Incidence and Risk Factors for Intrauterine Foetal Demise: a Retrospective Study in a Tertiary Care Centre in India

Kanavi, Jayashree V; Shobha, G; Kavita, G

doi:10.15406/ipcb.2017.02.00013

Cited by 11 publications

(23 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been found that about 44% of placental abruption is associated with maternal hypertension [ 20 ]. An Indian study found that pre-eclampsia and its consequences (abruption and eclampsia) accounted for 48.1% of all causes of stillbirths [ 15 ], which is greater than what we reported in the present study (37.6%). Our lower rate contradicts the fact that the hypertension rate is more prevalent among African men and women, which can be explained by the study nature and sample size variation.…”

Section: Discussioncontrasting

confidence: 85%

See 1 more Smart Citation

Incidence and Causes of Stillbirth in Omdurman Maternity Hospital, Sudan: A Prospective Cross-Sectional Study

Alsammani¹

2021

Cureus

View full text Add to dashboard Cite

Background: Stillbirth is an important indicator of the quality of antenatal health services. This study aimed to identify the incidence and causes of stillbirths among Sudanese women. Method: This is a descriptive cross-sectional hospital-based study that was conducted at Omdurman Maternity Hospital during the period from December 1, 2019 to May 30, 2020. The study sample comprised 285 women who presented with stillbirths. Data were collected using a structured questionnaire administered to women after taking informed consent. Data were analyzed using descriptive statistics [Statistical Package for Social Sciences (SPSS) version 24 (IBM Corp., Armonk, NY)]. Results: The incidence of stillbirths was 16/1000. Idiopathic causes were the most frequent causes which accounted for 20% (n=57), followed by pre-eclampsia 18.6% (n=53), congenital abnormalities 15.1% (n=43), and abruption placentae 14.4% (n=41). In addition, the less common causes were eclampsia 4.6% (n=13), ruptured uterus 4.2% (n=12), twin-twin transfusion 4.2% (n=12), cord prolapse 3.5% (n=10), uncontrolled diabetes mellitus (DM) 3.5% (n=10), malpresentation 2.6% (n=8), gestational DM 2.5%(n=7), anemia 2.5%(n=7), sepsis 2.1 (n=6), placenta previa 1.4% (n=4), renal disease 0.4% (n=1), and toxoplasmosis 0.4% (n=1). Conclusion: The incidence of stillbirths was 16/1000. Unexplained causes of stillbirths were the most common causes which accounted for 20% of all deaths. In contrast, explainable causes were responsible for 80% of fetal deaths. Among explainable causes, pre-eclampsia and its consequences (abruption, eclampsia) remain the most common cause.

show abstract

Section: Discussioncontrasting

confidence: 85%

“…Unexplained causes remain the leading cause of stillbirths, and it accounts for 25%-50% of all-cause [ 15 ]. In the present study, 20% of cases had no identifiable causes, which is consistent with the later study.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Causes of Stillbirth in Omdurman Maternity Hospital, Sudan: A Prospective Cross-Sectional Study

Alsammani¹

2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Majority of the patients (60.6%) belonged to the age group of 20 -30 years which is similar to the studies [5] [6] [7].…”

Section: Discussionsupporting

confidence: 88%

“…In our study, incidence of stillbirth or IUFD was 27.76/1000 live birth. Bhatia T et al [5], Sharma S et al [6] and Kanavi J et al [7], in their study showed hospital incidence of stillbirth or IUFD 23.46/1000 live birth, 36/1000 live birth and 39/1000 live birth respectively. Which were higher rate than our study, in our study incidence was lower, as most of the delivery that is about 53% of delivery in our country occur at home.…”

