Antenatal intrauterine fetal death: a prospective study in a tertiary hospital in south-western Saudi Arabia

Archibong, Eric I.; Sobande, Adekunle A.; Aa, Asindi

doi:10.1080/0144361031000074728

Cited by 19 publications

(27 citation statements)

References 13 publications

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“…7,8 In our study diabetes was found to be associated in 1.35% cases which was in contrast to study conducted by Gunton where diabetes came out to be the major factor for IUD. 9 A past history of intrauterine fetal death indicates some subclinical genetic or chromosomal problem which can recur in future pregnancies.…”

Section: Discussioncontrasting

confidence: 55%

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A retrospective study of 296 cases of intra uterine fetal deaths at a tertiary care centre

Singh

Pandey

Gupta

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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Background: To identify the risk factors and to streamline preventive and management protocols for IUD. Methods: This was a retrospective study from January 2011 to December 2012 which was conducted at G.S.V.M. Medical College, Kanpur. IUD was defined as fetal death beyond 20 weeks of gestation and/or birth weight > 500g. Maternal and fetal records were analysed. Mode of delivery and associated complications were studied. Results: Total number of deliveries were 7310.Incidence of IUD at our centre was 40 per 1000. 55.73% were antepartum and 11.06% were intra partum. In 33.44% cases, no causes were identified. Among the identifiable causes, very severe anemia (16.55%) and hypertensive disorders (10.81%) were most common followed by placental causes (12.16%).Congenital malformations were responsible for 9.45% cases .Induction was done in 151 patients,111 patients had spontaneous onset of labour and caesarean section was done in 34 patients. The most devastating complication of IUD was DIC found in 14 patients (3.71%). Conclusions: The present study is an effort to compile a profile of maternal, fetal and placental causes culminating to IUD at our centre. This emphasizes the importance of proper antenatal care and identification of risk factors and its treatment. Institutional deliveries should be promoted to prevent intrapartum fetal deaths .A substantial number of IUD are still labeled as unexplained, hence cannot be prevented. Decrease in the incidence of IUD would significantly reduce the perinatal mortality. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000): 141-146

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Section: Discussioncontrasting

confidence: 55%

“…4 The critical peak at which fetuses were lost is variable in theliterature. 7,8,10,14 This may indicate that predisposing pathology for IUFD is different in different communities.…”

Section: Discussionmentioning

confidence: 99%

A retrospective study of 296 cases of intra uterine fetal deaths at a tertiary care centre

Singh

Pandey

Gupta

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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“…A study of AFD in Saudi Arabia [12]. Observed that grand-multiparous women rarely access prenatal services as they feel over-confi dent about their knowledge of pregnancy.…”

Section: Resultsmentioning

confidence: 99%

“…For example, in some countries SB has been defi ned based on births occurring ≥ 20 weeks of gestation, using the number of singleton deliveries only as the denominator or by using a minimum weight of 500grammes [11,12].…”

Section: Discussionmentioning

confidence: 99%

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Socio-Demographic Determinants of Antepartum Fetal Death

