This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstructed Labour, Subject name: Gynaecology & Obstetrics
[{'content': 'A patient at 22 weeks gestation is diagnosed as having IUD which occurred at 17 weeks but did not have a miscarriage. This patient is at increased risk for: \nSelect and explain. \nA. Septic abortion, B. Recurrent abortion, C. Consumptive coagulopathy with hypofibrinogenemia, D. Future infertility', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Ans. is c, i.e Consumptive coagulopathy with hypofibrinogenemiaRef. Dutta Obs. 9/e, p 304, p 304Dead fetus, if retained for more than 4 to 5 weeks, release thromboplastin which leads to DIC (consumptive coagulopathy).In the question, the fetus has been dead and has been retained for five weeks so there are increased chances of DIC.Obstetrical conditions leading to DICa. Septic abortionb. IUDc. Abruptio placentaed. Amniotic fluid embolisme. Severe preeclampsia, eclampsia. HELLP syndrome.', 'role': 'assistant'}]