RPL & IUFD

KUTESAA JONATHAN

The material defines early pregnancy loss, recurrent pregnancy loss (primary, secondary, tertiary), and intrauterine fetal demise (IUFD), differentiating them from chemical pregnancy loss and spontaneous abortion. It details the epidemiology of pregnancy loss, highlighting its commonality and increasing risk with successive losses. The document elaborates on cervical incompetence as a cause of RPL, including its congenital and acquired risk factors, diagnostic methods (clinical examination, ultrasound, hysterography), and management options (non-surgical with progesterone, surgical cerclage). It also discusses the management of IUFD, including methods of delivery, evaluation of stillbirth, prevention strategies, and crucial bereavement care.