KANET diagnosis of fetal akinesia deformation sequence at 30 weeks

Abstract

We are reporting the case of a 40 years old 2nd gravida, 1 para. At 26 weeks of the reported pregnancy, fetal movements stopped suddenly and almost completely within 24 hours. At 30w2d she was referred for Doppler scan and fetal biometry. In ultrasonography (US) normal morphology was seen. Biometry corresponded to 28w1d. Outstanding observation was the permanent immobility of the entire fetus in four-dimensional ultrasound (4D-US). We found during two US examinations an abnormal KANET test, the first at 30w2d with a score of 3 points, and the second at 31w4d, with a score of 4 points. Cardio-tocography (CTG) demonstrated complete loss of variability and accelerations. The patient developed severe polyhydramnios at 33 weeks. After lower segment cesarean section (LSCS) because of breech position, the newborn required ventilation, and passed away after 5 days.