Intrauterine fetal death syndrom: analysis of cases from 2008 to 2012 in Institute for the care of mother and child

Česká verzia

Authors: J. Klikarová; K. Šnajbergová; A. Měchurová; P. Velebil; J. Feyereisl
Authors place of work: Ústav pro péči o matku a dítě, Praha, ředitel doc. MUDr. J. Feyereisl, CSc.
Published in the journal: Ceska Gynekol 2014; 79(2): 120-127

Summary

Objective:
We made an analysis of number of intrauterine fetal deaths in our institute, it´s causes, risk factors and patient´s main complaints.

Methods:
Retrospective study of all intrauterine fetal deaths in Institute for the care of mother and child in years 2008–2012.

Results:
We had 60 cases of intrauterine fetal death from 2008 to 2012 which represented 2.4‰ of all deliveries (24884). The examination started in 45% of cases due to information about decreased fetal movements, 28.3% was diagnosed during regular visit, 13.3% came for contractions, 10% because of PPROM and 3.3% due to vaginal bleeding. In 58.3% we used induction of delivery, in 10% delivery started spontaneously and in 31.7% a caesarean section was performed.

Conclusion:
Decrease in fetal movements was the most frequent complaint of our patients. Spontaneously delivered 68.3% patiens, caesarean section was indicated in twins, due to maternal diseases or from vital indication. In 70% of cases we approved the cause of intrauterine fetal death. Mostly umbilical cord or placental abnormalities were present.

Keywords:
intrauterine fetal death, causes, risk factors

Zdroje

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