Fetal Death In Utero (FDIU) at 14 Weeks

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Figure-1

📄 Report Sample Line - Fetal Death In Utero (FDIU) at 14 Weeks

Ultrasound examination reveals a single intrauterine gestation with absent fetal cardiac activity and no fetal movements. The fetus measures approximately 14 weeks of gestation based on biparietal diameter and crown-rump length. The fetal posture appears fixed. A tight nuchal cord loop is noted around the neck, with umbilical cord visualized encircling the neck region. No signs of hydropic changes are evident. Amniotic fluid volume is within normal limits. Placental location is anterior, and no gross placental abnormalities are observed.

Conclusion: 📋 Findings consistent with Fetal Death In Utero (FDIU) at approximately 14 weeks' gestation. A tight umbilical cord loop around the fetal neck is identified as a likely contributing factor.

Recommendation: Counseling and support advised. Recommend follow-up with obstetrician for management and further evaluation. Consider fetal karyotyping and placental histopathology if recurrent loss or anomalies suspected.

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1. Fetal death in utero (FDIU) at 14 weeks is defined on ultrasound primarily by: 1. अल्ट्रासाउंड पर 14 सप्ताह पर गर्भ में भ्रूण मृत्यु (FDIU) का प्राथमिक सुझाव क्या है?
A. Absence of fetal cardiac activity on real‑time scan with appropriate fetal size
B. Presence of fetal movements only
C. Maternal report of decreased fetal motion (only)
D. Enlarged placenta only

2. The most common cause of FDIU in the first trimester/early second trimester is: 2. पहले ट्राइमेस्टर/प्रारम्भिक दूसरे ट्राइमेस्टर में FDIU का सबसे सामान्य कारण क्या है?
A. Chromosomal abnormalities
B. Maternal trauma
C. Maternal hypertension
D. Placental abruption

3. If the ultrasound at 14 weeks is inconclusive, the best next step is: 3. यदि 14 सप्ताह के अल्ट्रासाउंड से निष्कर्ष स्पष्ट नहीं है, तो अगला सबसे अच्छा कदम क्या है?
A. Repeat scan (possibly transvaginal) after short interval to confirm absence of cardiac activity
B. Immediate termination without confirmation
C. Start antibiotics immediately
D. Ignore and follow up after 3 months

4. Important investigations after confirmed FDIU at 14 weeks include: 4. 14 सप्ताह पर पुष्टि किए गए FDIU के बाद महत्वपूर्ण जांचों में क्या शामिल है?
A. Offer karyotype/microarray, infection screen (TORCH), maternal Rh type and routine baseline labs
B. Only a chest X‑ray for the mother
C. Immediate MRI for the mother
D. No investigations needed

5. Maternal disseminated intravascular coagulation (DIC) after FDIU at 14 weeks is: 5. 14 सप्ताह पर FDIU के बाद मातृ DIC क्या है?
A. Common immediately in all cases
B. Rare but possible, especially with prolonged retention or infection
C. Impossible
D. Only occurs after 40 weeks

6. Management options for FDIU at 14 weeks include: 6. 14 सप्ताह पर FDIU का प्रबंधन विकल्प क्या हैं?
A. Expectant management, medical induction (e.g., misoprostol) or surgical evacuation depending on clinical scenario
B. Only immediate cesarean section
C. Long‑term antibiotics only
D. No options — prognosis fixed

7. Indication for urgent evacuation in the setting of FDIU at 14 weeks would be: 7. 14 सप्ताह पर FDIU के सेटिंग में त्वरित निकासी के लिए संकेत क्या होगा?
A. Maternal sepsis, heavy bleeding or coagulopathy
B. Parental anxiety alone without clinical problem
C. Mild pelvic discomfort only
D. Change in fetal sex

8. Counseling parents after confirmed FDIU at 14 weeks should include: 8. 14 सप्ताह पर पुष्टि किए गए FDIU के बाद माता‑पिता को परामर्श में क्या शामिल होना चाहिए?
A. Explanation of probable causes (e.g., chromosomal, infection), offer genetic counseling/tests, discuss management options and emotional support
B. Tell them nothing and discharge immediately
C. Only discuss diet
D. Recommend immediate travel abroad

9. On ultrasound, signs of a retained demised fetus (early) may include: 9. अल्ट्रासाउंड पर एक मृत भ्रूण के रहने के प्रारम्भिक संकेत क्या हो सकते हैं?
A. Absence of cardiac activity; collapsed fetal contour/overlapping skull bones may appear later
B. Increased vigorous fetal movements
C. Hyperactive heart on Doppler
D. New onset fetal breathing movements

10. Which follow‑up test is useful to help determine recurrence risk after FDIU at 14 weeks? 10. 14 सप्ताह पर FDIU के बाद पुनरावृत्ति जोखिम निर्धारित करने में कौन सी अनुवर्ती जांच उपयोगी है?
A. Fetal karyotype/microarray or parental genetic testing when indicated
B. Mother's shoe size measurement
C. Immediate MRI of the mother's brain in all cases
D. No tests are ever useful