Study of feto-maternal outcome in patients with intra uterine fetal death

Rajal V. Thaker, Kavina S. Munshi, Vivek A. Patel, Dipti C. Vasava, Nilesh M. Makwana


Background: Intra Uterine Fetal Death (IUFD) is an important issue in modern obstetrics. This study has been undertaken to find out the incidence of IUFD, socio-demographic factors, probable etiological factors, mode of delivery, its outcome and complications if any.

Methods: This retrospective observational study was carried out at a tertiary care hospital. Data was collected from case papers of patients who have delivered beyond 20 weeks and/or baby weighing more than 500 grams and having IUFD prior to onset of labor or during labor with singleton pregnancy.

Results: Incidence of IUFD was 17.2 per 1000 births. Majority of the patients 93 (48.1%) were in age group of 26-30 years, 115 (59.5%) came as an emergency and 94 (48.7%) were primi gravida. Majority 89 (46.1%) patients had not taken any antenatal visit. IUFD occurred due to unexplained etiology, pre-eclampsia-eclampsia, anemia, uncontrolled diabetes, jaundice, antepartum haemorrhage and congenital malformation in 77 (39.9%), 51 (26.4%), 10 (5.1%), 7 (3.6%), 4 (2%), 29 (15%) and 2 (1%) respectively. Vaginal delivery occurred in 151 (78.2%). Majority of dead babies 111 (57.5%) were male, 71 (36.7%) were weighing 1kg or less and 92 (47.6%) were macerated. Emotional upset, DIC, PPH and ARF occurred in 193 (100%), 21 (10.8%), 15 (7.7%) and 1 (0.5%) respectively.

Conclusions: Majority of patients were unregistered and had not taken antenatal care or had inadequate antenatal care. Pre-eclampsia-eclampsia, APH, anemia and diabetes were the leading cause of IUFD along with unknown causes. A significant proportion of IUFD can be prevented by health education regarding adequate antenatal care, warning signs and institutional deliveries.


Intra uterine fetal death, IUFD, Primi gravida, Pre-eclampsia

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Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. Stillbirth. In: Williams Obstetrics, 24th ed; 2014: 661-666.

Suryakantha AH. Maternal and Child Health Services. In: Text book of Community Medicine, 3rd ed; 2014: 561-614.

WHO Stillbirths. Available at:

Patel S, Thaker R, Shah P, Majmudar S. Study of Causes and Complications of Intra Uterine Fetal Death (IUFD). Int J Reprod contracept obstet Gynecol. 2014;3:931-5.

Kanavi JV, Shobha G, Kavita G. Incidence and risk factors for intrauterine foetal demise: a retrospective study in a tertiary care centre in India. Int J Pregn Chi Birth. 2017;2(2):00013.

Balu D, Nayak A, Swarup A. A study of intrauterine fetal death tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2015;4:2028-31.

Choudhary A, Gupta V. Epidemiology of intrauterine fetal deaths: a study in tertiary referral centre in Uttarakhand. IOSR J Dental Med Sci. 2014;13(3):3-6.

Sharma S, Sidhu H, Kaur S. Analytical study of intrauterine fetal death cases and associated maternal condition. Int J App Basic Med Res. 2016; 6:11-3.

New guideline on antenatal care for a positive pregnancy experience. Available at:

Singh N, Pandey K, Gupta N, Arya AK, Pratap C, Naik R. A retrospective study of 296 cases of intra uterine fetal deaths at a tertiary care centre. Int J Reprod Contracept obstet Gynecol. 2013; 2:141-6.

Li-Chun L, Han-Bin H, Mu-Hsien Y, Her-Young S. Analysis of intrauterine fetal demise - A hospital-based study in Taiwan over a decade. Taiwanese J Obstet Gynecol. 2013:52(4):546-50.

Bakshi L, Hoque S, Tanjin F, Dey S, Bakshi M. Epidemiology of intrauterine fetal death in Dhaka National Medical College Hospital. Bangladesh Med J. 2016; 45(3).

Late intra uterine fetal death and still birth (Green top guideline no. 55)-RCOG October 2010. Available at:>gtg55.

Sheiner E. Relationship between fetal gender and pregnancy outcome. Arch Gynecol Obstet. 2007;275(6):317-9.