- Patients admitted to no longer feel fetal movement
- Abdomen doesn’t getting bigger, maybe even shrinking
- Abdomen often become hard and feel the pain as if to give birth
- Weight loss
Physical Examination
- Inspection: High fundus reduced or lower than the age of the
pregnancy. Look no fetal movement can usually be seen
in women who are thin.
- Palpation: Uterus tone decreases, uterus palpable flaccid. No
palpable fetal movement
- Auscultation: Not hearing the fetal heart rate after 10-12 weeks
gestation in ultrasonic Doppler examination is strong
evidence of fetal death.
Examination Suggest
- No history of Diabetics
- No history of hypertension
- No history of asthma
- no history of allergy
Menstrual History
◦ USG
Diagnosis
Woman G1P0A0 gravida 24-25 weeks with IUFD
Prognosis
Mother : Dubia ad Bonam
Fetal : ad malam
Observation
Date S O A P
19/10/2015 KU/K: CM G1P0A0 -Observation VS
19.00 St.Geeneralis: Gravida 24-25 -Infus with RL
T: 120/70 mmhg weeks with IUFD
N : 84 x/mnt
R : 20 x/mnt
S : 36,2 °C
Stat.Obstet :
-Abdomen concaf, FU 23
cm, head presentation
DJJ : (-) HIS (-)
Observation
Date S O A P
19/10/2015 KU/K: CM G1P0A0 -Observation VS
21.30 St.Geeneralis: Gravida 24-25 -Infus with RL
T: 110/70 mmhg weeks with IUFD
N : 82 x/mnt
R : 18 x/mnt
S : 37,2 °C
Stat.Obstet :
-abdomen concave, FU 23
cm, head presentation
DJJ : (-) HIS (-)
Observation
Date S O A P
20/10/2015 KU/K: CM G1P0A0 -Observation VS
08.00 St.Geeneralis: Gravida 24-25 -Infus with RL
T: 100/60 mmhg weeks with IUFD
N : 82 x/mnt
R : 20 x/mnt
S : 37,2 °C
Stat.Obstet :
-abdomen concaf, FU 23
cm, head presentation
DJJ : (-) HIS (-)
Observation
Date S O A P
20/10/2015 KU/K: CM G1P0A0 -Observation VS
09.30 St.Geeneralis: Gravida 24-25 -Infus with RL
T: 110/70 mmhg weeks with IUFD -Taking Cytostol
N : 84 x/mnt 100mg
R : 18 x/mnt -Taking
S : 37,2 °C Misoprostol
Stat.Obstet : 100mg, ½ Tab
-abdomen concave, FU 23 -Opened 2cm
cm, Head presentation -Planning birth
DJJ : (-) HIS (-) with pervaginam.
Observation
Theory Case
Anamnesis Anamnesis
- Patients admitted to no longer feel - Abdominal pain at lower regio
fetal movement
- Abdomen doesn’t getting bigger,
maybe even shrinking
- Abdomen often become hard and
feel the pain as if to give birth
- Weight loss
Diagnosis
Theory Case
USG: No fetal heartrate One day ago because the USG showed
No Fetal movement was the absence of movement and the
baby's heartbeat.
Management
Theory Case