Analytical study of intrauterine fetal death cases and associated maternal conditions

Introduction: Intrauterine fetal death 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 intrauterine fetal death. Materials and Methods: This was a retrospective single center study. The details of complaints atadmission, obstetrics history, menstrual history, examination findings, per vaginal examination findings, mode of delivery and fetal outcomes, placental examination, condition of cord and investigation reports were recorded. Results: A total of 134intrauterine fetal deaths were reported amongst 3455 deliveries conducted during the study period. The incidence rate of intrauterine fetal death was 36/1000 live births. 110 deliveries were unbooked and unsupervised.
Out of 134 cases we found gestationalhypertension 28.3%, anemia 53.7%, antepartum hemorrhage 28.3%, and congenital malformations (CMFs) 9.7% and associated maternal condition in 11.94% most of cases were reported from Rural population (74.6%) and from low socio-economic group (77.6%).Conclusions: The incidence of intrauterine fetal deaths in our population is higher than that reported from developed countries. This is associated with anemia, pregnancy induced hypertension, illiteracy, low socioeconomic status, and higher incidence of undiagnosed CMFs.