<- Home <- Arhive <- Vol. 23, Issue 1, March 2015

Rom J Leg Med23(1)69-80(2015)
© Romanian Society of Legal Medicine

Intrauterine antepartum fetal death. Medical, social and forensic implications

P. R. Melinte, G. S. Dragoi, P. Paitici, I. Dinca, E. Patrascu

Abstract: Although the phenomena of intrauterine antepartum fetal death is unexplainable in 60% of cases, it has been very little studied. The authors made a macroscopic and microscopic anatomic study on 72 fetus-placenta systems that had intrauterine antepartum fetal death. The analysis of fetus-placenta relations and the study of phenotype changes undergone by fetus and placenta were carried out on two time periods of gestation: 9-20 weeks and 21-36 weeks both in case of unique fetus pregnancies as well as twin pregnancies. Based on personal observation and international classical and contemporary literature, the authors consider that the phenomena of intrauterine antepartum fetal death raises many theoretical and practical problems related to the establishment of gestational age, to the evaluation of fetus viability limit and last but not least to the ethical status of the product of “conception“ (zygote, embryo, fetus) as a human being and its admittance as a juridical personality. The authors noticed that the synchronism between the fetus-placenta structures draws the attention on the causality relations between them during unique fetus and twin pregnancies.
Keywords: fetus, fetus-placenta system, antepartum fetal death, viability, ethics.

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