Section: Discussionmentioning

confidence: 91%

Late Intrauterine Foetal Death in a Tertiary Centre of Bangladesh

Yeasmin¹,

Uddin²,

Biswas³

et al. 2021

OJOG

View full text Add to dashboard Cite

Background: Late intrauterine foetal death (IUFD > 28 weeks) is a tragedy to mothers and family members. The first step to reduce IUFD is to obtain an accurate and detailed data for IUFD. The present study was done to identify the probable causes of foetal death and determine the risk of recurrence, prevention or corrective action. Methods: This prospective observational study was conducted in a tertiary hospital during a period of one year in Chattogram Maa-O-Shishu Hospital Medical college, from January to December 2018, on all admitted pregnant women with intrauterine foetal death (>28 weeks). Detailed history, clinical examination, associated conditions, mode of delivery, foetal conditions, placenta, condition of cord and investigation reports were analyzed. Results: A total of 188 IUFD were reported amongst 8013 deliveries with its incidence 23.46/1000 live birth and recurrence rate 8.5%. Maximum (89.89%) occurred in antepartum period. Mean maternal age 26.03 years. 59% unbooked cases, 48.93% belonging to lower class family and maximum (59%) from slum and rural area. Most of the cases were Multigravidas (59.6%) and preterm (52.7%) gestation. Regarding causes of IUFD hypertensive disorders in pregnancy (45.2%) were commonest, followed by unexplained 24.5%, diabetes Mellitus and gestational diabetes mellitus (23.9%), anaemia 20.7%, hypothyroidism 11.2%, oligohydramnios 11.2%, maternal infection 9.6%, antepartum haemorrhage 8.5%, malpresentation 7.44%, intrauterine growth retardation 4.8%, fetal congenital anomalies 4.8% & cord accident 4.3%. Maternal complications occurred 14.9% cases. Those were postpartum haemorrhage 11.2%, sepsis 2.6%, acute renal failure 0.53% and disseminated intravascular coagulation (DIC) 0.53%. Most of the patients (86.2%) delivered vaginally. Maximum number of IUFD was seen in birth weight between 1 -1.5 kg (31.4%), followed by 2 -2.5 kg (21.

show abstract

“…However it is lower than the findings of the study by Kanavi et al which showed 10% of patients with IUFD had history of one previous IUFD and 1.3% had history of two previous IUFDs. 19 The study of BPKIHS done in 2014 identified hypertension as the most common maternal comorbidity in patients with IUFD. Other risk factors contributing to IUFD included antepartum hemorrhage, postdated pregnancy, Intrauterine growth restriction (IUGR), and sepsis.…”

Section: Discussionmentioning

confidence: 99%

Factors Related to Late Intrauterine Fetal Death in a Tertiary Referral Center: A Retrospective Study

Kuikel¹,

Shrestha²,

Bajracharya³

et al. 2021

Europasian J Med Sci.

View full text Add to dashboard Cite

Backgroun: Intrauterine fetal death (IUFD) is a contributor of perinatal outcome and is an important indicator of the quality of antenatal care. Despite efforts, risk factors cannot be identified in cases of intrauterine fetal deaths. This study aims to identify the maternal, fetal, placental and cord related factors related to it. Methods: It is a retrospective cross-sectional study conducted analyzing patients admitted with IUFDs after 28 weeks of pregnancy at Tribhuwan University Teaching Hospital from April 2019 to March 2020. It was conducted after taking ethical approval from Institutional Review Committee (IRC) of Institute of Medicine. Data were collected from review of charts of individual patients in MS Excel and was analyzed using SPSS. Results: There were 5496 births and 46 intrauterine fetal deaths during the study period giving stillbirth rate of 8 per 1000 births. It was common in the age group of 26-30 years (34.8%), 62.2% were from inside Kathmandu valley,43.5% were just literate, 13% were illiterate, 84.8% were housewives, 56.5% were primigravida and 69.57% of the babies were preterm. Only four percent had previous history of intra uterine fetal deaths. Hypertensive disorders complicating pregnancy were found in 30.5% followed by heart disease in 10.9% of the mothers. There were no known co-morbidities in 26.1% of the patients. Out of total 46 cases, 62% were female. Two had Rh isoimmunization and four had congenital malformations. Placenta previa was seen in four percent and abruptio placenta in two percent. Twin pregnancy with diamniotic dichorionic placenta was present in four percent. Seventeen percent of the babies had cord around the neck and two percent had thrombosis of the umbilical cord. Conclusion: Low level of maternal education and maternal comorbidities like hypertensive disorders complicating pregnancy were found to be most common factors seen in cases of intrauterine fetal deaths.

show abstract

Incidence and Risk Factors for Intrauterine Foetal Demise: a Retrospective Study in a Tertiary Care Centre in India

Cited by 11 publications

References 7 publications

Incidence and Causes of Stillbirth in Omdurman Maternity Hospital, Sudan: A Prospective Cross-Sectional Study

Incidence and Causes of Stillbirth in Omdurman Maternity Hospital, Sudan: A Prospective Cross-Sectional Study

Late Intrauterine Foetal Death in a Tertiary Centre of Bangladesh

Factors Related to Late Intrauterine Fetal Death in a Tertiary Referral Center: A Retrospective Study

Contact Info

Product

Resources

About