scholarly journals Expectant Management Leading to Successful Vaginal Delivery following Intrauterine Fetal Death in a Woman with an Incarcerated Uterus

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Masafumi Yamamoto ◽  
Mio Takami ◽  
Ryosuke Shindo ◽  
Michi Kasai ◽  
Shigeru Aoki

Expectant management leads to successful vaginal delivery following intrauterine fetal death in a woman with an incarcerated uterus. Management of intrauterine fetal death in the second or third trimester of pregnancy in women with an incarcerated uterus is challenging. We report a case of successful vaginal delivery following intrauterine fetal death by expectant management in a woman with an incarcerated uterus. In cases of intrauterine fetal death in women with an incarcerated uterus, vaginal delivery may be possible if the incarceration is successfully reduced. If the reduction is impossible, expectant management can reduce uterine retroversion, thereby leading to spontaneous reduction of the incarcerated uterus. Thereafter, vaginal delivery may be possible.

2010 ◽  
Vol 3 ◽  
pp. CMWH.S5797
Author(s):  
M.N. El-Gharib ◽  
M.T. El-Ebyary ◽  
T.S. Alhawary ◽  
S.H. Elshourbagy

Objectives The study was conducted to assess the effectiveness and side effects of vaginal misoprostol (Vagiprost® tablet) in termination of second and third trimester pregnancy complicated with intrauterine fetal death. Design A prospective observational cohort study. Setting Tanta University Hospital. Patients The study was carried out on 324 women with fetal demise in the second and third trimesters. Cases were collected during the period from January 2008 to December 2009. Intervention All patients were subjected to history taking, physical examination, Bishop Scoring. Application of 25 μg misoprostol in the posterior fornix of the vagina, this will be repeated every 4 hours over 24 hours. The adverse effects, progress, and outcomes were assessed. Results the success rate was 90% and 45% in women with third and second trimesters respectively. The mean induction-termination interval was 8.95 ± 2.63 and 15.3 ± 5.37 hours for women with third and second trimesters respectively. The induction termination interval correlated negatively with the duration of gestation. Approximately, 90% of second trimester and 55% of third trimester women required oxytocin augmentation. The mean value of total required dose of misoprostol was 166.3 ± 7.5 and 120 ± 28.79 μg for women with second and third trimesters respectively. Conclusion Vagiprost appears to be a safe, effective, practical, and inexpensive method for termination of third trimester pregnancy complicated with of intrauterine fetal death (IUFD), its effects increase with parity and duration of gestation.


2002 ◽  
Vol 99 (5, Part 1) ◽  
pp. 684-687
Author(s):  
Ariel Many ◽  
Ronit Elad ◽  
Yuval Yaron ◽  
Amiram Eldor ◽  
Joseph B. Lessing ◽  
...  

2014 ◽  
Vol 127 (3) ◽  
pp. 275-278 ◽  
Author(s):  
Chloé Maignien ◽  
Amélie Nguyen ◽  
Chloé Dussaux ◽  
Evelyne Cynober ◽  
Marie Gonzales ◽  
...  

2004 ◽  
Vol 191 (6) ◽  
pp. S7
Author(s):  
Ron Gonen ◽  
Noa Lavi ◽  
Dina Attias ◽  
Liliana Schliamser ◽  
Zvi Borochowitz ◽  
...  

2001 ◽  
Vol 185 (6) ◽  
pp. S116
Author(s):  
Ronit Beck-Fruchter ◽  
Yasser Hujeirat ◽  
Stavit Shalev ◽  
Zohar Nahum ◽  
Amir Weiss ◽  
...  

2020 ◽  
Vol 28 (1) ◽  
pp. 90-93
Author(s):  
Mahenaz Afroz ◽  
Begum Rokeya Anwar ◽  
Afroza Khanom ◽  
Prodip Kumar Biswas ◽  
Sadia Islam ◽  
...  

Intra uterine fetal death occur in 1% of pregnancy. The patient goes into labour in most of the cases, spontaneously. Retained dead fetus may cause disseminated intravascular coagulation sometimes resulting death of a mother. Objective: The aim was to find out the reults after using intravaginal Misoprostol in Intrauterine fetal death in last trimester of pregnancy. Study design: This was a cross sectional observational study prospective in nature on 160 cases of intra uterine fetal death patients in indoor of department of Gynae and Obstertrics of Sir Salimullah medical college Hospital, Dhaka from 02/01/13 to 01/07/13, for a period of 6 months. Result: 60% of the patients were primi gravida. Mean age of the patients was 22.12±4.3 years 44% were in 33 to 36 weeks of pregnancy when induction was done. 41 (82%) patients having Bishops score d” 6 reqired 21±8.25 hours where as 09 (18%) patients having Bishops score e” 6 needed 10±1,1 hours to complete the delivery. There were no reports of maternal mortality. All the patients delivered per vaginally except one (2%) who needed ceasearean section due to development of chorioamnionitis. Conclusion: Intravaginal misoprostol can aid in vaginal delivery safely. J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 90-93


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