Background: Late intrauterine foetal death (IUFD>28 weeks)
is a tragedy to mothers and family members. The first step to reduce IUFD is to
obtain an accurate and detailed data for IUFD. The present study was done to
identify the probable causes of foetal death and determine the risk of
recurrence, prevention or corrective action. Methods: This prospective
observational study was conducted in a tertiary hospital during a period of one
year in Chattogram Maa-O-Shishu Hospital Medical college, from January to
December 2018, on all admitted pregnant women with intrauterine foetal death(>28
weeks). Detailed history, clinical examination, associated conditions, mode of
delivery, foetal conditions, placenta, condition of cord and investigation
reports were analyzed. Results: A total of 188 IUFD were reported amongst
8013 deliveries with its incidence 23.46/1000 live birth and recurrence rate
8.5%. Maximum (89.89%) occurred in antepartum
period. Mean maternal age 26.03years.
59% unbooked cases, 48.93% belonging to lower class family and maximum (59%) from
slum and rural area. Most of the cases were Multigravidas (59.6%) and
References
[1]
Da Silva, F.T., et al. (2016) Case Definition and Guidelines for Data Collection, Analysis, and Presentation of Maternal Immunization Safety DATA. Vaccine, 34, 6057-6068. https://doi.org/10.1016/j.vaccine.2016.03.044
[2]
Malik, R., Khan, N.R., Arif, A., Ayub, S. and Perveen, S. (2016) Common Risk Factors in Patients with Intrauterine Fetal Death. Journal of Postgraduate Medical Institute (Peshawar-Pakistan), 30, 337-341.
https://jpmi.org.pk/index.php/jpmi/article/view/1744
[3]
Lawn, J.E., Blencowe, H., Waiswa, P., Amouzou, A., Mathers, C., Hogan, D., et al. (2016) Stillbirths Rates, Risk Factors and Acceleration towards 2030. Lancet, 387, 587-603. https://doi.org/10.1016/S0140-6736(15)00837-5
[4]
Blencowe, H., Cousens, S., Jassir, F.B., Say, L., Chou, D., Mathers, C., et al. (2016) National Regional, and Worldwide Estimates of Stillbirth Rates in 2015, with Trends from 2000: A Systematic Analysis. Lancet Global Health, 4, e98-e108.
https://doi.org/10.1016/S2214-109X(15)00275-2
[5]
Bhatia, T., et al. (2016) Clinical Study of Cases of Intrauterine Foetal Death in a Tertiary Centre. International Journal of Research in Medical Sciences, 4, 800-805.
https://doi.org/10.18203/2320-6012.ijrms20160521
[6]
Sharma, S., Sidhu, H. and Kaur, S. (2016) Analytical Study of Intrauterine Fetal Death Cases and Associated Maternal Conditions. International Journal of Applied Basic Medical Research, 6, 11-13. https://doi.org/10.4103/2229-516X.173986
[7]
Kanavi, J.V., et al. (2017) Incidence and Risk Factors of Intrauterine Foetal Demise: A Retrospective Study in a Tertiary Care Centre in India. International Journal of Pregnancy & Child Birth, 2, 33-36. https://doi.org/10.15406/ipcb.2017.02.00013
[8]
Halim, A., et al. (2018) Stillbirth Surveillance and Review in Rural Districts in Bangladesh. BMC Pregnancy and Childbirth, 18, Article No. 224.
https://doi.org/10.1186/s12884-018-1866-2
[9]
Daga, A.S. and Daga, S.R. (1993) Epidemiology of Perinatal Loss in Rural Maharashtra. Journal of Tropical Pediatrics, 39, 83-85.
https://doi.org/10.1093/tropej/39.2.83
[10]
Kumar, A.K., et al. (2017) Clinical Study of Various Risk Factors Associated with Intrauterine Fetal Death. International Journal of Reproduction Contraception, Obstetrics and Gynecology, 6, 5293-5298.
https://doi.org/10.18203/2320-1770.ijrcog20175231
[11]
Sinha, K. and Pandey, S. (2019) Risk Factors in Patients with Intrauterine Fetal Death at Tertiary Referral Centre. Journal of Nepalgunj Medical College, 17, 14-16.
https://doi.org/10.3126/jngmc.v17i2.28752
[12]
Lawn, J.E., Blencowe, H., Pattinson, R., et al. (2011) Still Births: Where? When? Why? How to Make the Data Count? Lancet, 377, 1448-1463.
https://doi.org/10.1016/S0140-6736(10)62187-3
[13]
Jamal, S. and Agarwal, S. (2017) IUFD Incidence, Causes and Complications: A Retrospective Study Done at a Tertiary Care Centre. International Journal of Reproduction Contraception, Obstetrics and Gynecology, 6, 5483-5487.
https://doi.org/10.18203/2320-1770.ijrcog20175265
[14]
Patel, S., Thaker, R., Shah, P. and Majumder, S. (2014) Study of Causes and Complications of Intrauterine Fetal Death (IUFD). International Journal of Reproduction Contraception, Obstetrics and Gynecology, 3, 931-935.
https://doi.org/10.5455/2320-1770.ijrcog20141211
