DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20183766

Early detection of IUGR: can it prevent stillbirth?

Ashwini Vishalakshi L., Reddi Rani P.

Abstract


Background: Maternal mortality in India is decreasing with the advances in health care facilities, increase in the number of hospital deliveries, improvement in the transport facilities etc. Present study aimed at to evaluate the causes for antepartum stillbirths.

Methods: It is a retrospective study from the case records of the stillbirths that occurred from June 2015 to March 2018. All stillbirths between 28-41 weeks were studies. Stillbirths occurring in twin pregnancies were excluded. The total number of stillbirths that were studied was 102.

Results: Most of the IUDs occurred between 28-37 weeks 82 (80.39%). The mean period of gestation at which the stillbirth occurred was 33.84±3.8 weeks. There was more number of male stillborns as compared to female stillborns. When the weight distribution of all stillbirths was compared with weight for gestational age 48 (47.5%) were <10% (SGA) and 46 (45.09%) of stillbirths weighed between 10th and 50th percentile Most of the IUDs were caused due to cord accidents, abruption and as a complication of hypertensive disorders of pregnancy.

Conclusions: Stillbirths were higher in IUGR fetusus as compared to AGA fetuses. Hence in order to prevent stillbirth it would be mandatory to detect IUGR at an earlier stage and delivery should be planned if the fetus shows any features of compromise. Doppler studies can help in deciding the timing of delivery.


Keywords


Stillbirth, IUGR, Small for gestational age (SGA)

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