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c

  
  

c
I. GENERAL OBJECTIVES:

p c c c  c 


c c c  c  c  c c   c  c 
  c   c 
c  c  c   c   c   c 
c  c
   cc c  cc

SPECIFIC OBJECTIVES:

c pc c  c   cc c  c


  c
c c c
c pc
ccc c    cc c    cc
c c c
   c
c pc
   c c
c
c c   c

cc c  c
c pc  c c  cc c c 
c c

 c
c

 c
c
 c  c
c pcc  c
  c c
c  c c  cc c  c
c c
c   cc c   c

II. PATIENTS PROFILE

c Name: c  c 
c
c Sex: c cc
c Civil status:c  
c
c Address:c      c
c Birth date:c cc !c
c Age:c c c 
c
c Birth Place:c   c
c Nationality:c    c
c Religion:c " c#  c
c
ëc PAST AND PRESENT HISTORY
c c c$c c c c c 
c c " c   c 
c c   c 
c c
   c  c% c cc
 c 
c
c  c  
c  c 
c c c

cc c
c c&'c
cc 
c c c c c
c  c cc  cc
   c c c c
c  c c  c  cc
c
c c
c% c 
c
c c   c(cc c
c
c c cc
cc
 ccc)c
 c'cc c
 c   cc c c% c 
cc  cc
 cc  c cc*c c
c
c
III. DISEASE ENTITY

A.INTRAUTERINE FETAL DEATH


cc
 c c c +   ,c c
 
c c c c c c
 c c -.c /c c
  c
0c cc-..c cp cc
 cc c c1 
c%c c cc
c c c c 2!0...c c   c 
c  c c 3  c c  c  c   c
+c 
c  c
 ,c    c c c
 c c c c   
c
  c c
 c
  c c 

c c ccc
 c c
  ccc  
c
   c 3c 
c    c   c   c *4c c  c
 
c   c c
/ccc
 c$c  cc
c c   c 
c cc
 c
cc
c  c c  ccc c  c
c c   c c   c
c   c ccc c
c
C. DIAGNOSIS OF FETAL DEATH
5  c
c  c3   ccc  
cc c c
  ccc
 c' cc
  c c  c c c

cc c$ c    cc cc c c
 c3   c cc
 6c c c c c
  c
c
 ccc
  
c c   c3   c
c
c
 c c
 
c c  7  cc cc c
c c cc
c   c

C. MANAGEMENT of FETAL DEATH


8 c  c
  c c c
 c c  c   
c  c   c  
c c 
c c
c
  c8 c c c ccc c/cc
c   c c ccc c

  cc
  c 
cc
cc
  c  c c c c 
cc c

  6c c   c c  c
  c 
 c  c  c   c c
 c
  c
cc 
cc cc
 c  c  cc   c
c
c
9  cc

cc c c ccc):c/c    cc c
c
ccc
  cp c c ccccc c   c
c
  c' cccc
 c    c
  c c  c
 c c c  c  c c
 
c c c  c  c  c c
c
c
'
  c cc  
c  c
  c c  c
c c  c
3  c+c# c"  ,c  c  cc  ccc c c
  c 
cc
c
  ccc c /cc cc;cc c c  c c c
  c
c
& c c
 c  c c   
c   c   c   c 
c  c
  c 
c
  c' c c  cc
 cc!c/<c   c
  c cc  
c
 c  
c &c  c   c +..c  c =:2 ,c  c + c  
c &,c
  cc c+:..c c=:2 ,c
0c3  c+
c c c  c c c  ,c
' c c  cc
 cc!c/<c   cc
c 
cc
c
c
p c$  c# cc8   c
c>  c+$#8>,c 
 cc
  cc
cc c 
c&c
c c 
c cc
c c c  cc  ccc
 c c    ccc c /cc cc' c..)c? /  c
c& c
c c
 c   c c c  c 
c  
c 
   c c  c c 

 
  c c  c   c c  c c 
c 
c  c  c  c   c c
 c c :..c  c   c  c 2c c $c    c c  c c c  c c

  c c  c 
c 
c  
c  c  
c   c c  c c + c c
 ,c=  c+ c)c ,c
c
 c+..:..c ,cc
 c   c c  c
  c
  ccccc
 c c c c
c   c   c c   c   c  c c 5 c
c c  c c  c c  c   c

c  c c  c c ? 

c #$c c    c c c  c  c % 
c c   c

  c c cc  c  c


c   c 
cc
c
c
D.CAUSES of FETAL DEATH
p c   c c c
 c c  /  c c 2.4c c c c ' c c  c c c c
 c
   
c  c c c c
 c  c c  c c c  c c  c
  c8 c c
c 
c2: 4ccc
 cc c  ccp c
c 
c 
c c c c c
 c 
 c c  c   c c c   c
 c
c
Maternal
  
c   c+@:c/,c
 ? c+ c 
,c
 %  cc  c
 $     
c
c
 '   c
 5    c
  c
 & c
 5   c
 $
 
c c c
 " c
c
 1 cc
  ccc
 c
 '  
c   c
c
Fetal
  c   c
 '  c  c   c
 #  c   c
 >  c   c
 '   c+ c c c#Ac  ,c
 5
c
 c
c
 #
c
 c
 $  c
 ccc c
 Ac c
  c   c
  c     c
" /cc+/c
 c,c
c
 $  c$  cc
 $
 
c c c
 5  ccc
 c
  c    c
 5  cccc   c c  c
 %cc   c c  c
 8  c
  c c
Placental
 #
c
 c
 $  c
 ccc c
 Ac c
  c   c
  c     c
Risk factors (weak predictive value)
 $  c$  cc
 $
 
c c c
 5  ccc
 c
  c    c
 5  cccc   c c  c
 %cc   c c  c
 8  c
  c c
c
E.FREQUENCY of FETAL DEATH
' c..c
cc cB  cA c%  c"c 
cc1%c   c c   c
cc2cc...c  c9

c cc c 
 c

c c c=  cc

cc c c c  c c=  c
c c
   c
cc  cc

 c1
 c c
 c   c c c  c/c  c cc

 c
c
F.SIGN AND SYMPTOMS
c # c c
c c/cc  c
ccc c   cp c

Ccc
c c c c  c c c c
c ccc c 
cc cc
c cccc c cc c cc cc
c  c    cc c c <c c  cc c c cc
c /cc cc c cc c c
 cc   c
cc cc
 cc
ccc c c cc
c  c c
ccc c  cc   c/  ccc=   c5#>cc
c
OVERVIEW
VI. DOCTOR͛S ORDER
07-14-10 VERBAL ORDER
c *c  c c c cc c
c cccccccccccccc
c  c3   c c  c   c
c
 c c
07-15-10 VERBAL ORDER
c $c'AcccCc?"cc3cc 0 c
c *C).c$c%c
c
c !C.c$cc'&c c
ccc
c ccccccccccccccccccccccc c   c
c  cDcc   c
c :C).ccA8cc
  ccc
c ccccccccccccccccccccccp cc8"c
.*2.cc
c ?$pc  c c/c
c ' c3  cc c.cc'Acc c(c). 0 cc
c 9 cccc c
c
ccc
c  cc c c c ccc