This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Abnormal labor, Subject name: Gynaecology & Obstetrics
Intrauterine death at 36 weeks. Treatment is: 
Select and explain. 
A. Continue upto term, B. Wait for spontaneous expulsion, C. Syntocinon + ARM, D. Hysterectomy
B: Wait for spontaneous expulsion
Answer: B: Wait for spontaneous expulsion 
Explanation: In case of a late intra uterine fetal death spontaneous expulsion occurs in about 80% of cases within 2 weeks. Patient and her relatives should be assured of the safety of non interference. Early interference done only if indicated: - manifestations of uterine infection - psychological -falling fibrinogen level (D C DUTTA TB of obstetrics 8 th edtn pg 378)