Preferred Label : GAIA Level 1 Antepartum Stillbirth;
NCIt synonyms : Global Alignment of Immunization safety Assessment in pregnancy Level 1 Antepartum
Stillbirth;
NCIt related terms : Level 1 Antepartum Stillbirth;
NCIt definition : GAIA Level 1 Antepartum Stillbirth is defined by four criteria: first, one or more
of the following three requirements must be met: a) Prenatal ultrasound examination
(e.g. basic ultrasound or special ultrasound with Doppler) documenting an absence
of fetal cardiac activity or movement before the onset of labor; b) Radiology findings
consistent with intrauterine fetal death; c) Delivery of an infant with no of signs
of life at birth, including no spontaneous movements, no umbilical cord pulse, no
heartbeat, no respirations, and Apgar scores of 0 at both 1 and 5 minutes. The determination
of the absence of signs of life is made by physical examination after delivery, with
or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry;
second, the following three criteria must be met: a) Maternal report of the absence
of fetal movement for 24 hours or more; b) Maternal physical examination confirming
the absence of fetal movement; c) Auscultation for fetal heart tones using electronic
devices (e.g. handheld Doppler or fetal heart rate monitor) OR non-electronic devices
(e.g. stethoscope, fetoscope, or Pinard horn) that documents the absence of a fetal
heartbeat; third, one of the following two requirements must be met: a) Attended delivery,
followed by a post-delivery physical examination of the fetus by an obstetrician,
a neonatologist, a pediatrician, a maternal-fetal medicine specialist, or a pathologist
that is consistent with antepartum death. In a setting where access to a specialist
is not feasible, diagnosis by a health care provider trained or experienced to make
the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner,
a physician's assistant, or other qualified trained practitioner); OR b) fetal/placental
pathology report that is consistent with antepartum death; fourth, gestational age
within the pre-defined range for selected stillbirth definition, as assessed by maternal
and/or fetal parameters (level 1 in GA assessment algorithm).;
Alternative definition : GAIA: Level 1 Antepartum Stillbirth is defined by four criteria: first, one or more
of the following three requirements must be met: a) Prenatal ultrasound examination
(e.g. basic ultrasound or special ultrasound with Doppler) documenting an absence
of fetal cardiac activity or movement before the onset of labor; b) Radiology findings
consistent with intrauterine fetal death; c) Delivery of an infant with no of signs
of life at birth, including no spontaneous movements, no umbilical cord pulse, no
heartbeat, no respirations, and Apgar scores of 0 at both 1 and 5 minutes. The determination
of the absence of signs of life is made by physical examination after delivery, with
or without electronic monitoring of heart rate, respiratory rate, and pulse oximetry;
second, the following three criteria must be met: a) Maternal report of the absence
of fetal movement for 24 hours or more; b) Maternal physical examination confirming
the absence of fetal movement; c) Auscultation for fetal heart tones using electronic
devices (e.g. handheld Doppler or fetal heart rate monitor) OR non-electronic devices
(e.g. stethoscope, fetoscope, or Pinard horn) that documents the absence of a fetal
heartbeat; third, one of the following two requirements must be met: a) Attended delivery,
followed by a post-delivery physical examination of the fetus by an obstetrician,
a neonatologist, a paediatrician, a maternal-fetal medicine specialist, or a pathologist
that is consistent with antepartum death. In a setting where access to a specialist
is not feasible, diagnosis by a health care provider trained or experienced to make
the diagnosis is acceptable (e.g. general practice physician, mid-wife, nurse practitioner,
a physician's assistant, or other qualified trained practitioner); OR b) fetal/placental
pathology report that is consistent with antepartum death; fourth, gestational age
within the pre-defined range for selected stillbirth definition, as assessed by maternal
and/or fetal parameters (level 1 in GA assessment algorithm).;
NCI Metathesaurus CUI : CL509144;
Origin ID : C128018;
UMLS CUI : C4289227;
Semantic type(s)
- concept_is_in_subset
