Spontaneous Foetal Intracranial Haemorrhage: Scrutinising the Inscrutable

The incidence of major Intracranial Haemorrhage (ICH) is not the common finding in a post-mortem of stillborn. Subdural haemorrhage is mainly associated with obstetric trauma. Minor subarachnoid haemorrhage is observed in cases of intrapartum asphyxia and prematurity. It is very uncommon to find ICH in a foetus who has died before onset of labour. ICH is rare in low risk patient with no history of trauma, hypertensive disorder of pregnancy, coagulation disorder and drug abuse. Here, authors presents a case of 30-year-old female patient whohad uneventful pregnancy till term when she had sudden intrauterine foetal demise without any precipitating cause. Autopsy of the foetus revealed spontaneous ICH, which included subdural and subarachnoid haemorrhage along with scalp haematoma.