Disseminated intravascular coagulation following selective termination in a twin pregnancy. A case report.
OBJECTIVE
Coagulation abnormalities after single fetal demise are well described, but similar cases had not been previously reported following therapeutic selective termination.


METHODS
A 23-year-old G(3) P(2001) with a monochorionic-diamnionic twin pregnancy underwent selective termination at 20 4/7 weeks for severe twin-twin transfusion syndrome. Her fibrinogen thereafter decreased and she developed disseminated intravascular coagulopathy with pathological bleeding during a cesarean section. The maternal coagulopathy resolved postpartum.


CONCLUSIONS
Coagulation disorders can follow selective termination. Recommendations to serially follow coagulation parameters after these procedures, however, cannot be based upon a single case.
Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH 43210-1228, USA.
D N
DN
Hackney
M
M
Williams
M B
MB
Landon
P
P
Samuels
R W
RW
O'Shaughnessy
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000097:blood / Q000209:etiology*; D005260:Female; D005340:Fibrinogen / Q000378:metabolism; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal / Q000009:adverse effects*
D005340:Fibrinogen