A retrospective study to evaluate etiological factors associated with intrauterine fetal death at tertiary referral centre

Patel, Suprava; Sirpurkar, Manik; Patel, Meghraj Singh

doi:10.18203/2320-1770.ijrcog20160697

Cited by 3 publications

(5 citation statements)

References 7 publications

(16 reference statements)

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“…The exact reason behind this is still not fully understood. Maceration was usually higher among antepartum stillbirths, similar to what was seen by Patel S et al 14 This also helped distinguish between intrapartum and antepartum stillbirths.…”

Section: Resultssupporting

confidence: 77%

A Tale of Stillbirths at a Tertiary Care Center in Northeast India

Phukan,

Konda,

Baruah

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aims and objectives: To evaluate socioeconomic, demographic, and fetomaternal factors associated with stillbirths. Materials and methods: An observational study conducted in Assam Medical College, India, over 1 year, included 542 stillbirths between 24 and 42 weeks of gestation. Continuous variables were studied using Mann-Whitney U/Independent t-test, other variables using Chi-square/ Fisher's exact test as appropriate. Results: Stillbirth rate (SBR) at our institution was 52.41/1000 births. Antepartum stillbirths were 67%. Mean age of mothers was 24.75 ± 4.78 years (p > 0.05). Most belonged to rural place of residence (62.36%, p = 0.0013), lower socioeconomic status (31%, p = 0.046), lacked regular antenatal checkups (65.31% unbooked, p = 0.0142), and traveled long distances to reach our center (47.97% traveled >20 km). Obstetrical (28%) and hypertensive (26%) complications were commonest causes (p < 0.05). Most were multigravida (55.34%, p > 0.05). Singleton pregnancies dominated at 92.62%, with mostly preterm (49.45%, p = 0.009), mean birth weight of 2015 gm (p = 0.0023), and 56.46% male fetuses (p > 0.05). Maceration noted in 15.87% (p = 0.0002). Conclusion: Sociodemographic factors play an important role in stillbirths. Health education, strengthening peripheral health services, and proper care for reproductive age women can go a long way in prevention. To tackle stillbirths, one needs to detect and manage risk factors right from preconceptional period. The patient should be counseled regarding the importance of regular antenatal checkups and need for immediate care in case of appearance of red flag signs. Clinical significance: Most of the stillbirths may have a common pathology behind their development. Hence, detailed evaluation, classification, and regular review of the causes will help better management and prevention of stillbirths in at-risk patients.

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Section: Resultssupporting

confidence: 77%

A Tale of Stillbirths at a Tertiary Care Center in Northeast India

Phukan,

Konda,

Baruah

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…[10] Placenta Pathology in Abruptio Placenta: Total 16/99 (16.16%) cases belonged to abruption placenta which contributed to fetal deaths frequency of occurrence was in accordance with the study done by Prasanna N et al (2015) [15] and Patel S et al (2016). [19] Similar findings were noted in study done by Denise A et al (2010). [26] (Table No.3)…”

Section: Placenta In Viral Hepatitissupporting

confidence: 86%

“…Baske et al (2017). [24] Placental Pathology in Cases of GDM : GDM causing IUFD noted in 3/99 cases which was similar to study done by Patel S et al (2016). [19] Out of 3 cases of GDM, 2 cases on gross examination showed calcification, single case showed infarct and single umbilical artery.…”

Section: Placental Pathology In Cases Of Pregnancy Induced Hypertensisupporting

confidence: 66%

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Study of Placental Pathology in Cases of Intrauterine Fetal Deaths

Borade

Kanetkar

Kale

et al. 2018

APALM

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“…In this study, 90% of antenatal cases were un-booked, which was similar to Gupta et al (90.6%), Anjali et al (89.5%), but higher than Meena et al (85.96%), Dedhrotiya et al (72%), Kumar et al (75%), Patel et al (70%). 7,8,11,13,14 Contrastingly, only 5.1% of cases were un-booked in study by Kanavi et al and Karale et al 3,12…”

Section: Antenatal Booking Status Of Casesmentioning

confidence: 87%

A retrospective study of intrauterine fetal demise in a tertiary care center

K.¹,

Rathnamma²

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Intra uterine foetal death is an emotional distress for mother, her family and for the obstetrician also. Proper planning, seeking antenatal services reduces this. Objectives of current study were to determine incidence rate of intrauterine foetal death and to evaluate the maternal and foetal factors responsible for intrauterine foetal death. Methods: This retrospective observational study was conducted in a tertiary care hospital from November 2022 to April 2022. The data was collected from previous records of 60 IUFD cases with 1576 births. Age, parity, gestational age, aetiology was studied. Results: The most common maternal cause of IUFD was pre-eclampsia and eclampsia (18.33%) followed by anaemia (11.67%). The most common foetal cause was IUGR (6.67%), and the most common placental cause was placental previa (8.33%). Conclusions: In this study, incidence of IUFD was 38.1/1000 live births. To prevent IUFDs, all the antenatal cases have to be booked for better care of antenatal period and management of any complications.

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A retrospective study to evaluate etiological factors associated with intrauterine fetal death at tertiary referral centre

Cited by 3 publications

References 7 publications

A Tale of Stillbirths at a Tertiary Care Center in Northeast India

A Tale of Stillbirths at a Tertiary Care Center in Northeast India

Study of Placental Pathology in Cases of Intrauterine Fetal Deaths

A retrospective study of intrauterine fetal demise in a tertiary care center

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