Patient's question:
Doctor, I'm not very clear about the date of my missed period, it was probably around March 1st. On November 28th, my amniotic fluid was normal during the checkup, but the placenta was classified as Grade III aging. Besides lower abdominal pressure, I don't have any other signs of labor, and I haven't experienced contractions. On the 9th, I was admitted to the hospital and received progesterone injections to support the pregnancy.What should I do in this situation? On November 9th, I had contractions every five minutes, and my cervix was dilated to one finger. The doctor said the baby was too small, so they gave me progesterone injections. Since then, I haven't had any contractions, and it's been until now.
Now, the lower abdominal pressure has been (lasting for nearly a week), and my thighs are in severe pain, but I still don't have contractions. My discharge has increased significantly.
Doctor's answer:
Your condition may be due to fetal demise, where the fetus has stopped developing and died in the uterine cavity. Common causes of fetal demise include umbilical cord abnormalities, fetal malformations, and maternal conditions leading to placental dysfunction, inadequate oxygen supply, and fetal hypoxia resulting in death. If the dead fetus remains in the uterus for an extended period, it can cause maternal coagulation dysfunction, leading to uncontrollable postpartum hemorrhage during delivery, which poses significant risks to the mother. Therefore, timely diagnosis and management are essential. It is recommended to consider induction of labor as soon as possible to avoid the risk of maternal DIC.