Stillbirth at Patan Hospital, Nepal

Abstract

Introductions: Stillbirth (SB) is one of the most common adverse outcomes of pregnancy. The aim of this study was to determine the SB rate and to identify the likely causes contributing to SB. 
 Methods: This cross-sectional study was conducted at Patan Hospital from 15th June 2014 to 14th June 2017 for all the cases of SBs, at or after 22 weeks, birth weight of 500 gm or more. The perinatal outcome, demographic profile, fetal characteristics, causes and contributing factors were analyzed. 
 Results: There were 262 SB out of total 23069 deliveries, (11.24 per 1000) and 119 (46.12%) had antenatal check-up (ANC) at Patan Hospital. The 214 (82.95%) SB were among 20-34 years mothers, 133 (51.55%) being multigravida. Antepartum SB were 234 (89.31%), macerated 213 (81.30%), birth weight <1000gm 86 (32.82%) and male 156 (59.54%). The intrauterine growth restriction (IUGR) was present in 60 (22.90%), unexplained casue in 43 (16.41%), prematurity 28 (10.69%), congenital anomalies 26 (9.92%), pre-eclampsia 19 (7.25%), gestational diabetes, and abruptio placenta each 13 (4.96%). Delay in seeking care in 202 (78.30%) was a potential contributing factor. 
 Conclusions: The SB was 11.24/1000 births. The causes in descending order were IUGR, unexplained, prematurity, congenital anomalies, pre-eclampsia, gestational diabetes and abruptio placenta. Delay in seeking care was found as a potential contributing factor.

Stillbirths In Nepal: A Scoping Review

“…[Table -6] Three studies have mentioned the condition of stillborn foetuses at birth. In the studies conducted by Sharma et al 2 , Shrestha et al 12 and Basaula et al 13 58.2%, 81.3% and 82 % of foetuses were macerated, respectively. The remaining 41.8%, 18.7% and 18% of the foetuses were fresh stillbirths in the same studies respectively.…”

“…The rate of stillbirth from selected studies reported that the incidence of stillbirth varied from the lowest 8 per 1000 births to highest 23.87 per 1000 births. [2][3][4][5][6][7][8][9][10][11][12][13] The study conducted by Sharma et al 2 reported that the rate of stillbirth was 15 per 1000 births However, the rate was found to be 1.79% in the study conducted by Tamrakar et al 4 Similarly, the rate of stillbirth was 14.83 and 22 per 1000 births in the studies carried out by Thakur et al 6 and Shrestha et al 7 respectively. The incidence of stillbirth was found to be 17.6 per 1000 deliveries in the study carried out by KC et al 8 The rate of antepartum stillbirth was found to be 13.6 per 1000 births in the study conducted by KC et al 10 Likewise, the rate of stillbirth was found to be 11.24 per 1000 births in a study conducted by Shrestha et al 12…”