Abstract
Background: Intrauterine fetal demise is the death of the fetus after twenty week of gestation but before the onset of labor. In more than 50% of cases, the etiology of antepartum fetal death is not known or cannot be determined. Several factors attributed to the risk of IUFD. This study aimed to determine the incidence of IUFD, as well as associated conditions. Method: This retrospective study enrolled all pregnant women who attending at KAUH between 2011 and 2015. Results: During the last five years 248 verified IUFD cases were reported, the mean age was 30.59. Saudi nationality represented by 27 %. PET was represented 17.7% and congenital malformation was represented by 7.3% as risk factors. Regarding the mode of delivery SVD was 58.9% followed by CS 28.6. Conclusion: Stillbirth is an unfavorable event, there are several factors (maternal, fetal & placenta) associated with IUFD. Providing good level of antenatal care helped in reducing IUFD incidence.
Highlights
Providing good level of antenatal care helped in reducing Intra-uterine foetal death (IUFD) incidence
One of the important predictor about country’s development is the mortality proportion among children, where most of these deaths occurred during the period between 22th week of pregnancy and the first month of life [1] [2], one of this situation is Intrauterine fetal demise, which is defined as the death of the fetus after twenty week of gestation but before the onset of labor, with birth weight >
In more than 50% of cases, the etiology of antepartum fetal death is not known or cannot be determined [3], where several maternal, placental or fetal factors attributed to the risk of IUFD, such as (pregnancy hypertension, diabetes, high parity, advanced maternal age, abruption placenta, congenital anomalies, intrauterine growth retardation, severe fetal growth restriction (FGR) or cord accident) [4] [5] [6]
Summary
In more than 50% of cases, the etiology of antepartum fetal death is not known or cannot be determined [3], where several maternal, placental or fetal factors attributed to the risk of IUFD, such as (pregnancy hypertension, diabetes, high parity, advanced maternal age, abruption placenta, congenital anomalies, intrauterine growth retardation, severe fetal growth restriction (FGR) or cord accident) [4] [5] [6]. Several studies results showed that unexplained fetal deaths happened even with women who had consistent antenatal care [6] [7]. In more than 50% of cases, the etiology of antepartum fetal death is not known or cannot be determined. This study aimed to determine the incidence of IUFD, as well as associated conditions. Providing good level of antenatal care helped in reducing IUFD incidence
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