“A CLINICAL STUDY OF STILLBIRTH IN RELATION TO RISK FACTORS IN A TERTIARY CARE HOSPITAL”

Dr. B. P. Das, Dr. S. K. Das, Dr. R. Newme

Abstract


 Background: Stillbirth is an indicator of maternal health care services. Evaluation of the risk factors for stillbirth is required for prevention, management and to plan for better maternal health care.

Methods:It is a Hospital based observational  study, conducted from 1st  July 2017 – 30th June 2018. All singleton and multifetal pregnancy with a gestational age ≥ 28weeks with a birth weight of ≥1000gm   were included.

Results: Total birth during the study period was 16713 and stillbirth was 510. Stillbirth rate was 30. 51 per 1000 livebirth. Causes of stillbirth were classified according to ReCoDe classification. Majority of patients were multigravida (57%).62% cases were antepartum stillbirth. Maternal hypertension(25.5%) was the most common risk factor.

Conclusion: Majority of the risk factors for stillbirth found in the study were preventable. Stillbirth rate can be reduced by proper management of these risk factors during antenatal care and intrapartum care.


Keywords


Stillbirth, Riskfactors,ReCoDe classification.

Full Text:

PDF

References


Tavares Da Silva F, Gonik B, McMillan M, Keech C, Dellicour S, Bhange S, et al. Stillbirth: Case definition and guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine, 2016. 34(49):6057–68.

2006 World Health Organisation.Neonatal and Perinatal Mortality Country, Regional and Global Estimates World Health Organization ,2006, Identifiers 924156320

Roy MP. Mitigating the stillbirth challenge in India.The Lancet 2016 May 14;387(10032):1995.

Vaishali K-N, Pradeep R 2 1 Lecturer G. Causes of stillbirth. Vol. 58, J Obstet Gynecol India.

Vidyadhar B, Rajiv C, Hrishikesh P. REVIEW OF SOCIO DEMOGRAPHIC FACTORS AND OBSTETRIC CAUSES OF STILLBIRTHS AT TERTIARY CARE HOSPITAL. IOSR J Pharm. 2012;2(3):475–8.

Avachat S, Phalke D, Phalke V. Risk factors associated with stillbirths in the rural area of Western Maharashtra, India. Arch Med Heal Sci.; 2015;3(1):56.

Mustufa MA, Kulsoom S, Sameen I, Moorani KN, Memon AA, Korejo R. Frequency of Stillbirths in a Tertiary Care Hospital, Karachi. Pakistan J Med Sci. Professional Medical Publications; 2016;32(1):91–4.

Parihar BC, Goyal A. International journal of reproduction, contraception, obstetrics and gynecology. Vol. 6, International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017. 1288-1294 p.

K. AK, R. RK, P. RR. Classification of stillbirths by relevant condition at death (ReCoDe): a cross sectional study at a rural tertiary care centre in Kerala, India. Int J Reprod Contraception, Obstet Gynecol. 2017 Feb 19;6(3):1061–6.

Shidhaye P, Nagaonkar S, Giri P, Shidhaye R. Prevalence of anemia in the postnatal women at a tertiary care teaching hospital in Mumbai. J Med Nutr Nutraceuticals.; 2012;1(1):54.

Agbata A, Eze J, Ukaegbe C, Odio B. A 4-year retrospective review of stillbirths at the Federal Teaching Hospital, Abakaliki, Southeast Nigeria. African J Med Heal Sci.; 2017;16(1):19.

Kothiyal S, Agarwal A, Das V, Pandey A, Agarwal S. Evaluation of causes of still birth in a tertiary care teaching hospital. Int J Reprod Contraception, Obstet Gynecol. 2018 Feb 27;7(3):911.


Refbacks

  • There are currently no refbacks.