Trying to read pathology report please help?

Question

Just loss baby at 16 weeks and doctor hasnt got a chance to go over results
It says infaraction with hematoma formation ? And consistent with intrauterine fetal demise if anyone know what those two things mean it could help me sleep tonite. thank u

Answer 1

First of all, Jerry, I am so sorry for the loss of your baby. I hope you can get some rest and grieve your loss. If you need someone to talk to, you can email me. I have been in your shoes three times... Grieve, but don't lose hope.

To answer your question-please forgive my use of medical lingo, I know this is about your baby-an infarction simply means that either a blood clot (thrombus) or an air-bubble (embolus) caused necrosis (tissue death). In your case, the infarction lead to a hematoma (blood clot). "Consistent with fetal demise" is a technical way of saying "common with miscarriage."

Answer 2

Introduction
Although head injuries can be minor, an intracranial hematoma is a serious and possibly life-threatening condition that often requires immediate treatment.

Your brain floats within your skull and is surrounded by cerebrospinal fluid, which cushions it from the bounces of everyday movement. But the fluid may not be able to absorb the force of a sudden blow or a quick stop. In these situations, your brain may slide forcefully against the inner wall of your skull and become bruised.

An intracranial hematoma occurs when a blood vessel ruptures between your skull and your brain. Blood then leaks between your brain and your skull. The collection of blood (hematoma), possibly clotted, compresses brain tissue.

Treating hematomas usually requires surgery to remove the blood. However, smaller hematomas may not require surgery.

Introduction
Fetal death in utero (stillbirth) is defined in most states as a demise at >/=20 weeks of gestation and/or weight of >/=500 grams.[1] The fetal death rate in the United States varies among races, but overall it is 6.8/1,000 total births and accounts for approximately half the perinatal mortality (fetal and neonatal deaths).[2] Management of fetal death in utero has changed dramatically from earlier recommendations that regarded the event as a medically innocuous condition to be managed conservatively except under life-threatening circumstances, with 75% of women delivered within 2 weeks after fetal demise.[3] After coagulopathy was observed in pregnancies complicated by fetal death in utero[4] and with newer agents to effect cervical ripening and uterine contractions, the management of stillbirth has become more proactive.
Investigations have evaluated the significance of a previous stillbirth,[5] maternal serum biochemical markers,[6] genetic causes,[7] maternal complications of pregnancy,[8,9] infective agents,[10] intrapartum events,[11,12] usefulness of autopsy examinations,[13,14] and placental findings[15,16] in the cause of fetal death. The one material complication frequently evaluated after the diagnosis of a fetal demise is the development of disseminated intravascular coagulopathy (DIC).[17] Numerous publications have evaluated the causes of fetal death in utero, but except for the rarely encountered case of DIC, other maternal complications associated with the management and delivery of a stillbirth have not been assessed in a large investigation. The purpose of this investigation was to evaluate the maternal morbidity associated with IUFD.

Answer 3

Oh Jerry. I am so so sorry.

infarct: An area of tissue that undergoes necrosis (death) as a result of obstruction of local blood supply

hematoma: A localized swelling filled with blood resulting from a break in a blood vessel

intrauterine: in the uterus

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It sounds as if tissue began to die because of a blocked or burst blood vessel.

A terrible tragedy.

Confirm with your doctor, okay?

So sorry,
J