Abstract
ObjectiveTo assess risk of hemorrhage during surgical evacuation for intrauterine fetal demise (IUFD). MethodsWe compared hemorrhage associated with surgical evacuation for IUFDs ≥14weeks to surgical evacuations for other indications. ResultsFrom 12/2005 to 4/2013, 477 in-hospital surgical evacuations met inclusion criteria (123 IUFD, 354 comparators). The groups were demographically similar. Hemorrhage occurred in 7.3% of IUFDs and 4.2% of controls (p=.18). Fetal demise ≥4weeks was associated with hemorrhage (odds ratio 6.8, 95% confidence interval 2.25–20.2). IUFD cases ≥21weeks' gestational age (GA) had greater risk than did similarly aged controls (31.3% vs. 1.8%; p<.001). Abnormal coagulation studies were not associated with hemorrhage. ConclusionsHemorrhage was more common in IUFD cases ≥4weeks' duration or ≥21weeks' GA.
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