STUDY OF CAUSES AND MATERNAL OUTCOMES IN CASES OF INTRAUTERINE FETAL DEATH IN A TERTIARY CARE HOSPITAL

Dr Tejal L Patel, Dr Leena Dhruw

Abstract


BACKGROUND: Intra Uterine Fetal Death (IUFD) is a tragic event for the parents and the treating obstetrician. This
study was done to study the causes and maternal outcomes associated with IUFD. Identication of causes of IUFD will
be helpful in counseling of parents and for formulating preventive measures.
METHODS: This is a retrospective study carried out over a period of 6 months in OBGY Department BJMC Civil hospitalAhmedabad.
Inclusion criteria for the study were all IUFDs of more than 20 weeks gestation. Total 185 cases of IUFD were studied out of 3596 total deliveries.
RESULTS: Incidence of IUFD in our hospital was 51.4 per 1000 live births. Out of 185 cases maximum cases were emergency cases. Abruptio
placentae contributed to highest number of cases of IUFD. Maximum number of cases were of gestational age 33 to 36 weeks. Maximum number
of women had preterm vaginal delivery.
CONCLUSION: Accidental haemorrhage, PIH and anaemia were leading causes of IUFD. A signicant proportion of IUFD is preventable by
health education to patients and community for regular antenatal care, about warning signs during antenatal period, hospital delivery and early
referral


Keywords


IUFD, IUD, Intrauterine fetal death, maternal outcome, prevalence

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