RISK FACTORS AND CAUSES OF INTRAUTERINE DEATH

Author(s)

Karácsony I1, Zubor M2, Pakai A2, Ferenczy M1, Boncz I3, Brantmüller É4, Gelencsér E4, Oláh A3
1University of Pécs, Szombathely, Hungary, 2University of Pécs, Zalaegerszeg, Hungary, 3University of Pécs, Pécs, Hungary, 4University of Pécs, Kaposvár, Hungary

OBJECTIVES: To measure all those risk factors of danger that may lead to intrauterine death. To introduce the frequency of intrauterine death related to maternal origins and the diseases of the foetus. METHODS: Our research was carried out in Teaching Hospital Markusovszky, Szombathely. We examined 50 pregnancies followed by intrauterine death by document analysis between the period of 1 January, 2007 and 31 December 2014. We applied average and frequency calculation within descriptive statistical methods for analyzing data. Defining the relation between the two variants, we calculated chi probability (p<0,05). RESULTS: Significant differences can be seen between  incidence rate of foetal death regarding singular pregnancies CI 0,78-0,97  and  multiple pregnancies CI 0,02 - 0,21; as well as  in terms of foetal death between undeveloped foetus  CI 0,23-0,49  and developed foetus between CI 0,50-0,76. Our examination found that in most cases there were maternal predisposing factors, operation carried out previously on the mothers, and circulatory diseases (p>0,05) which were followed by endocrin diseases (p>0,05). The most frequent predisposing factors of the foetus were placenta abnormalities in particular  placenta abruptio. According to our examination, the riskiest period in terms of intrauterine death is between 25-30 gestational weeks. There were 19 (38%) boy and 33 (66%) girl foetus morti. The most frequent intrauterine deaths are among the foeti of 501-1000 grams and 31-35 centimeters. According to our examination maternal predisposing factors were hypoxia, multiple pregnancy, obesity, hyperthyroidism and smoking. The following risk factors of foetus occured: dysmaturity, abruptio placentae, polihydramnion, premature birth, developmental abnormality of the foetus. CONCLUSIONS: For the decrease in number of intrauterine deaths, it would be extremely important to record accurate maternity anamnesis. In our view, with early identification of exposure to risk, prevention of complications and its early identification, stillbirths can be reduced

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

PIH9

Topic

Epidemiology & Public Health

Disease

Reproductive and Sexual Health

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