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Intrauterine fetal demise
Definition Fetal death at ≥ 20 weeks
Diagnosis Absence of fetal cardiac activity on ultrasound
Management 20-23 weeks
• Dilation & evacuation
OR
• Vaginal delivery*
≥24 weeks
• Vaginal delivery*
Complication Coagulopathy after several weeks of fetal
retention
*Cesarean delivery by maternal choice if history of prior
classical cesarean/myomectomy.

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Intrauterine fetal demise HY

  • 1. Intrauterine fetal demise Definition Fetal death at ≥ 20 weeks Diagnosis Absence of fetal cardiac activity on ultrasound Management 20-23 weeks • Dilation & evacuation OR • Vaginal delivery* ≥24 weeks • Vaginal delivery* Complication Coagulopathy after several weeks of fetal retention *Cesarean delivery by maternal choice if history of prior classical cesarean/myomectomy.