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