Abruptio placentae and sepsis with disseminated intravascular coagulopathy in the second trımester of pregnancy

Disseminated intravascular coagulopathy (DIC) is an uncommon but serious complication of pregnancy. Causes of DIC in pregnancy include abruptio placentae, intrauterine fetal death, sepsis, amniotic fluid embolism, pıeeclampsia, eclampsia, induced abortion, and massive hemorrhage. DIC can occur at any time during the pregnancy but more often is seen in the third trimester of gestation. We report a case of DIC on the 19th weeks of gestation caused by placental abruption and sepsis who had one previous delivery with cesarian section. The fetus was alive. But persistent heavy vaginal bleeding with the onset of uterine contractions necessitated urgent termination of pregnancy. Hysterotomy was inevitable, since the attempt inducing abortion with vaginal misoprostol failed and heavy vaginal bleeding continued. The patient macle good progress and was diseharged on the 6th day of operation. Maternal recovery is the rule with prompt and adequate treatment but fetal death is common. Therapy ineludes treating the underlying cause, maintenance of blood volume, replacement of depleted clotting factors, and often delivery of the fetus and placenta. DIC is seen more often in the third trimester of pregnancy and there are few cases in the literature, about midtrimester abruptio placentae and DIC that finalized with fetal survival. The patients had been observed with cautious conservative management as long as the fetus was alive. In our case, termination of pregnancy was inevitable for maternal well-being.