Classification The Causes of Intrauterine Death and Correlation To contributing Risk Factor In Maternity Teaching Hospital In Al_Sulaimania City

Chro Fattah

Abstract


Background. IUD; is death of fetus in utero beyond 24

Weeks of gestation and/or birth weight > 500g. It is devastating experience for the mother and of concern in clinical practice.

 

Objectives:

The aim of this study is to achieve the following goals:

1- To put a classification for the cause of intrauterine death (IUD).

2-Determination the correlation between causes and implication on

   IUD statistically clinical like BMI, Diabetes, and IUGR.

Methods: This was a prospective study from January to the end of August 2015 total number of deliveries was 13582, 130of them was IUD

Results: during the study period, Incidence of IUD at our centre was1% per 1000. In 25% cases, no causes were identified. Among the identifiable causes, hypertensive disorders (22%) were most common followed by Congenital malformations were responsible for 15% placental causes (9%). cases, diabetes bout 6%...Induction was done in 40% of  patients ,48% patients had spontaneous onset of labour and caesarean section was 10%. The majority of fetus was male about 76%. , most of our cases are overweight about 57%, with poor ANC and low level of education.

Conclusions: The prevalence of  IUD  during the period of study in maternity teaching hospital in sulaimani  was (1%)Low education  level ,poor ANC, increase  parity, maternal medical condition (hypertension and diabetes) obesity,fetal congenital anomalies, women with previous history of IUD were risk factor of IUD


Keywords


Intrauterine fetal death, stillbirth incidence, unexplained fetal death



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