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.

CASE: 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.

CONCLUSION

Coagulation disorders can follow selective termination. Recommendations to serially follow coagulation parameters after these procedures, however, cannot be based upon a single case.