STUDY OF ETIOLOGICAL FACTOR RESPONSIBLE FOR STILLBIRTH AND IUFD

Naincy Agrawal, Chhaya Budhwani

Abstract


Aims & objective :. Intrauterine fetal death (IUFD) and still birth is a major tragic event for the parents and a great cause of stress for the doctor.  Present study was conducted to understand the prevalence  and etiological factors of stillbirths and to study the complications ,and finally suggest some remedies to minimize the incidence.

Methodology  Retrospective record based multivariable analytical study was done in  Department of Obstetrics and Gynaecology of PCMS and RC Bhopal from  1 july 2015 to 31 august 2017. Ante partum and intra partum events leading to fetal demise were recorded, socio-demographic and clinical characters were noted. Cases of stillbirth were identified from a computerized hospital database, and pathological, clinical, and biochemical data were reviewed for all cases. Trends were analyzed using the Cusick test for trend. Categorical data were analyzed using the Fisher's exact test, with the 5% level considered significant.

Results: The incidence of intrauterine fetal demise at term was 1.8 per 1000 at-risk pregnancies. Stillbirths were unexplained in 51% of cases, although in many cases a possible etiological factor was identified but not necessarily proven. Almost 50% of term stillbirths occurred in women who registered late or had no antenatal care

 Conclusion Despite advances in diagnostic and therapeutic modalities the rate of still birth is unacceptably high. Socio-cultural background, poverty, illiteracy, lack of adequate antenatal care and inaccessible health care are some of the reasons that predispose women to IUFD and stillbirth. Majority of fetal wastage can be prevented with universal and improved antenatal care. It is imperative that a complete diagnostic work-up is performed in cases of term stillbirth, to minimize the incidence of unexplained stillbirth.


Keywords


Intrauterine fetal death, stillbirth, incidence, epidemiology.

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References


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