TY - JOUR AU - Shaheen, Shagufta AU - Akhtar, Shahnaz PY - 2011/08/12 Y2 - 2024/03/29 TI - CAUSES OF INTRA UTERINE FOETAL DEATH JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 20 IS - 3 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/221 SP - AB - <span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><font face="Times New Roman" size="2" color="#1f1a17"><p>Objective: To</p></font></span></span></span><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;">find out the frequency and causes of intra uterine foetal death and associated congenital</span></span></span></span></span></span><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>anomalies.</p><p>Material and Methods: This prospective study was conducted at department of Obstetric and</p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><font face="Times New Roman" size="2"><p>Gynecology, Lady Reading Hospital, Peshawar from 1</p></font></span></span><span style="font-family: Times New Roman; font-size: xx-small;"><span style="font-family: Times New Roman; font-size: xx-small;">st  </span></span><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;">January 1997 to December 1997. In this study death of the foetus in-utero after 28 weeks of pregnancy was taken and death of the foetus during labour</span></span></span></span></span><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>was excluded.</p><p>Results: During the time period the total number of deliveries was 3220 and the total number of patients</p><p>with intra-uterine foetal death was 302 (9.37%). Among 302 cases there were 296 singleton pregnancies</p><p>(98.01%), while six (1.98%) were multiple gestation pregnancies with both the foetuses dead. The most</p><p>common cause of intrauterine foetal death was antepartum hemorrhage (APH) in 72 cases (23.84%)</p><p>followed by preeclampsia in 29 (9.60%) cases, eclampsia in 16 (6.29%) cases, diabetes in 45 (14.90%)</p><p>cases, congenital anomaly in 60 (19.86%) cases, infections in 42 (13.90%) cases, cord prolapse in 10</p><p>(1.31%) cases, Rh-incompatibility in 8 cases (2.64%), and no cause was found in 20 cases. Most common</p><p>congenital anomalies were anencephaly (10.26 %) and hydrocephalus (4.30 %).</p><p>Conclusion: Advanced maternal age and multigravidity was associated with increase risk of intra-uterine foetal death. Higher incidence of APH, Pre-eclampsia, eclampsia, diabetes and congenital anomalies showed lack of antenatal care. Antenatal care is by far the most important step in the prevention of intrauterine foetal death.</p></span></span> ER -