7 - stillborn

1. Labs: Maternal
1. Hemoglobin A1C
2. Kleihauer-Betke
3. Syphilis Serology (RPR, VDRL)
4. Antinuclear Antibody (ANA)
5. Partial Thromboplastin Time (PTT)
6. Anticardiolipin Antibodies
7. Urine Tox Screen
2. Exam: Fetus
1. Placental pathology
2. Autopsy of fetus
3. Fetal Foot Measurement
1. Most accurate method for dating gestational age
4. Fetal Chromosomal analysis
5. Evaluate for fetal dysmorphology
6. Obtain cord blood or cardiac puncture
1. Use Green top tube (Heparinized)
7. Obtain skin biopsy
1. Store in normal saline
3. Radiology
1. Fetal Ultrasound
1. Two examiners should independently confirm IUFD
4. Management
1. Induction for delivery of fetus
2. Grief counseling for family