Aim: To analyze the
maternal and obstetrical risk factors associated with intrauterine fetal demise
and to outline the prevention strategies.
Study design: cross
duration of study: A
period of one year from 1st June 2016 to 31st May 2017 in
the Department of Obstetrics and Gynecology, Avicenna Medical college, Lahore.
Methodology: All the patients
with intrauterine fetal demise were selected from the total number of patients
presenting to the department of obstetrics and gynecology through Outpatient
department or emergency room. Written informed consent was taken from the
patients for the use of personal data for study purpose. The demographic
variables, maternal and obstetric risk factors were calculated. The fetal
condition at birth was assessed by baby weight, congenital abnormalities,
placental weight, number of vessels in cord, placental abnormalities like
calcification/ abruption, intrauterine death fresh or old and examination for
morphological abnormalities. After reviewing the results, prevention strategies
Results: A total of 52
patients with intra uterine fetal demise were reported among 1070 deliveries
conducted during the study period. The incidence rate of stillbirth was 48.59/1000
live births. 85% of the patients were un booked. The other observations were 46%
were anemic, 42% were hypertensive with 3.8% had eclampsia.
Conclusion: The incidence
of stillbirth in our population is higher than that reported from developed
countries. This is associated with anemia, hypertension, placental abruption,
illiteracy, macrosomia, diabetes, high BMI, polyhydramnios and ruptured
membranes. Lack of antenatal care and low socioeconomic status are the other reasons
for high stillbirth rate in urban rural belt of Lahore.
Key words: anemia,
antenatal care, hypertension, intrauterine fetal demise, stillbirth.