The Management of Pregnancy with Antepartum Fetal Death

Introduction Intrauterine fetal death is an unwanted event for the pregnant mother and for the family as well as a challenge for the obstetrician. Among causes, the literature describes: congenital malformations, maternal/fetal infections, intrapartum hemorrhage, preeclampsia, maternal pathology (diabetes), abruptio placentae, uterine rupture, however in 30-60% of cases the etiology cannot be determined. The management of these cases is complex. Matherial and methods The study was conducted in the in the Department of Obstetrics of the "Pius Brinzeu" Emergency Clinic County Hospital Timisoara. During the studied period: 1st of January 2017-30th of September 2017, 1980 births were recorded. Out of these, in 14 cases there was intrauterine fetal demise. Results and discussions Intrauterine fetal demise can be associated with serious maternal complications. Creating guidelines for these particular cases would assure a proper assistance for the pregnant mother. The management of the delivery and expulsion can be expectant or active (if the situation imposes). Inducing labor with different drugs, ulterior labor management with proper motorization, and choosing the mode of delivery should be individualized as per patient. Conclusions Determining the cause of the fetal demise is important and should be treated if detected, because it can crucially influence a future pregnancy. Creating a national protocole for the management of the pregnancy with intrauterine demise is important in order to assure a uniform management of the cases as well as to decrease the number of possible complications.