Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A woman (third gravida) at 35 weeks of pregnancy experiences a loss due to stillbirth. Of the following, which is the possible management?
  1. Psychological support
  2. Continued monitoring
  3. Infusion of heparin
  4. All of the above
Explanation
Answer: D - All of the above

Interruption of pregnancy with death of the fetus beyond 20 weeks of pregnancy is termed intrauterine fetal death or stillbirth. This can be a psychologically traumatic experience for a pregnant woman. The management of intrauterine death includes:

1. Maternal reassurance and psychological support
2. Continued monitoring of the patient
3. Controlled infusion of heparin if necessary
4. Patient can return to the home environment
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