A Patient In Whom Symptoms Of Preeclampsia Improved After Intrauterine Fetal Death Of A Co-Twin

摘要

Although fundamental treatment of hypertensive disorders of pregnancy is termination of pregnancy, prematurity of infants becomes a problem and careful management is required in the early gestational weeks. We report a 21-year-old woman who had a dichorionic, diamniotic twin pregnancy and conceived naturally, but fetal growth restriction occurred in one fetus from early pregnancy. Symptoms of preeclampsia appeared from 25 weeks’ gestation. Maternal symptoms improved at 32 weeks’ gestation with intrauterine fetal death of one twin as a trigger. Continuation of pregnancy became possible and a healthy child was delivered at 37 weeks’ gestation. Few such cases of complete resolution of preeclampsia following the death of a single fetus have been previously reported. In this report, we discuss our case in the context of these other cases.