Clinical observation and management of 15 multiple pregnant women with fetal death coexisted with active fetal in late stage

Objective To investigate the feasibility of expectant management for multiple pregnancy with fetal death coexisted with active fetal in late stage.Methods The clinical data of 15 multiple pregnant women with fetal death coexisted with active fetal in late stage were retrospectively reviewed.Results The incidence of multiple pregnancy with fetal death coexisted with active fetal in late stage was 3.30 %.The usual causes of intrauterine featl death were umbilical cord factors,fetal malformation,twin-twin transfusion syndrome,placental infarction.The time of expectant management was 3h to 98d.The active fetals were all live birth.Conclusion To the multiple pregnancy with fetal death coexisted with active fetal,we can take the expectant management monitoring the maternal situation,promote the growth and maturation of actively fetal and selective terminate pregnancy.