Intrauterine fetal demise

Case contributed by Kevan English
Diagnosis certain

Presentation

A G3P2 presents with no fetal movements for 2 days.

Patient Data

Age: 40 years
Gender: Female

Fetal Ultrasound

ultrasound

No fetal cardiac activity suspicious for fetal demise.

Amniotic fluid index 9.1 cm.

Placenta is posterior/fundal.

Presentation is breech.

Case Discussion

This is a case of intrauterine fetal demise. At 34 weeks gestation, the patient presented with no fetal movement for two days. A fetal ultrasound pronounced the absence of cardiac activity. A cesarean section was performed due to the patient's request. The amniotic fluid was noted to be meconium stained at the rupture of membranes.

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