Epidemiology of intrauterine fetal death in Dhaka National Medical College Hospital

Bakshi, Lipy; Hoque, Samira; Tanjin, Farhana; Dey, Subash Kanti; Bakshi, M K

doi:10.3329/bmj.v45i3.33123

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…We believe this aspect is also important to give a just and dutiful answer to the couple that suffered this dramatic event, which in our population occurred after 30 weeks of gestation in 72% of the cases, when the chances of newborn survival increase significantly with good intensive care, and after 36 weeks in 34% of cases, meaning at term. Some 88% of IUFD cases recorded in this study occurred in the antepartum period and this figure is in line with what was reported by other works carried out in high-income countries, where 90% of deaths in utero occur precisely in this period and are often associated with preventable risk factors, such as obesity, smoking, failure to identify pregnancies at risk [6,[27][28][29][30][31][32][33][34][35]. Therefore, being able to understand the cause of death in utero would allow addressing the available resources more appropriately to combat the etiological factors on which it is possible to implement concrete prevention.…”

Section: Discussionsupporting

confidence: 91%

Retrospective study 2005–2015 of all cases of fetal death occurred at ≥23 gestational weeks, in Friuli Venezia Giulia, Italy

Monasta

Giangreco

Ancona³

et al. 2020

BMC Pregnancy Childbirth

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Background: Intrauterine fetal death (IUFD) is a tragic event and, despite efforts to reduce rates, its incidence remains difficult to reduce. The objective of the present study was to examine the etiological factors that contribute to the main causes and conditions associated with IUFD, over an 11-year period in a region of NorthEast Italy (Friuli Venezia Giulia) for which reliable data in available. Methods: Retrospective analysis of all 278 IUFD cases occurred between 2005 and 2015 in pregnancies with gestational age ≥ 23 weeks. Results: The incidence of IUFD was 2.8‰ live births. Of these, 30% were small for gestational age (SGA), with immigrant women being significantly over-represented. The share of SGA reached 35% in cases in which a maternal of fetal pathological condition was present, and dropped to 28% in the absence of associated pathology. In 78 pregnancies (28%) no pathology was recorded that could justify IUFD. Of all IUFDs, 11% occurred during labor, and 72% occurred at a gestational age above 30 weeks. Conclusion: The percentage of IUFD cases for which no possible cause can be identified is quite high. Only the adoption of evidence-based diagnostic protocols, with integrated immunologic, genetic and pathologic examinations, can help reduce this diagnostic gap, contributing to the prevention of future IUFDs.

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Section: Discussionsupporting

confidence: 91%

Retrospective study 2005–2015 of all cases of fetal death occurred at ≥23 gestational weeks, in Friuli Venezia Giulia, Italy

Monasta

Giangreco

Ancona³

et al. 2020

BMC Pregnancy Childbirth

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“…6,8 The occurrence of prenatal loss was 26 per 1000 livebirths in a study in Bangladesh. 15 In present study the occurrence of fetal demise was high . The reason may be our institute is a tertiary care referral centre.…”

Section: Discussionsupporting

confidence: 40%

Intrauterine fetal death and associated maternal conditions

et al. 2023

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Background: Intrauterine fetal death (IUFD) is a cataclysmic event for the parents. It is an important indicator of maternal and perinatal health of a given population. This study was undertaken to study the maternal and fetal factors associated with IUFD. Methods: This was a retrospective study carried out in Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, from November 2019 to October 2020 . The details of history, examination findings, investigation reports , mode of delivery and fetal outcome were obtained from records. Results: A total number of 57 intrauterine fetal death were reported amongst 1534 deliveries conducted during the study period. The occurrence of intrauterine fetal death was 37.1/1,000 live births ; Among all these intrauterine fetal death cases, 87.7% deliveries were preterm and 89.4% deliveries were singleton delivery. The other associated maternal conditions were uncontrolled blood glucose in 64.9% cases, hypertensive disorders in 36.8% cases, other medical causes in 10.5% cases. Associated fetal conditions included intrauterine growth retardation of fetus in 28.0% cases, oligohydramnios in 21.0% cases, congenital malformation in 14.0 % cases. Placental condition included antepartum hemorrhage in 3.5% cases. Conclusions: In this study, the occurrence of intrauterine fetal death was associated with high incidence of uncontrolled blood glucose, oligohydramnios and congenital malformations . This emphases the importance of proper antenatal care and identification of risk factors and its proper treatment. BIRDEM Med J 2023; 13(2): 88-91

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“…Patel S et al, Anjali C et al and Bakshi L et al had reported IUFD due to congenital malformations in 2.5%, 10.5% and 8.3% respectively. 4,7,12 IUFD occurred due to APH in 29(15.0%). Out of these abruption and placenta previa were present in 15(7.7%) and 14(7.2%) respectively.…”

Section: Resultsmentioning

confidence: 99%

Study of feto-maternal outcome in patients with intra uterine fetal death

Thaker

Munshi

Patel

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Intra Uterine Fetal Death (IUFD) is an important issue in modern obstetrics. This study has been undertaken to find out the incidence of IUFD, socio-demographic factors, probable etiological factors, mode of delivery, its outcome and complications if any.Methods: This retrospective observational study was carried out at a tertiary care hospital. Data was collected from case papers of patients who have delivered beyond 20 weeks and/or baby weighing more than 500 grams and having IUFD prior to onset of labor or during labor with singleton pregnancy.Results: Incidence of IUFD was 17.2 per 1000 births. Majority of the patients 93 (48.1%) were in age group of 26-30 years, 115 (59.5%) came as an emergency and 94 (48.7%) were primi gravida. Majority 89 (46.1%) patients had not taken any antenatal visit. IUFD occurred due to unexplained etiology, pre-eclampsia-eclampsia, anemia, uncontrolled diabetes, jaundice, antepartum haemorrhage and congenital malformation in 77 (39.9%), 51 (26.4%), 10 (5.1%), 7 (3.6%), 4 (2%), 29 (15%) and 2 (1%) respectively. Vaginal delivery occurred in 151 (78.2%). Majority of dead babies 111 (57.5%) were male, 71 (36.7%) were weighing 1kg or less and 92 (47.6%) were macerated. Emotional upset, DIC, PPH and ARF occurred in 193 (100%), 21 (10.8%), 15 (7.7%) and 1 (0.5%) respectively.Conclusions: Majority of patients were unregistered and had not taken antenatal care or had inadequate antenatal care. Pre-eclampsia-eclampsia, APH, anemia and diabetes were the leading cause of IUFD along with unknown causes. A significant proportion of IUFD can be prevented by health education regarding adequate antenatal care, warning signs and institutional deliveries.

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Epidemiology of intrauterine fetal death in Dhaka National Medical College Hospital

Abstract: Intrauterine fetal death (IUFD)

Cited by 4 publications

References 10 publications

Retrospective study 2005–2015 of all cases of fetal death occurred at ≥23 gestational weeks, in Friuli Venezia Giulia, Italy

Retrospective study 2005–2015 of all cases of fetal death occurred at ≥23 gestational weeks, in Friuli Venezia Giulia, Italy

Intrauterine fetal death and associated maternal conditions

Study of feto-maternal outcome in patients with intra uterine fetal death

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