ABSTRACT

Objectives: To find out the prevalence of IUFD and the risk factors associated with it. Design: Cross-sectional study. Setting: This study was carried out at Gynecology and Obstetrics department unit I, Liaquat University of Medical and Health Sciences from June 2015 to May 2016. Methods: Out of 1500 deliveries conducted, 92 pregnancies were recruited after applying exclusion criteria and using convenient non-probability sampling technique. Pregnant women with singleton IUFD, having a gestational age of 24 weeks and beyond were included whereas, multiple pregnancies were excluded. Data was analysed using Microsoft Excel. Descriptive data were given as frequency and percentage. Results: The prevalence of IUFD was found to be 6.1%. Majority of the IUFD were reported in illiterate mothers (60.9%) and in age group between 20 to 30 years (73.9%). Majority of the presented women were multigravida (37%), presented between 30 to 36 weeks of gestational age (37%) and received only 1 to 2 antenatal visits (41.3%). Most of the patients complained of abdominal pain (32.6%), reduced fetal movements (30.4%) and per vaginal bleeding (19.6%). The main risk factors identified were preeclampsia/eclampsia (17.4%), placenta abruptio (15.2%) and history of previous abortions (15.2%). Conclusion: It was found in our study that major risk factors involved in IUFD in our setup are preventable and to reduce rates of IUFD, thorough evaluation and prenatal care may be provided to prevent untoward outcomes. Key words: Intrauterine fetal death, Pregnancy, Prevalence, Risk factors

https://ijbpas.com/pdf/2019/January/MS_IJBPAS_2019_4605.pdf

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https://doi.org/10.31032/IJBPAS/2019/8.1.4605