This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Which of the following is seen in intrauterine death? 
Select and explain. 
A. Hypertension, B. DIC, C. Increase in fundal height of uterus, D. Increased uterine tone
B: DIC
Answer: B: DIC 
Explanation: Ans: b (DIC) Ref: Dutta, 6th ed, p. 325If the fetus is retained for more than 4 weeks there is possibility of silent DIC. It is due to gradual absorption of thromboplastin liberated from dead placenta and decidua, into the maternal circulation.Intrauterine deathSymptoms - Absence of fetal movementSigns - Egg shell cracking feel of fetal head- FHS absent- Uterine tone diminished- Gradual retrogression of the height of fundus- Appearance of gas shadow (Robert sign) in large vessel - Earliest sign (12 hrs)- Blistering and peeling of skin - 12-24 hrs- Spalding sign- Hyperflexion of spine- Crowding of ribs