Fetal Demise
Tammy Brule (Colby Fund)
Who is the certified pregnancy and infant loss counselor and doula?
Counter-pressure technique used during labor to relieve back and pelvic pain, help open the pelvic outlet, and support optimal fetal positioning.
What is Hip Squeeze
Amniotic fluid in maternal circulation
What is the cause of an AFE?
24 week
What is the age of viability at MMC?
The thick, yellowish "first milk" rich in antibodies and protein
What is colostrum
Birth certificate and medical certification of death
What forms need to be completed for ANY gestational age if fetus is born ALIVE?
Labor position that combines hip extension, pelvic tilt, and leg external rotation to open the inlet and help the baby engage, making it a valuable tool in both active and resting phases of labor.
What is reverse cowgirl..
AOK
What are anecdotal medications for AFE
PPROM
What is preterm (<37 weeks) premature (before labor starts) rupture of membranes?
The principle that governs how much milk a mother's body produces
Supply and Demand
"Death of Infant Care of Stillborn Support of Family"
What is the fetal/perinatal loss policy called?
The technique involves dropping the feet of the bed and placing a rolled blanket, sheet, or mat under the birthing person's hips, creating an anterior pelvic tilt.
What is Walchers
Sudden altered mental status, hypotension, hypoxia and cardiovascular collapse.
What are the hallmark signs and symptoms of an AFE?
Age <17, >35, less than high school education, poor nutrition, minority, previous preterm birth, increased parity, multiple gestation, infections, incompetent cervix, uterine fibroids, substance abuse
What are maternal risk factors for preterm labor?
The "feel good" hormone that triggers the letdown reflex and milk ejection
What is attached to the policy, also stored in our shared file under Perinatal loss folder.
What is Stillbirth/Loss of Pregnancy Checklist?
This position involves the laboring person getting on their hands and knees, with one leg raised to the side. It helps to open the pelvis, allowing more space for the baby to navigate through the birth canal.
What is Fire Hydrant
Multiparity, AMA, cesarean section, uterine trauma and IOL
What are the risk factors for AFE
The three common medications used in the management of preterm labor and what they are used for
What are terbutaline-tocolysis, magnesium- smooth muscle relaxant to stop contractions and gives neuroprotection to fetus, betamethasone-steroids for fetal lung development?
The American Academy of Pediatrics (AAP) recommends this be supplemented for all exclusively breastfed infants
What is Vitamin D?
Report of Miscarriage
What is the form to be completed for intrauterine demise LESS than 20 weeks?
The birthing person can be standing, on hands-and-knees or in a forward-leaning inversion, place your hands evenly on the birthing person's buttocks and give a long, rhythmical, and mild shake. The movement should be gentle and continuous, lasting 10–20 minutes if comfortable
What is shake the apples
Support airway breathing and circulation
What are the ABC's of treatment?
Before delivery of a preterm infant, the team must ask these four specific pre-birth questions to adequately prepare
What are-
1. Gestational Age
2. Is amniotic fluid clear
3. Any additional risk factors
4. What is out umbilical cord management plan?
Dimpling of cheeks and smacking or clicking sound made by the infant while breast feeding
What are the signs of a shallow latch or just the nipple?