Intrauterine death at 36 weeks. Treatment is:
In case of a late intra uterine fetal death spontaneous expulsion occurs in about 80% of cases within 2 weeks. Patient and her relatives should be assured of the safety of non interference. Early interference done only if indicated: - manifestations of uterine infection - psychological -falling fibrinogen level (D C DUTTA TB of obstetrics 8 th edtn pg 378)
Continue upto term
Wait for spontaneous expulsion
Syntocinon + ARM
Hysterectomy
Abnormal labor