Deadly Warning of Fetal Motion Disappearing at 38 Weeks|International Center for Perinatal Medicine
Lancet 2025: Placental abruption responsible for 20% of stillbirths globally, underdiagnosis of preeclampsia tops list of culprits I.Scarlet Dawn: 72 hours of life and death for a 29-year-old pregnant woman in Madrid Sophia Martínez (pseudonym), G1P0 at 38 weeks gestation, kept a pregnancy diary recording the abnormal trajectory: Day 1: sudden onset of tearing pain in the lower abdomen accompanied by shivering, with a sharp decrease in fetal movement by 80% Day 3: “improved” after self-administration of paracetamol, with a complete disappearance of fetal movement Day 5: emergency blood pressure of 140/100mmHg, with ultrasound confirmation of fetal heart stoppage Cesarean section shocked the truth: Placental abruption >50% (bluish-purple ecchymosis spreading on uterine wall) Bloody amniotic fluid coagulation clot (total 800ml) …
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