CONGENITAL MALFORMATION IN STILLBIRTHS- A HOSPITAL BASED STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 88
Abstract
BACKGROUND Globally 2.6 million stillbirths occur every year with three fourth of them occurring in south Asia and sub-Saharan Africa. Congenital malformations are a major cause of stillbirths. No studies have been carried out in Northeast India to assess the relative importance of congenital malformation and stillbirths. Hence, the present study was undertaken. MATERIALS AND METHODS The study was a descriptive study. Information from parents of stillbirths were collected in a structured proforma prepared as EUROCAT, 2005 with local modification. Detailed autopsy of the stillbirth was carried out in the Department of Anatomy. Congenital malformations were classified according to the ICD-10 classification. RESULTS Congenital malformation was seen in 16 (14.95%) stillbirths. 56.25% (N=9) were female and one foetus had Ambiguous genitalia. 62.5% (N=10) were preterm births and 37.5% (N=6) had low birth weight. Multiple system involvement was the most common (37.5%) malformation and total 41 types of individual malformations were observed. DISCUSSION Congenital malformations are a major cause of stillbirths and infant mortality. Around 20% of stillbirths are observed to have detectable congenital malformation. The probable reason for multisystem involvement and Encephalocoele and Omphalocoele type of congenital malformation among stillbirths was due to defects having intrinsic origin. CONCLUSION Congenital malformation is one of the most common cause of stillbirths. Preterm delivery and Low birth weight are commonly associated with stillbirth with congenital malformation. Multiple systems involvement and severe malformation such as Encephalocoele and Omphalocoele were the most common malformation observed among stillbirths.
Authors and Affiliations
Siddharth Hazarika, Giriraj Kusre
Keywords
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- EP ID EP277887
- DOI 10.14260/jemds/2017/1327
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