List the differential diagnosis of decreased fetal movement for 1 weak duration in second trimester pregnant women list the differentials with its clinical manifestation and risk factors
1. Placental abruption:
Clinical manifestations: l bleeding, abdominal pain, uterine tenderness, contractions, fetal distress.
Risk factors: Maternal hypertension, trauma, previous history of placental abruption, advanced maternal age, smoking.
2. Fetal growth restriction:
Clinical manifestations: Small fundal height measurement, decreased amniotic fluid levels, abnormal Doppler ultrasound findings.
Risk factors: Maternal smoking, maternal hypertension, placental abnormalities, preexisting maternal medical conditions.
3. Amniotic fluid embolism:
Clinical manifestations: Sudden onset of dyspnea, hypotension, sudden maternal collapse, fetal distress.
Risk factors: Maternal trauma, placental abnormalities, advanced maternal age, previous history of amniotic fluid embolism.
4. Maternal infection:
Clinical manifestations: Fever, uterine tenderness, abnormal l discharge, maternal symptoms of infection.
Risk factors: Maternal history of recurrent infections, maternal immunosuppression, untreated bacterial vaginosis.
5. Maternal diabetes:
Clinical manifestations: Poorly controlled blood sugar levels, fetal macrosomia, polyhydramnios.
Risk factors: Gestational diabetes, preexisting diabetes, maternal obesity.
6. Uterine rupture:
Clinical manifestations: Sudden, severe abdominal pain, l bleeding, fetal distress, maternal shock.
Risk factors: Previous uterine surgery, previous uterine rupture, prolonged labor, history of trauma.
It is important for pregnant women experiencing decreased fetal movement to seek immediate medical attention to rule out any potential complications and ensure the well-being of both mother and baby.