ABSTRACT

OBJECTIVE: To determine the maternal morbidity associated with intrauterine fetal death (IUFD). STUDY DESIGN: Cross-sectional study. STUDY DURATION: 11 months MATERIALS AND METHODS: Mothers having singleton pregnancy with intrauterine death at 28 weeks of gestation or more visiting Fatima Memorial Hospital were included in the study. The main outcome measures were assessed by taking into account the maternal age, parity, gestational age at the time of fetal death, Interval between intrauterine fetal demise and delivery and the mode of delivery. RESULTS: 124 patients within trauterine fetal demise were included in the study. Among them 108 patients (87.4%) were delivered by vaginal route and 16 (12.6%) by cesarean section.12 out of 16 patients (75%) who were delivered by cesarean section developed post-operative problems like post-partum hemorrhage, endometritis, urinary tract infection and wound dehisence, while 12% of mothers delivered by vaginal route gotperineal tears, urinary tract infection and puerperal pyrexia. There was no maternal death. CONCLUSION: Maternal morbidity like urinary tract infection, endometritis and perineal tears may occur after vaginal mode of delivery but the frequency and severity of complications after cesarean delivery are quite higher. Keywords: Intrauterine fetal death (IUFD), Maternal morbidity, Cesarean section (CS) Perineal tear, Endometritis
Publication date: 01/02/2020

https://ijbpas.com/pdf/2020/February/MS_IJBPAS_2020_4951.pdf

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https://doi.org/10.31032/IJBPAS/2020/9.2.4951