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Title :A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation
Authors :Chinen, Yukiko
Kinjo, Tadatsugu
Nitta, Hayase
Kinjo, Yui
Masamoto, Hitoshi
Aoki, Yoichi
Issue Date :7-Aug-2016
Abstract :It was demonstrated that second- and third-trimester therapeutic termination of pregnancy (TOP) is feasible in cases with placenta previa. We report a 34-year-old woman with complex fetal malformations associated with placenta previa. An ultrasound examination at 21 weeks of gestation revealed fetal growth restriction (FGR) and complex fetal malformations associated with a placenta previa. After extensive information, the parents opted for careful observation. Thereafter, FGR gradually progressed and we observed arrest of end-diastolic velocity of the umbilical artery. Finally, intrauterine fetal death (IUFD) was confirmed at 33 weeks of gestation. Two days after IUFD, the patient experienced labor pain. The placenta and dead fetus weighing 961 g were vaginally delivered, and total bleeding was 270 mL. Although further studies to confirm the dynamic change of the uteroplacental blood flow are necessary to avoid the risk of maternal hemorrhage, vaginal TOP with placenta previa after feticide or IUFD would be feasible.
URL :https://doi.org/10.1155/2016/9872561
Type Local :雑誌掲載論文
ISSN :2090-6684
Publisher :Hindawi
URI :http://hdl.handle.net/20.500.12000/46982
Citation :Case Reports in Obstetrics and Gynecology [Open panel below]Publication Information Vol.2016
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Medicine)

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