PATTERN OF FETAL DEATHS AT A UNIVERSITY HOSPITAL OF SINDH

Authors

  • Meharunnissa Khaskheli
  • Shahla Baloch
  • Imdad A. Khushk
  • Shaheen Sharf Shah

Abstract

Background: Perinatal mortality is a significant public health problem throughout the world. Itsprevalence is quite high in the developing countries on account of number of factors. Most of thecauses are treatable and fetal outcome can be improved by provision of good health care facilitiesduring antepartum and intrapartum periods and through public education regarding reproductivehealth and better utilization of health services.Objective: To determine the pattern of intrauterinefetal deaths before or in the process of labor in our tertiary care set up. Methods: This descriptivecase series was conducted at Department of Obstetrics and Gynaecology (unit-IV) at LiaquatUniversity Hospital, Jamshoro, Sindh,from April 2002 to October 2003. In total, 50 intrauterinefetal deaths from 24 weeks of gestation to full term pregnancy were analyzed. The case records ofall the women were evaluated and data collected regarding their age, period of gestation, clinicalfeatures, antenatal records, previous obstetrical history, labor, mode of delivery as well ascomplications during or after the labor. Results: Out of 697 deliveries, 50 (7.17%) babies werestill born. Of these 84% were fresh still born. The commonest factors were antepartumhemorrhage (30%), mismanaged labor (26%), premature rupture of membranes (26%) andcongenital anomalies (16%). Conclusion: Majority of fetal deaths in our set up are due toavoidable factors. Hence, there is strong need to improve the quality of care by proper antenatalcare, identification of high risk cases and referral to tertiary care hospitals for proper managementto prevent morbidity and mortality in this regard.Keywords: Intrauterine; Fetal death; Causes; Prevention; Mortality

References

Samuelsson M, Radestad I, Segesten K. A waste of life:

fathers’ experience of losing a child before birth. Birth

;28(2): 124-30.

Fikree FF, Gray RH. Demographic survey of the level and

determinants of perinatal mortality in Karachi. Paediatr

Perinat Epidemiol 1996; 10 (1): 86-96.

Chisty AL, Iqbal A, Anjum A, Maqbool S. Spectrum of

multiorgan systemic involvement in birth asphyxia. Pak

Pediatr Assoc J 2001;25:81-87.

Khandait DW, Ambadekar NN, Zodpey SP, Vasudeo ND.

Maternal age as a risk factor for stillbirth. Indian J Public

Health 2000; 44 (1): 28-30.

Verma M, Chhatwal J, Chacko B. Perinatal mortality at a

tertiary care hospital in Punjab. Indian J Pediatr 1999; 66 (4):

-7.

Dahl LB, Berge LN, Dramsdahl H, Vermeer A, Huurnink A,

Karesen PI, Otan P. Antenatal and post neonatal deaths

evaluated by medical audit. A population based study in

northern Norway 1976 to 1997. Acta Obstet Gynecol Scand

; 79(12): 1075-82.

Juhas ZG, Major T, Aranyosi J, Borsos A. Intrauterine fetal

death in the third trimester Orv-Hetil 1999;24 (43): 399-402.

Chaoui R, Korner H, Bommer C, Goldner B, Bierlich A,

Bollmann R. Prenatal diagnosis of heart defects and

associated chromosomal aberrations ultraschal. Med 1999;20

(5): 177-84.

Khoury SA, Massad DF. Consanguinity, fertility,

reproductive wastage, infant mortality and congenital

malformation in Jordan. Saudi Med J 2000; 21(2): 150-4.

Rastogi S, Kapur S, Salhan S, Mittal A. Chlamydia

trachomatis infection in pregnancy; risk factor for an adverse

outcome. Br J Biomed Sci 1999; 56(2): 94-8.

Downloads

Most read articles by the same author(s)