The dead fetus syndrome has become rare due to advances in obstetrical care. However, it has not disappeared entirely.
(1) prolonged retention of a dead fetus
(2) development of disseminated intravascular coagulation with vaginal and other bleeding, hypofibrinogenemia, thrombocytopenia and schistocytosis
(1) release of tissue thromboplastin from the decomposing fetus
Situations where it may occur today:
(1) woman unaware that she was pregnant
(2) multiple gestations with death of 1 fetus
(3) lack of medical care
Differential diagnosis: other causes of DIC during pregnancy
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Specialty: Obstetrics & Gynecology, Hematology Oncology