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Differential Diagnosis for Sudden Intrauterine Death of Baby

Single Most Likely Diagnosis

  • Placental Abruption: This condition, where the placenta separates from the uterus, is a common cause of sudden intrauterine fetal death due to the interruption of fetal oxygenation and nutrition.

Other Likely Diagnoses

  • Umbilical Cord Accidents: Issues such as umbilical cord prolapse, torsion, or compression can lead to sudden fetal death by compromising fetal circulation.
  • Maternal Hypertension or Preeclampsia: These conditions can lead to placental insufficiency and fetal distress, potentially resulting in intrauterine death.
  • Fetal Growth Restriction: Due to placental insufficiency, this condition increases the risk of intrauterine fetal death, especially if not properly managed.
  • Intrauterine Infections: Certain infections can cause inflammation and damage to the placenta, leading to fetal death.

Do Not Miss Diagnoses

  • Maternal Trauma: Physical trauma to the abdomen during pregnancy can cause placental abruption or direct fetal injury, leading to intrauterine death.
  • Thrombophilias: Maternal thrombophilic disorders can increase the risk of placental thrombosis and infarction, potentially causing fetal death.
  • Amniotic Fluid Embolism: Although rare, this condition is often fatal for both the mother and the fetus and should be considered in cases of sudden intrauterine death.

Rare Diagnoses

  • Fetal Congenital Anomalies: Certain severe congenital anomalies can increase the risk of intrauterine death, though they are less common causes compared to other factors.
  • Maternal Autoimmune Disorders: Conditions like lupus can increase the risk of fetal loss due to placental inflammation and insufficiency.
  • Uterine Rupture: Though rare, uterine rupture can cause sudden intrauterine fetal death, especially in women with a history of uterine surgery.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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