Intrauterine fetal demise in pre-eclampsia: A case report

Introduction: Intrauterine death embraces all fetal deaths occurring both during pregnancy (antepartum death) and during labor (intrapartum) International Classification of Diseases 10th revision (ICD 10) definitions are as follows: Late fetal death-1000 g or more or 28 weeks or more or 35 cm or more Early fetal death-500 g or more or 22 weeks or more or 25 cm or more.Objective: Pre-eclampsia as a high risk pregnancy with high incidence of intrauterine fetal demise.Case report: A 22year old, G2P1L1 with previous LSCS, a booked case at NMCH &RC Raichur, her USG with Doppler findings which was done at 18 weeks screened positive for PIH, O/E BP-130/90mmhg Prophylactically Tablet ASPIRIN 75mg OD started. Advised weekly follow up, patient failed to follow up, and presented to OPD after 6 weeks with decreased perception of fetal movements, O/E BP-150/110mmhg. USG DONE showed features suggestive of Intrauterine Fetal DemiseManagement: Early fetal demise Urine albumin 2+ other PIH profile was normal. After confirmation of intrauterine fetal demise, patient and the patient attenders were explained regarding the condition and counselled for termination, consent for termination was taken. After correcting anaemia pregnancy was terminated.