intrauterine fetal demise
Also written as: IUFD — Intrauterine Fetal Demise
Death of the fetus in utero after 20 weeks of gestation or 500 grams birth weight.
Full Definition
Intrauterine fetal demise (IUFD) refers to fetal death occurring in utero after 20 weeks of gestation or when the fetus weighs 500 grams or more, distinguishing it from miscarriage which occurs before this threshold. The diagnosis is confirmed by ultrasound showing absence of fetal cardiac activity. Common causes include placental abruption, cord accidents, fetal anomalies, infections, and maternal conditions such as diabetes or hypertension. Management involves counseling regarding delivery options, evaluation for underlying causes, and psychological support. Delivery may be accomplished through induction of labor or cesarean section depending on individual circumstances and maternal preference.
Usage
Usage note: IUFD commonly abbreviated in charts; 'demise' preferred over 'death' in formal documentation.
In Context
- "Ultrasound examination confirmed intrauterine fetal demise at 28 weeks gestation with no detectable fetal heart activity." — Ultrasound report
- "Following the diagnosis of IUFD, the patient was counseled regarding delivery options and postmortem examination." — Counseling documentation