Induced fetal demise

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Induced fetal demise as the name suggests, refers to an iatrogenically-induced fetal demise, most often by injection of a pharmacologic agent.

Indications
  • selective or non-selective reduction of one of the fetuses in a multifetal pregnancy
  • fetal demise is often induced before medical or surgical second-trimester termination of pregnancy for a number of indications
    • shortening the time required for labor abortion induction
    • allowing for optimal postdelivery examination of the fetus in an induced abortion
    • avoiding a live birth in a labor abortion
    • patient preference prior to labor abortion
Procedure
  •  umbilical cord transection
  •  intracardiac, intramuscular or intra-amniotic injection
    • digoxin
    • lidocaine
    • potassium chloride (KCl)

See also