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...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/9872561 |
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| author | Yukiko Chinen Tadatsugu Kinjo Hayase Nitta Yui Kinjo Hitoshi Masamoto Yoichi Aoki |
| author_facet | Yukiko Chinen Tadatsugu Kinjo Hayase Nitta Yui Kinjo Hitoshi Masamoto Yoichi Aoki |
| author_sort | Yukiko Chinen |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-f5c10a4922644538a48470450a9bc9cd |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-f5c10a4922644538a48470450a9bc9cd2025-02-03T01:10:34ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/98725619872561A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of GestationYukiko Chinen0Tadatsugu Kinjo1Hayase Nitta2Yui Kinjo3Hitoshi Masamoto4Yoichi Aoki5Department of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, JapanIt 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.http://dx.doi.org/10.1155/2016/9872561 |
| spellingShingle | Yukiko Chinen Tadatsugu Kinjo Hayase Nitta Yui Kinjo Hitoshi Masamoto Yoichi Aoki A Case of Vaginal Stillbirth in the Presence of Placenta Previa at 33 Weeks of Gestation Case Reports in Obstetrics and Gynecology |
| 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 |
| url | http://dx.doi.org/10.1155/2016/9872561 |
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