Abstract

Background: The objective of the present study was to examine the etiological factors, both maternal and fetal, that caused IUFD.
 Methods: It was a hospital based prospective observational study conducted in the Department of Obstetrics and Gynaecology at Jhalawar Medical College from January 2020 to December 2020. 120 cases of IUFD of ?24 weeks of gestation or foetuses weighing ?500 gramswere included in the study.
 Results: The incidence of IUFD was 37.8/1000 total birth. IUFD occurredmainly in 25-35yrs age group (55%), unbooked cases (70%),multigravida (59.2%), preterm (<37 weeks of gestation). The risk factors were PIH (49.2%), infections (9.2%), hypothyroidism (5%), Rh negative with hydrops fetalis (5%),GDM (4.2%), chronic hypertension (2.5%), previous H/O LBW (2.5%), H/O prior stillbirth (5%), hyperthyroidism (1.7%), oligohydramnios (46.7%), APH (20.8%) and congenital fetal anomalies (19.2%).
 Conclusion: IUFD rate still remains high. Therefore, regular ANC check up and early identification of risk factors like PIH, anaemia, infections, genetic counselling and timely referral to well equipped centre may help prevent IUFD and maternal mortality and morbidity.
 Keywords: IUFD, ANC, Preterm

Highlights

  • Intra-uterine fetal death is defined as death of fetus of >20 weeks gestation or a weight ≥350 grams,(ACOG).[1]

  • Background: The objective of the present study was to examine the etiological factors, both maternal and fetal, that caused Intrauterine fetal death (IUFD). It was a hospital based prospective observational study conducted in the Department of Obstetrics and Gynaecology at Jhalawar Medical College from January 2020 to December 2020. 120 cases of IUFD of ≥24 weeks of gestation or foetuses weighing ≥500 gramswere included in the study

  • IUFD occurredmainly in 25-35yrs age group (55%), unbooked cases (70%),multigravida (59.2%), preterm (

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Summary

Introduction

Intra-uterine fetal death is defined as death of fetus of >20 weeks gestation or a weight ≥350 grams,(ACOG).[1]. 1) Early fetal death: death occurring before 20 weeks of gestation. 2) Intermediate fetal death: death occurring after 20 weeks but before 27 weeks of gestation. This study was conduted to determine the incidence, risk factors, method and mode of delivery and maternal complications in IUFD cases attending tertiary care hospital in Jhalawar. The objective of the present study was to examine the etiological factors, both maternal and fetal, that caused IUFD. 120 cases of IUFD of ≥24 weeks of gestation or foetuses weighing ≥500 gramswere included in the study. IUFD occurredmainly in 25-35yrs age group (55%), unbooked cases (70%),multigravida (59.2%), preterm (

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