Awoleke¹,

Adanikin²

2017

J Gynecol Res Obstet

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Background: Antepartum fetal death (AFD) contributes signifi cantly to stillbirths (SB) in low-and middle-income countries (LMIC). Modifying locally-prevalent demographic risk factors could lessen the burden of SB in the region.Objective: This study seeks to identify the prevalence and modifi able socio-demographic risks for antepartum fetal death (AFD) in a Nigerian setting with the aim of recommending appropriate interventions to reduce the burden. Method: Hospital-based 6 year (2009-2014) review of obstetric records at Ekiti State University Teaching Hospital (EKSUTH), Nigeria.Results: Stillbirth (SB) rate was 29/1000 births and AFD rate was 22.5/1000 birth. AFD was more among women with age ≤20years (93.8%), who had no antenatal care (83.2%), single (92.3%), with no formal education (95.6%), unskilled occupation (81.1%), parity ≥ 5 (92.3%), those with prior history of SB (81.0%) and Muslims (81.8%). Logistic regression analysis showed that absence of antenatal care (AOR: 3.32, 95% CI: 1.80-6.21, P<0.001) and lack of formal education (AOR: 0.18, 95% CI: 0.03-0.64, P= 0.005) signifi cantly predict likelihood of AFD. Conclusion:Absence of antenatal care and lack of formal education are associated with AFD during pregnancy. Educating women and health promotion towards improving the utilization of antenatal services can remarkably reduce the burden in low-resource settings. Research Article Socio-Demographic Determinants of Antepartum Fetal Death IntroductionDelivery of a still baby marks the tragic end of many months of joyful anticipation and the beginning of, sometimes un-abating, grief for the affected family. But, despite the serious adverse impact stillbirth (SB) could have on families, appropriate recognition is not given to it in the Global Burden of Disease, yet when compared with communicable and noncommunicable causes of death worldwide, SB would rank fi fth among the global health burdens -ahead of diarrhoea, HIV/ AIDS, tuberculosis, traffi c accidents and any form of cancer [1].Globally, up to three-quarters of all babies born dead died before labour began, with intra-partum deaths making up the remaining [2]. Estimates from a multi-centre intercontinental study show that 98% of the 3.2 million SB that occur annually are in low-and middle-income countries (LMIC) with the heaviest burdens occurring in South Asia and Africa [3].In the West African sub-region for example, SB accounts for 62% of perinatal deaths, out of which close to half are antepartum fetal death (AFD) [4,5]. Within the sub-region, on some occasions the baby's death is attributed to handiwork of evil spirits. However, often the grief of the families is compounded by social stigmatization that the SB was as a result of maternal sins [6].Some authors that evaluated strategies for prevention of SB concluded that recognition of risk factors, including modifi able socio-economic risk, will assist in identifying women in need of specialized care, surveillance and/or interventions to improve outcomes and prevent SB [7][8][9]. In spi...

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The risk factors for unexplained antepartum stillbirths in Scotland, 1994 to 2003

et al. 2009

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Objective:To determine the factors contributing to unexplained antepartum stillbirth in Scotland.Study Design:A 10-year birth database in Scotland was used to compare the unexplained antepartum stillbirth with other birth outcomes. The sample unit was a pregnant mother with a gestational age of 20 weeks and above and with a fetal birth weight of 200 g and above.Result:Maternal age of 35 years and above, lower deprivation category, inaccessible area of residence, maternal smoking, maternal height of <160 cm and gestational age of above 39 weeks were significantly associated with unexplained antepartum stillbirth. In multivariable analysis only maternal age (adjusted odds ratio (OR): 1.8, confidence interval (CI): 1.1 to 3.0, P=0.02), smoking during pregnancy (adjusted OR: 2.0, CI: 1.1 to 3.5, P=0.02), and maternal height (adjusted OR: 1.4, CI: 1.1 to 1.8, P=0.01), remain significant. Screening of pregnancies based on these three risk factors had 4.2% sensitivity and 99.4% specificity. The prevalence of stillbirth for this population was 0.2%. A positive predictive value of only 1.2% implies that only 1 in 83 women with these three risk factors will have antepartum stillbirth. The remaining 82 will suffer needless anxiety and potentially diagnostic procedures.Conclusion:Advanced maternal age, maternal smoking, and shorter maternal height were associated risk for unexplained antepartum stillbirth but screening based on these factors would be of limited value.

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Antenatal intrauterine fetal death: a prospective study in a tertiary hospital in south-western Saudi Arabia

Cited by 19 publications

References 13 publications

A retrospective study of 296 cases of intra uterine fetal deaths at a tertiary care centre

A retrospective study of 296 cases of intra uterine fetal deaths at a tertiary care centre

Socio-Demographic Determinants of Antepartum Fetal Death

The risk factors for unexplained antepartum stillbirths in Scotland, 1994 to 2003

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