gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Analysis of the causes of intrauterine fetal death in own material


Abstract

Author(s): BEATA RZEPKOWSKA-MISIAK1, MICHAŁ KREKORA1, ALEKSANDRA WIECZOREK1, GRZEGORZ KRASOMSKI1, ZBIGNIEW PIETRZAK1

Introduction. Intrauterine fetal death remains a significant problem in developing countries. The Aim. Analysis of the causes of stillbirths in the Department of Obstetrics and Gynecology Institute, Polish Mother’s Health Centre in Lodz in 2004-2010. Materials and Methods. We designed a retrospective study of 11294 deliveries from January 2004 to December 2010. Was born 11 211 (99,3%) live births. The research group were 83 (0,7%) stillborn babies. Statistical analysis was performed using chi-squared test

Results. In the study group accounted for 59% primiparous and 41% multiparous. There were mainly deliveries before 37 weeks of gestation (88%). Mainly young women gave birth under 35 years of age. The failure of the placenta of unknown etiology (53.0%) is a major cause of the stillbirth The most common disease in mother complicating pregnancy was pregnancyinduced hypertension (6%) and hypertension before pregnancy (6%). Gestational diabetes was diagnosed in four women (4,8%) and diabetes before pregnancy in two women (2,4%). Most of the women were healthy (78,7%)

Conclusions. The risk of stillbirths increases with maternal age. Comparable risk of stillbirth has been shown in both primiparas and multiparas. Stillbirths more often affected male fetuses