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Control of DIC in the Dead Fetus Syndrome Prior to Uterine Evacuation
Author(s) -
Granat Menachem,
Ghitis Jacob,
Elrad Haim,
Sharf Mordechai
Publication year - 1975
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/j.1879-3479.1975.tb00056.x
Subject(s) - medicine , disseminated intravascular coagulation , heparin , antithrombin , coagulopathy , fetus , obstetrics and gynaecology , gynecology , surgery , obstetrics , pregnancy , biology , genetics
Granat, M., Ghitis, J., Elrad, H. and Sharf, M. (Dept. of Obstetrics and Gynecology and Hematology Unit, Rothschild University Hospital, Aba Khoushy School of Medicine, Haifa, Israel). Control of DIC in the dead fetus syndrome prior to uterine evacuation . Int J Gynaecol Obstet 13 :233–235, 1975. A patient with prolonged retention of a dead fetus showed laboratory findings consistent with dis‐seminated intravascular coagulation. There was no bleeding tendency in spite of very low fibrinogen levels and the platelet counts were not below the lower normal limit. Heparin administration resulted in improvement of the impaired clotting mechanism, and only then was oxytocin drip initiated. Vaginal bleeding during and after curettage was minimal. Diagnosis of the coagulopathy and monitoring of treatment are described, stressing their accomplishment by means of procedures available to an average clinical laboratory. Control of the DIC process by heparin in spite of the retained dead fetus is demonstrated, and therapeutic conclusions are drawn.