Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran

Abstract

Objective: To determine the incidence, and some causes of intra uterine fetal death (IUFD). Methods:This was a prospective observational study of all stillbirths over 2 years from April 2011 to April 2013 at the Imam Ali University Teaching Hospital of zahedan, Iran. The variables studied were the following: demographic characteristic, fetal factors and maternal factors. Data was collected prospectively by directly interviewing the pregnant women and from the medical chart. Data were analyzed using SPSS (Statistical Package for the Social Sciences) statistical package. Results:The incidence of IUFD at our hospital was 88.7 per 1000 total births. The intra uterine fetal death rate had been increased in maternal ages under 20 years and above 35 years that showed a significant difference between this group and other groups (P=0.001).The rate of IUFD tend to increase significantly in primiparous women and women with parity 10 and more. The rate of IUFD tended to decreased with increasing gestational age. There were 437 (54.1%) macerated and 370 (45.8%) fresh death fetus. Unexplained' IUFD, Major congenital malformations, PROM, and preeclampsia were the three main causes of intra uterine fetal death.Discussion: Unfortunately, in our study the incidence of IUFD was very high. The main risk factors identified were lack of antenatal care. Despite the difficulty in predicting IUFD occurrence, it appears that carefully implemented antenatal care, family planning, genetic counseling and timely management of at risk patients may contribute to its prevention.

Maternal, Fetal, and Delivery Risk Factors for Stillbirth: A Population-Based Study

“…The study also showed that the chance of stillbirth reduced with increasing gestational age and birth weight. These results are consistent with the results of previous studies (8,10,17). Congenital malformation increased the incidence of stillbirth by about nine times, which is consistent with the results of Walfisch et al study (14).…”

“…In addition, there are different reports on the prevalence of stillbirth in different cities of Iran. The prevalence of stillbirth was 11.7 in Babol (7), 19.8 in Arak (16), 40 in Ahwaz (9), and 88.7 in Zahedan (per 1000 births) (8). The estimated prevalence of stillbirths in this study was very close to the national estimated rate (13).…”

“…Stillbirth in Iran has a high prevalence in low socioeconomic groups (6). However, limited studies have been con-ducted on the prevalence of stillbirth in Iran (7)(8)(9). According to the authors' literature search, there was no study on the prevalence of stillbirth in Zanjan.…”

Factors Associated with Intrauterine Fetal Death at Paropakar Maternity Women’s Hospital

“…9 Many studies have stated hypertensive disorders of the pregnancy to be a most common risk factor of IUFD. 3,10,11…”

“…While the second most common factor varies; in Jindal et al severe IUGR, in Rathava et al Abruptio placenta, in Divya et al it was Hypothyroidism 7,10,11. This variation may be as general common factors among pregnant in different regions.…”