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Verbal Autopsy of 115 Cases of Intra Uterine Fetal Death at Tertiary Care Centre
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Objective: To identify the maternal, socio-demographic fetal and medical care factors involved in fetal death. And to determine possible preventive action for reducing rate of fetal death in our country.
Material and method: A retrospective study of hospital records and death summaries of all intrauterine fetal death (IUFD) over the period from August 2011 to July 2012 was carried out.
Results: There were a total of 115 IUFD out of 920 deliveries giving fetal death rate of 125 per 1000 births. Low socio-economic profile 76%, illiteracy 66.09% and lack of prenatal care 65.22% are important epidemiological risk factors. The commonest feto-maternal risk factor was placental hemorrhage 20% followed by hypertensive disease of pregnancy 19.13% and prematurity 9.56%.
Conclusion: Placental hemorrhage, hypertensive diseases, lack of antenatal care, illiteracy and lack of health awareness emerged out as important risk factor for IUFD most of which are amenable to intervention.
Keywords
- Shreshta M, Manandhar DS, Dhakal S, Nepal N. Two year audit of perinatal mortality at Kathmandu medical college teaching hospital. Kathmandu University Medical Journal 2006; 4(2):176-81
- Conde-Agudelo A, Belizan JM, Diaz-Rossello JL. Epidemology of fetal death in Latin America. Acta obstet gynecol scand 2000; 79:371-78
- Korejo R, Bhutta S, Noorani KJ, Bhutta ZA. An audit and trends of perinatal mortality at the Jinnah postgraduate medical centre, Karachi. J Pak Med Assoc 2007; 57(4): 168-71
- Mavalankar DV, trivedi CR, Gray RH. Levels and risk factors for perinatal mortality in Ahmedabad, India. Bulletin of the World Health Organization 1991; 69(4):435-42
- Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, etc. Coding algorithms for defining comorbidities in ICD-9-CM and ICD- 10 administrative data. Med Care. 2005; 43(11):1130-9.
- Fretts RC. Maternal age and fetal loss. Older women have increased risk of unexplained fetal death. Br med J 2001; 322; 429
- Sheiner E, Hallak M, Shoham-Vardi I, Goldstein D etc. Determining risk factors for intrapartum fetal death. The Journal Of reproductive Medicine 2000; 45(5):419-24
- Fretts RC, Usher RH. Causes of fetal death in women of advanced maternal age. Obstetrics & Gynecology 1997; 89(1): 40-45
- Jahanfar SH, Ghiyasal P, Haghani H. Risk factors related to intrauterine fetal death in Iran, A case – control study. Shiraz E-Medical journal 2005; 6(3, 4): 1-14
- Kiely JL, Paneth N, Susser M. Fetal death during labour. Am J Obstet Gynecol 1985; 153(7): 721-27
- Brailovschi Y, Sheiner E, Wiznitzer A, Shahaf P etc. Risk factors for intrapartum fetal death and trends over the years. Arch Gynecol Obstet 2012; 285: 323-329
- Yeap K, Kwek K, Tee CS, Yeo GSH. Umbilical cord prolapsed and emergency caesarean section-A review 25 cases. The Internet Journal of Gynecology and Obstetrics 2001; 1(1): 1-5
- Khoury MJ, Marks JS, Mccarthy BJ, Zaro SM. Factors affecting the sex differential in neonatal mortality: The role of respiratory distress syndrome. Am J Obstet Gyneecol 1985; 151(6): 777-782
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