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Updated: Mar 19, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Risk of hemorrhage during surgical evacuation for second-trimester intrauterine fetal demise
Amber N Fontenot Ferriss1, Laurin Weisenthal1, Jeanelle Sheeder1
1Division of Family Planning, Department of Obstetrics and Gynecology, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA.
Objective:
To assess risk of hemorrhage during surgical evacuation for intrauterine fetal demise (IUFD).
Methods:
We compared hemorrhage associated with surgical evacuation for IUFDs ≥14weeks to surgical evacuations for other indications.
Results:
From 12/2005 to 4/2013, 477 in-hospital surgical evacuations met inclusion criteria (123 IUFD, 354 comparators). The groups were demographically similar. Hemorrhage occurred in 7.3% of IUFDs and 4.2% of controls (p=.18). Fetal demise ≥4weeks was associated with hemorrhage (odds ratio 6.8, 95% confidence interval 2.25-20.2). IUFD cases ≥21weeks' gestational age (GA) had greater risk than did similarly aged controls (31.3% vs. 1.8%; p<.001). Abnormal coagulation studies were not associated with hemorrhage.
Conclusions:
Hemorrhage was more common in IUFD cases ≥4weeks' duration or ≥21weeks' GA.
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