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MEDICAL: Vaginal Delivery with Complicating Diagnoses

^An intrauterine fetal demise (IUFD), or stillbirth, is defined as a death that occurs in utero or during delivery after the completion of the 20th week of pregnancy, or the death of a fetus that weighs 500 g or more in utero or during delivery. IUFD is more common with decreasing gestational age; 80% of all stillbirths occur before term, and more than half occur before 28 weeks. The specific gestational age and weight that classify the fetus as an IUFD vary from state to state. Labor and delivery of the dead fetus usually occur spontaneously within 2 weeks. Patients are under tremendous psychological stress and are at a higher risk for postpartum depression. Disseminated intravascular coagulation (DIC) is the main complication that can result. Thromboplastin released from the dead fetus is thought to mediate DIC.

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