
Aim: To Study the maternal and fetal factors associated with intrauterine fetal death. Methods: A prospective observational study was conducted in the Department of Obstetrics and Gynecology, Patna Medical College and Hospital, Patna, Bihar, India, from July 2020 to June 2021. The cases of intra-uterine fetal death either with ultrasound reports proving IUFD or diagnosed on clinical examination by absence of fetal heart rate and fetal movements were studied. All 100 cases of IUFD with gestational age >20 weeks and 40 years of age. In present study, out of 100 fetuses, 53% were female and 47% were male foetuses. Weight of the foetuses were as follows: 48(48%) weighed 3000 grams. Mean weight of the fetus in present study was 1334 gms (Mean±SD: 1334.59±814.36). In present study, 20 (20%) IUFD were unexplained, 10 (10%) IUFD were due to abruption placentae, 5 (5%) were due to cord accidents, 16 (16%) were due to Hypertension related complications, 5 (5%) were due to diabetes, 8 (8%) were due to severe oligohydramnios, 3 (3%) were due to premature rupture of the membranes, 5 (5%) were due to Rh isoimmunisation, 22 (22%) were having major congenital anomalies, 3 (3%) were having nonimmune hydrops and 2 (2%) was due to polyhydramnios. In present study, 16(57.14%) of women had hypertension related complications. 5 (17.86%) were diabetics.5(17.86%) had Rh isoimmunisation, 1 (3.57%) had bicornuate uterus and 1 (3.57%) had septate uterus. Conclusion: PIH (hypertensive disorders of pregnancy) abruption placenta and congenital anamolies were the leading causes of the IUFD. Significant proportion of IUFD due to PIH and abruption placenta is preventable by regular ante natal care and timely intervention and treatment for PIH.
Aim: To Study the maternal and fetal factors associated with intrauterine fetal death. Methods: A prospective observational study was conducted in the Department of Obstetrics and Gynecology, Patna Medical College and Hospital, Patna, Bihar, India, from July 2020 to June 2021. The cases of intra-uterine fetal death either with ultrasound reports proving IUFD or diagnosed on clinical examination by absence of fetal heart rate and fetal movements were studied. All 100 cases of IUFD with gestational age >20 weeks and 40 years of age. In present study, out of 100 fetuses, 53% were female and 47% were male foetuses. Weight of the foetuses were as follows: 48(48%) weighed 3000 grams. Mean weight of the fetus in present study was 1334 gms (Mean±SD: 1334.59±814.36). In present study, 20 (20%) IUFD were unexplained, 10 (10%) IUFD were due to abruption placentae, 5 (5%) were due to cord accidents, 16 (16%) were due to Hypertension related complications, 5 (5%) were due to diabetes, 8 (8%) were due to severe oligohydramnios, 3 (3%) were due to premature rupture of the membranes, 5 (5%) were due to Rh isoimmunisation, 22 (22%) were having major congenital anomalies, 3 (3%) were having nonimmune hydrops and 2 (2%) was due to polyhydramnios. In present study, 16(57.14%) of women had hypertension related complications. 5 (17.86%) were diabetics.5(17.86%) had Rh isoimmunisation, 1 (3.57%) had bicornuate uterus and 1 (3.57%) had septate uterus. Conclusion: PIH (hypertensive disorders of pregnancy) abruption placenta and congenital anamolies were the leading causes of the IUFD. Significant proportion of IUFD due to PIH and abruption placenta is preventable by regular ante natal care and timely intervention and treatment for PIH.
PIH, IUFD, IUD
PIH, IUFD, IUD
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