English

Abstract

BACKGROUND: Death of fetus in - utero is both devastating to the couple and of concern to the clinician. Stillbirth is one of the most common adverse out-come of pregnancy. OBJECTIVE: 1.To study the status of still birth in Sultania Zanana Hospital. 2. To find out the causes and risk factors associated with still birth. MATERIAL AND METHODS: A cross -sectional study was carried out at SZ Hospital Bhopal during 1st August 2011 to 31st July 2012. A predesigned and pretested profarma was used to collect information from the mothers who had stillbirth regarding maternal age, parity, antenatal care, obstetric causes and medical conditions. Analysis was done using proportions and chi-square test. RESULT: There were a total of 10662 deliveries with 473 still births giving a still birth rate of 44.3/1000 total births. Women who had still births 88.73% were in the age group 20-34yrs, 45.66% were nullipara.53.06% had not taken any antenatal care. The major causes were APH 128 (27.06%), PIH (Preeclampsia, eclampsia) 114 (24.1%) and maternal medical conditions 34 (7.1%) of stillbirths. Majority 293 (61.94%) were ante partum stillbirths. CONCLUSION: Study showed a high rate of stillbirth, the major causes were ante partum hemorrhage, pregnancy induced hypertension and maternal medical conditions.