Epidemiology of Intrauterine Fetal Deaths: A Study In Tertiary Referral Centre In Uttarakhand

Abstract

Background: Intrauterine fetal death (IUFD) and still birth is a tragic event for the parents and a great cause of stress for the caregiver. Objective: Present study was conducted to understand the prevalence, socio-epidemiological and etiological factors of intrauterine fetal death (IUFD) and stillbirths. Materials and Methods: Pregnancies diagnosed with IUFD and the cases of stillbirths were studied retrospectively. Ante partum and intra partum events leading to fetal demise were recorded, socio-demographic and clinical characters were noted. Result: During the study period there were 2165 deliveries out of which 105 were IUFDs and stillbirths. The incidence of prenatal loss was 49 per 1000 live births. Conclusion: Despite advances in diagnostic and therapeutic modalities the rate of still birth is unacceptably high. Socio-cultural background, poverty, illiteracy, lack of adequate antenatal care and inaccessible health care are some of the reasons that predispose women to IUFD and stillbirth. Majority of fetal wastage can be prevented with universal and improved antenatal care.