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Mortinato - Overview

Nombres alternativos

Muerte fetal

Definición:

Se presenta cuando un feto que se esperaba que sobreviviera muere durante el nacimiento o durante la segunda mitad del embarazo.

Ver también: aborto espontáneo

Información:

Los mortinatos se están volviendo menos comunes a medida que mejoran los cuidados para el embarazo. Si usted tiene un mortinato, el médico puede solicitar que se evalúe y examine cuidadosamente al feto para determinar la causa de la muerte fetal. Esto puede ayudar a planear los cuidados médicos para cualquier embarazo futuro. Se ofrecerá una autopsia completa, pero usted puede rechazar esta opción si lo desea.

Un mortinato puede ser causado por:

  • Anomalías congénitas.
  • Anomalías cromosómicas.
  • Infección en la madre o el feto.
  • Lesiones.
  • Trastornos médicos de la madre, como diabetes, epilepsia e hipertensión.
  • Problemas de la placenta (desprendimiento prematuro de placenta o función placentaria deficiente).
  • Pérdida súbita y abundante de sangre (hemorragia) en la madre o el feto.
  • Detención de los latidos cardíacos (paro cardíaco) en la madre o el feto.
  • Problemas del cordón umbilical.

En aproximadamente el 15 al 35% de los mortinatos, no se puede encontrar ninguna explicación.

La muerte fetal es traumática para la madre y su familia. Puede provocar aflicción y llevar a un aumento del riesgo de depresión posparto.

  • Reviewed last on: 5/31/2011
  • Linda Vorvick, MD, Medical Director, University of Washington School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, WA; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Cunningham FG, Leveno KL, Bloom SL, et al. Diseases and injuries of the fetus and newborn. In: Cunningham FG, Leveno KL, Bloom SL, et al, eds. Williams Obstetrics. 23rd ed. New York, NY: McGraw-Hill; 2010: chap 29.

Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. Philadelphia, Pa: Saunders Churchill Livingstone; 2007.

Dudley DJ, Goldenberg R, Conway D, Siler RM, Saade GR, Varner MW, et al. A new system for determining the causes of stillbirth. Obstet Gynecol. 2010;116:254-260.

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