Question:hard
All of the following are true regarding the management of intrauterine fetal death EXCEPT?
All of the following are true regarding the management of intrauterine fetal death EXCEPT?
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Most women (about 80%) go into labour spontaneously within a couple of weeks - the 50% figure is the wrong one.
Updated On: Jun 24, 2026
- In 50% of cases spontaneous expulsion occurs in 2 weeks
- Fibrinogen levels should be checked weekly
- Delivery by medical induction is preferred if spontaneous expulsion does not occur
- Caesarean section has a limited place in the management of intrauterine fetal death
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: Because the stem asks for the statement that is NOT true, we evaluate each option about handling a dead fetus retained in utero and pick the incorrect one.
Step 2: Most women go into labour on their own after fetal demise; roughly four out of five deliver within a couple of weeks. Saying only half expel in two weeks is too low, marking option A as the inaccurate choice.
Step 3: Retained dead products can trigger a consumptive coagulopathy, so serial fibrinogen checks are appropriate, making that statement correct. Likewise, when labour does not start, induction with uterotonic agents is the favored approach.
Step 4: Operative delivery by caesarean is generally avoided and kept for selected cases, so its limited role is a true statement. The odd one out is the 50% figure.
\[\boxed{\text{In 50% of cases spontaneous expulsion occurs in 2 weeks}}\]
Step 2: Most women go into labour on their own after fetal demise; roughly four out of five deliver within a couple of weeks. Saying only half expel in two weeks is too low, marking option A as the inaccurate choice.
Step 3: Retained dead products can trigger a consumptive coagulopathy, so serial fibrinogen checks are appropriate, making that statement correct. Likewise, when labour does not start, induction with uterotonic agents is the favored approach.
Step 4: Operative delivery by caesarean is generally avoided and kept for selected cases, so its limited role is a true statement. The odd one out is the 50% figure.
\[\boxed{\text{In 50% of cases spontaneous expulsion occurs in 2 weeks}}\]
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