Abstract

In March, 2007, a 31-year-old woman was advised by her midwife to attend the antenatal department at St Michael's Hospital, because she had been itching all over her body for a week. She was 24 weeks pregnant. She had been pregnant twice before. Her first pregnancy had ended in miscarriage, at 11 weeks, and her second in intrauterine death, at 30 weeks. The cause of intrauterine death had not been identified; a thrombophilia screen and liver function tests had given normal results. The medical history was otherwise unremarkable.

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