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Introduction to intrauterine fetal death

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‘Velamentous' insertion of the umbilical cord.

This tutorial reviews the issues in diagnosing and managing women who experience an intrauterine fetal death (IUFD). It will give you an insight into co-existent pre-pregnancy risk factors that may predispose to clinical challenges. It will also focus on appropriate investigations for women with IUFD. On completion of this tutorial, you should have a better understanding of IUFD. You will be capable of devising a specific management plan for women with IUFD, in order to minimise risk to them.

Learning objectives

When you have completed this tutorial you should be able to:

  • understand physiology that may predispose to IUFD
  • know the causes of IUFD
  • assess risk of maternal complications
  • arrange and discuss appropriate investigations
  • confidently devise a care plan for women who experience an IUFD
  • manage the emotional wellbeing of the woman

Last updated: 22/09/11 (tutorial reviewed and updated by Dr George Attilakos)

21/04/11 (A video was added which demonstrates how to take consent for postmortem; reproduced with permission from Tom Holland and Guy's and St Thomas' NHS Foundation Trust)

17/01/11 (Preliminary reading page was updated)

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