MAJOR CAUSES- ”TOLD” Testicular tumor Obituary (fetal death) Liver: hepatomas Defects (neural tube defects) ”Increased Maternal Serum Alpha Feto Protein”: Intestinal obstruction Multiple gestation/ Miscalculation of gestational age/ Myeloschisis Spina bifida cystica Anencephaly/ Abdominal wall defect Fetal death Placental abruption