Etiology and management of intrauterine fetal death
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 2
Abstract
Aim: To study the aetiology and management of intrauterine fetal death. Methods: This was a prospective study carried out in MKCG medical college and hospital over a duration of 21months. Results: There were 721 cases of intrauterine fetal death, out of 15,755 deliveries during the study period giving rise to a still birth rate of 45.76. 66% were in the age group 21-30 yrs. 50.5% were in their first pregnancy.46.87%, 35.92% belonged to SES class IV and V respectively. 80.9% cases were unbooked. 54.64% cases were preterm. Aetiological factor could be ascertained in 79.82% cases and no cause could be explained in 20.18%cases. PIH and its complications accounted to a maximum of 16.22% cases followed by severe anaemia (12.34%) and abruptio placentae (11.37%). Rupture uterus (6.51%) was most common intrapartum cause of stillbirth. 58% were males and 42% were females. Fresh still born (55.1%) were more than macerated still born (44.9%).61.30% weighed 2500grams or less. Conclusion: The common associated risk factors of IUFD like PIH and its complications, severe anaemia in our community can be prevented with early booking, regular ANC and health counselling. Intrapartum complications accounted 14.96% cases of stillbirth which could have been prevented with early diagnosis and timely referral. Identification of High risk pregnancies and referral to higher centre may save many babies.
Authors and Affiliations
Mitali Madhusmita Dash, Ritanjali Behera
Keywords
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