<prompt> Intrauterine death most likely results in?HypofibrinogenemiaCervical tearSterilityAll of the above  <response>: Ans. A. Hypofibrinogenemia. Ref Textbook of Obstetrics D.C. Dutta 6th Ed.344f 345Abruption placentae is the most common cause of severe consumptive coagulopathy in obstetrics.However, Slow development of maternal hypofibrinogenemia is most important complication of IUD.Intrauterine Death IUDCauses of recurrent intrauterine foetal death:DM, Rh incompatibility, Syphilis, Chronic nephritis, Antiphospholipid antibody syndrome, Idiopathic placental in sufficiencyClinical features:a Absent foetal heart sound, no foetal movements, no quickening and decreased abdominal girth and uterine size.b Eggshell Crackling of foetal head is pathognomonic.c X-ray features--hyperflexion of spine and hyperextension of neck. Crowding of ribs. Spaldings sign: usually appear 7 days after death, also found in extra uterine pregnancy with live foetus. Roberts sign gas in heart and great vessels appears as early as 12 hour of death. It is the reliable sign of IUD.Management:a In 80 of cases spontaneous expulsion of foetus occur within two weeks of death.b However nowadays early termination is favoured.c Indications for LSCS in IUD are: Major degree placenta previae. Previous two ore more LSCS. Transverse lie. 