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A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992525/ https://www.ncbi.nlm.nih.gov/pubmed/27579202 http://dx.doi.org/10.1155/2016/9872561 |
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author | Chinen, Yukiko Kinjo, Tadatsugu Nitta, Hayase Kinjo, Yui Masamoto, Hitoshi Aoki, Yoichi |
author_facet | Chinen, Yukiko Kinjo, Tadatsugu Nitta, Hayase Kinjo, Yui Masamoto, Hitoshi Aoki, Yoichi |
author_sort | Chinen, Yukiko |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4992525 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49925252016-08-30 A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation Chinen, Yukiko Kinjo, Tadatsugu Nitta, Hayase Kinjo, Yui Masamoto, Hitoshi Aoki, Yoichi Case Rep Obstet Gynecol Case Report 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. Hindawi Publishing Corporation 2016 2016-08-07 /pmc/articles/PMC4992525/ /pubmed/27579202 http://dx.doi.org/10.1155/2016/9872561 Text en Copyright © 2016 Yukiko Chinen et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chinen, Yukiko Kinjo, Tadatsugu Nitta, Hayase Kinjo, Yui Masamoto, Hitoshi Aoki, Yoichi A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title | A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title_full | A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title_fullStr | A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title_full_unstemmed | A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title_short | A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation |
title_sort | case of vaginal stillbirth in the presence of placenta previa at 33 weeks of gestation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992525/ https://www.ncbi.nlm.nih.gov/pubmed/27579202 http://dx.doi.org/10.1155/2016/9872561 |
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