Earliest sign of intrauterine death is: (A) Gas in blood vessels, (B) Hyperflexion of fetal spine, (C) Spalding's sign, (D) Aboion
Answer is A. Intrauterine death : Presence of gas in the fetal large vessels - Robes sign is the earliest sign seen 12 hrs after fetal death Ball sign - Crumpled up spine of the fetus or hyperflexion of the spine Spalding's sign -Overlapping of the fetal skull bones due to shrinkage of cerebrum after death of fetus. Ref:Dutta Obs 9e pg 303.