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이태화,김성한 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2
The antepartum death of one fetus in twin pregnancy is a rare obstetric complication. One fetal demise of twin pregnancy in the second or third trimester is an unusual and difficult problem in the management of pregnancy. It can be associated with an increased risk for mortality and morbidity in the remaining fetus and with maternal DIC(Disseminated intravascular coagulation). If one fetus in twin pregnancy died in uterus remote from term and another fetus did not, the dead fetus will be compressed between the uterine wall and the membrane of living fetus, becomes a fetus compress or fetus papyraceous. Concern for the surviving fetus after death of its co-twin is balanced between the risk of preterm birth and those involving exposure to events in uterus that may threaten its well-being. Recently we experienced a case of twin pregnancy complicated by the death of one fetus. We represent a case in diamnionic monochorionic twin pregnancy with a brief review of literatures.