A Retrospective Observational Study on Intrauterine Fetal Death -Associated Socio-Demographic Factors and Obstetric Causes

The loss of a foetus is a devastating ordeal for both the parents and the child. It’s also distressing for the obstetrician who is caring for the patient. The loss of a foetus causes a host of issues and jeopardises an obstetrician’s medical career. The purpose of this study was to discover the preventable causes of foetal mortality by looking at various maternal diseases and socio-demographic factors that are associated to foetal death.

Methods: A retrospective observational study was carried out at Kashmir’s Lalla Ded Hospital, a tertiary care facility. Singleton intrauterine foetal deaths with an ultrasound report confirming IUFD or a clinical examination diagnosis of a lack of foetal heart sound with a gestational age of more than 28 weeks were included. Multiple pregnancies and molar pregnancies were ruled out.

The still birth rate in our study was 19.6 per 1000 babies.

Patients who died as a result of stillbirth were mostly between the ages of 21 and 30. 67.1 percent of the population Unbooked patients accounted for 58.9% of the total. The lower middle class accounts for 74.7 percent of the population. Stillbirths occurred in 39 percent of cases between 28 and 32 weeks of pregnancy, and in 37 percent of cases between 33 and 37 weeks of pregnancy (33.6 percent ). IUFD was found to be highly associated to maternal hypertensive disorders (33.6 percent), followed by placental abruption (11.7 percent ). 6.2 percent and 3.4 percent of women, respectively, experienced gestational diabetes and severe anaemia. Gross congenital anomalies and foetal infections accounted for 2.7 percent and 2% of the total, respectively.

Conclusions: Routine antenatal examinations with early diagnosis of high-risk pregnancies, greater access to emergency obstetric care, particularly during labour, an emphasis on institutional deliveries, and community birth attendant training should all help developing countries reduce stillbirth rates. For future pregnancies, it’s vital to acquire the greatest possible assessment. A support group and counselling should be a part of the process.

Author (S) Details

Asma Hassan Mufti
Department of Obstetrics and Gynaecology, Government Medical College, Srinagar, India.

View Book :- https://stm.bookpi.org/NFMMR-V9/article/view/3463

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