INTRAUTERINE FETAL DEMISE: INCIDENCE, CAUSES AND MODE OF DELIVERY: A RETROSPECTIVE STUDY DONE AT TERTIARY CARE CENTER AND MEDICAL COLLEGE, GUJARAT

DR VEDI SHAH; DR AMRITA PATEL; DR L.D. KAPADIA

Volume : IX, Issue : VI, June - 2020

INTRAUTERINE FETAL DEMISE: INCIDENCE, CAUSES AND MODE OF DELIVERY: A RETROSPECTIVE STUDY DONE AT TERTIARY CARE CENTER AND MEDICAL COLLEGE, GUJARAT

Dr Vedi Shah, Dr Amrita Patel, Dr L. D. Kapadia

Abstract :

Background: Intrauterine fetal demise is important indicator of maternal and perinatal health of given population. This study was undertaken to study the factors associated with IUFD. The study was undertaken with an aim to assess the incidence of IUFD and to find the associated causes and to formulate a management protocol at our center. Methods: This is a retrospective analytical observational single center study. IUFD was taken as absent FHS beyond 20 weeks gestation. Maternal and fetal records entered in preformed proforma were analyzed for studying demographic profile and detailed obstetric assessment including present and past complications. Results: A total number of 153 IUFD were reported per 2999 delivered at our center in the period between December 2019 to May 2020. Incidence was 51.01/1000 live births.64% cases were associated with etiological factors. HDP (hypertensive disorders or pregnancy) aces by being the most common etiological factor in maternal causes at 18.94 %, including both preeclampsia (13.72%) and eclampsia (5.22%) followed by anemia., auption was the placental leading cause found in 16 (10.45%) cases. Congenital anomalies were 7.1% (11cases) fetal leading cause. Conclusions: Except for the unexplained fetal losses, most of the causes ascertained in present study were preventable or treatable. Understanding the preventable and treatable causes of IUFD and to implement the need of adequate antenatal care so as to timely identify the risk factors and implement intervention. Timely management of associated factors will reduce the incidence of IUFD.