CONSUMPTION COAGULOPATHY FOLLOWING SINGLE FETAL DEMISE IN SECOND TRIMESTER DCDA TWIN PREGNANCY-A RARE CASE REPORT

Abstract

Multifetal pregnancies are estimated to represent 3.2% of all pregnancies (80% are dichorionic and 20% monochorionic) and are associated with a higher risk of perinatal morbidity and mortality relative to single pregnancies. Single fetal loss of a twin pregnancy during the first trimester is not an uncommonevent and seems not to impair the further development of the surviving one. In gestational losses where the fetus is retained intrauterine for at least 10 weeks, there is the possibility of finding fetus papyraceus at the time of delivery. This is a rare event that results from incomplete reabsorption of the dead fetus, which is then compressed between the membranes and the uterine wall. In contrast, the death of a twin in the late second or third trimester of pregnancy isa rare obstetric complication associated with increased maternal and fetal morbidity andmortality.Herein, the authors report a successful management of maternal DIC following single fetal death in the second trimester of a dichorionicdiamniotictwin pregnancy.