Successful Management of Mid Trimester Foetal Death with Major Placenta Previa by Expectant Management Followed by Induction of Labour

Authors: Cindy HN*

DOI: 10.23880/oajg-16000303

Volume 10, Issue 4

Abstract

37 year, G2P1+0 woman with previous one LSCS scar was referred for reduced liquor index with placenta previa at 25 week gestations. Her first child was delivered by emergency LSCS due to failure of progress. USG was performed and revealed that IUFD baby with breech presentation with anterior low lying placenta covering os. There was no clear guideline for management of mid trimester foetal death with placenta previa and most of the management are based on the experience on the case report. To avoid repeat LSCS, expectant management was offered and Induction of labour with vaginal misoprostol was performed. Baby and placenta were successfully delivered by vaginal delivery. Blood loss was about 400 ml and there was no PPH. The present case suggests that expectant management followed by induction of labour may be an option for patients with placenta previa who desire vaginal delivery after intrauterine foetal death (IUFD) in a second-trimester pregnancy.

Keywords: Mid Trimester Foetal Death; Major Placenta Previa; Expectant Management; Induction of Labour

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