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Case 20 - A 35-Year-Old Woman with a Fetal Demise at 20 Weeks’ Gestation

Published online by Cambridge University Press:  19 November 2021

By
Elissa T. Serapio
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 35-year-old female, gravida 1, para 0, presents to the clinic for her anatomy ultrasound at 20 weeks’ gestation. She denies any complaints and has not yet begun feeling fetal movements. Her prenatal course thus far has been unremarkable. She declined aneuploidy screening earlier in her pregnancy. Her past medical history is significant for chronic hypertension, which has been controlled with labetalol. She has no other relevant past medical or surgical history. She has no known allergies.

Keywords

missed abortiondilation and evacuationlaminaria
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 55 - 57
Publisher: Cambridge University Press
Print publication year: 2021

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References

Management of Stillbirth: Obstetric Care Consensus No, 10. Obstet Gynecol 2020; 135: e110–32.Google Scholar
Kerns, JL, Ti, A, Aksel, S, et al. Disseminated intravascular coagulation and hemorrhage after dilation and evacuation abortion for fetal death. Obstet Gynecol 2019; 134: 708–13.CrossRefGoogle ScholarPubMed
Kerns, JL, Light, A, Dalton, V, et al. Decision satisfaction among women choosing a method of pregnancy termination in the setting of fetal anomalies and other pregnancy complications: a qualitative study. Patient Educ Couns 2018; 101: 1859–64.CrossRefGoogle ScholarPubMed
National Academies of Sciences, Engineering, and Medicine. The safety and quality of current abortion methods. In: The Safety and Quality of Abortion Care in the United States. Washington (DC): National Academies Press. 2018; 62–8.Google Scholar
Kerns, J, Steinauer, J. Management of postabortion hemorrhage: SFP Guideline #20131. Contraception 2013; 87: 331–42.CrossRefGoogle Scholar
Practice Bulletin No. 135: Second-trimester abortion. Obstet Gynecol 2013; 121: 1394–406.Google Scholar
Cassidy, A, Herrick, C, Norton, ME, et al. How does fetal autopsy after pregnancy loss or termination for anomalies and other complications change recurrence risk? AJP Rep 2019; 9: e30–5.Google ScholarPubMed
Hammond, C, Chasen, S. Dilation and evacuation. In: Paul, M, Lichtenberg, ES, Borgatta, L, et al., eds., Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care. Chichester: Wiley-Blackwell. 2009; 157–77.Google Scholar
Diedrich, JT, Drey, EA, Newmann, SJ. Society of Family Planning clinical recommendations: cervical preparation for dilation and evacuation at 20–24 weeks’ gestation. Contraception 2020; 101: 286–92.CrossRefGoogle Scholar

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