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Fetal Death at The Maternity Ward of The Abomey-Calavi Hospital and University Center (HUC): About 73 Cases

DOI : https://doi.org/10.36349/EASMS.2020.v03i03.004
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Introduction: Fetal Death (FD) is a relatively common accident in developing countries. It is dramatic for women, health workers and society. This study aimed to determine the profile of pregnant women with fetal death and identify the etiological factors. Patients and Methods: This was a retrospective descriptive study conducted over six months (January 1st to June 30th, 2016). Included were parturients admitted to the maternity hospital where the diagnosis of fetal death was made. The parameters were: age, marital status, gestation, parity, state of the newborn and factors influencing fetal death. The data were entered and analyzed with the Epi info 7 software. Result: A total of 73 (4.78%) fetal deaths were recorded among the 1,525 deliveries performed during the study period. The average age concerned 28.12 ± 6.66 years and 87.67% of the cases (n = 64) were women, of whom 54.69% (n = 35) were from private health centers. Only 2 women (2.74%) did the refocused Prenatal Consultation (PNC). Eight (08) women (10.96%) were admitted with BDCF positive. The average gestation was 3.76 ± 2.14 and 50.68% of the mothers had a gestation between 1 and 4. As for the parity, the average was 2.56 ± 2.08 and 69.86% of the mothers had a parity between 0 and 4. The newborns were stillborn fresh in 42.46% of the cases. Among the main etiological factors of death are mainly vasculo-renal syndromes and their complications (38.35%). Acute fetal distress (28.65%), placenta previa (7.35%) and uterine rupture (25.65%) were the other etiologies found. Conclusion: Fetal death is relatively frequent at the zonal HUC of Abomey-Calavi. The etiological factors are various. Improving the quality of ANCs would significantly decrease the rate of fetal Death (FD).

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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