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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 10, October 2024 | Popularity: 5.9 / 10
Analytical Study of Intrauterine Fetal Death Cases and Associated Maternal Conditions
Dr. Maheshwari, Dr. VeerendraKumar C M
Abstract: Background: Intrauterine fetal death (IUFD) is a heart - breaking and tragic event. Intrauterine deaths remain an enormous challenge in the care of pregnant women, especially in developing countries. Intrauterine fetal death is an important indicator of maternal and perinatal health of a given population. This study was undertaken to study the maternal and fetal factors associated with intrauterine fetal death. Materials and Methods: This was an analytical study carried out in department of Obstetrics and Gynaecology, Ballari Medical College and Research Centre, Ballari from August 2023 to January 2024 for duration of 6 months. 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, fetal and maternal outcomes, placental examination, condition of cord and investigation reports were recorded. Result: A total of 60 intrauterine fetal deaths were reported amongst 3823 deliveries conducted during the study period in our hospital. The incidence rate of IUFD was 15/1000 live births. Amongst the identifiable causes, hypertensive disorders (18.60%) and very severe anaemia (11.40%) were the most common ones followed by placental causes (16.67%). Congenital malformations were responsible for (18.33%) cases of IUFD and in rest (35%) cases no obvious cause could be identified. Induction was done in 35 patients, 21 patients had spontaneous onset of labour and 4 patients underwent caesarean delivery. Conclusion: The Intrauterine fetal death (IUFD) is associated with different causes and risk factors like anemia, preeclampsia, abruptio placenta, hypertensive disorders of pregnancy, maternal infection, Rh isoimmunisation. Intrauterine death rate can be reduced by proper management of these risk factors during antenatal care and intrapartum care with proper health counselling.
Keywords: Intrauterine fetal death, incidence, antenatal, hypertensive disorders, anaemia, congenital malformations
Edition: Volume 13 Issue 10, October 2024
Pages: 1344 - 1347
DOI: https://www.doi.org/10.21275/SR241017134516
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