Cover Image

Analysis on risk factors associated with stillbirth in a tertiary care centre

KAVITHA PALANISAMY

Abstract


Objective To analyse the risk factors associated
with stillbirth and percentage of
stillbirth reported in a tertiary referralteaching
centre for 1 yr.Design Descriptive
studySetting Tertiary referral teaching
hospitalMethods Retrospective study
of stillbirth among deliveries conducted
at a tertiary referral medical college hospital
from June 2009 to May 2010. Stillbirths
are classified according to Re-
CoDe classification of stillbirth. Probable
causes and risk factors associated with
stillbirth were identified.Results Still birth
rate is 20.7 per 1000 live birth of which
22 (55)are fresh stillbirth and 18(45) are
macerated birth. Among the stillbirth 72.5
(29 cases) were nulliparous and 27.5 (11
cases) were multiparous women. Stillbirth
is seen more in pre term. Cause of
death is broadly classified and fetal, placental
and maternal ranks in descending
order. Risk factors like prematurity, pre
eclampsia, DM, oligohydramnios, abruptio
placenta were identified to play a role
in stillbirth.Conclusion The identified antepartum
risk factor
should be evaluated for antepartum intervention
and due importance of maternal
movement scoring must be stressed at risk
patient because which in expensive. Diabetes,
hypertension, and a history of placental
abruption also carry higher rates of recurrent
fetal loss. thus proper antepartum
and intrapartum care can reduce the still
birth which inturn reduces the perinatal
mortality rate.


Full Text:

PDF

References


World Health Organization. Definitions

and indicators in Family Planning

Maternal & Child Health

and Reproductive Health. Geneva:

WHO Press, 2001.

Jacob P. Koshy. India has the highest

number of still births, says Lancet

study.

Bhattacharya S, Mukhopadhyay G,

Mistry PK, Pati S, Saha SP. Stillbirth

in a Tertiary Care Referral

Hospital in North Bengal - A Review

of Causes, Risk Factors and Prevent

i o n St r a t e g i e s . O n l i n e J

Health Allied Scs. 2010;9(4):

Jason Gardosi, Sue M Kady, Pat

McGeown, Andre Francis, Ann Tonks

Classification of stillbirth by relevant

condition at death (ReCoDe): population

based cohort study .BMJ,

doi:10.1136/bmj.38629.587639.7C

(published 19 October 2005)

Cnaffigius S, Hoglund B, Kramer

M. Differences in late fetal death rates

in association with determinants of

small for gestational age fetuses:

population based cohort study. Brit

Med J 1998; 316: 1483-7.

Akhter H 1 and Daisy KP2Magnitude

and Risk Factors of Stillbirth in a

Tertiary Hospital

Dinajpur Med Col J 2009 Jul; 2

(2):52-57] . Kiely JL, Paneth N,

Susser M. Fetal death during labor:

an epidemiologic indicator of level of

obstetric care. Am J Obstet Gynecol.

:721-726

Ronsmans C, Etard JF, Walraven G, Hoj

L, Dumont A, de Bernis L, Kodio B. Maternal

mortality and access to obstetric services in

west Africa. Trop Med Int Health. 2003;8

(10):940-948.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University