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Analytical Study of Intrauterine Fetal Death and Associated Maternal Conditions at a Tertiary Centre

DOI : https://doi.org/10.36349/easms.2020.v03i09.001
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Introduction: Stillbirth remains an enormous challenge in the care of pregnant women, especially in developing countries. Intrauterine fetal death (IUFD) is an important indicator of maternal and perinatal health of a given population. The objective of the study was to evaluate the socio-epidemiological and etiological factors of IUFD. Materials and Methods: The present study was a prospective observational analytical study which was conducted in Department of Obstetrics and Gynaecology, JNMCH, Aligarh from January 2019 to July 2019 and includes 160 pregnant women with confirmed intrauterine fetal death (IUFD) on USG. Informed consent was taken from all the participants. A predesigned proforma was used to collect relevant information from all those who gave consent to participate in the study. The details of complaints at admission, obstetrical history, menstrual history, examination findings, per vaginal examination findings, mode and method of delivery, and fetal outcome were recorded. Results: Through this study, overall 3900 deliveries was recorded, out of them 160 women were of stillbirth. The incidence of IUFD was 41/1000 live births. The maximum age group of mothers were at rang 20-25years. Majority cases of intrauterine fetal death were diagnosed among 32-36 weeks of gestational age. There were 112 (70%) women who were unbooked with no antenatal visits and rest 48 (30%) were booked women. Majority of stillbirth 137 (62%) weighted less than 2500mg. Amongst the identifiable causes, severe preeclampsia was present in 32 (20%) of the women. This was found to be the most common cause responsible for IUFD followed by anaemia which was present in 26 (16%) of women, fever in10(6.2%), gestational diabetes mellitus in 7(5.3%) , UTI in 5(4.1%) , deranged coagulation in 7(3.4%) and deranged RFT in 1(0.6%) of women. Conclusions: The present study is an effort to compile a profile of maternal, fetal and placental causes culminating in IUFD.......

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

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