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Intrauterine Fetal Death

The loss of the fetus in utero after the 20th week of gestation requires sensitive follow-up.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Intrauterine Fetal Death?

Intrauterine fetal death is defined as the absence of fetal heart rate detected from the 20th week of gestation. Causes include placental insufficiency, congenital anomalies, thrombophilias, infections, maternal diabetes, hypertension, cord accidents, and cases of unknown etiology.

Diagnosis is made by demonstrating the absence of heart rate on ultrasound. An empathetic approach is essential when communicating the diagnosis to the pregnant woman. Subsequently, delivery management (induction or expectant management), monitoring for coagulopathy, and possible etiological investigation are planned.

Cause investigation includes autopsy, placental histopathology, genetic testing (karyotype/microarrays), infection screening, thrombophilia panel, and maternal metabolic evaluation. Grief support and counseling for subsequent pregnancy should be provided to parents.

Symptoms

Marked decrease or cessation of fetal movements
Uterine growth lagging by week
Inability to hear the fetal heartbeat
Rapid regression in pregnancy symptoms
Vaginal bleeding or spotting
Addition of abdominal pain and cramps

Risk Factors

Maternal hypertension and preeclampsia
Diabetes and obesity
Advanced maternal age
Multiple pregnancy
Thrombophilia and antiphospholipid syndrome
Smoking, alcohol, and substance use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When marked decrease in fetal movements is felt
  • When abdominal hardening occurs in a previously normal pregnancy
  • When vaginal bleeding or unexplained abdominal pain develops
  • When fetal heart rate cannot be heard at routine follow-up
  • When there is a history of fetal loss in a previous pregnancy

Treatment Methods

01
Confirmation of diagnosis with ultrasound
02
Coagulation and infection follow-up for the mother
03
Induction for vaginal delivery (misoprostol, oxytocin)
04
Dilation and evacuation in suitable cases
05
Etiological evaluation (autopsy, placental pathology)
06
Grief counseling and preconception planning for next pregnancy

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.