Evaluation of Intrauterine Fetal Death at Tertiary Care Centre: A Descriptive Cross-Sectional Study

Abstract

Introduction: Intrauterine fetal death (IUFD) is unpredictable despite of regular antenatal checkup. Early assessment and timely intervention may reduce the incidence of IUFD. This study aimed to find out the prevalence of IUFD among pregnant women at tertiary care center.

 Materials and Methods: A descriptive cross-sectional study was conducted in a tertiary care center from 1^st November 2020 to 31^st October 2021. Ethical approval was obtained from the Institutional Review Committee (Registration number: F-NMC/515/076-077). Demographic data were collected using predesigned proforma in pregnant women with intrauterine fetal demise identified before, during labor and delivery.

Results: Among 1441 deliveries, IUFD was found in 81 (5.62%). The highest stillbirth rate occurred in the 3rd trimester between 37 - 42 weeks 41 (50.61%), 85.18% unemployed, 36% were primigravida, 46.91% in 20 – 24 years age group. The commonest obstetric complications encountered were hypertensive disorders at 14.81%, unexplained (13.58%). Macerated stillbirths accounted for 49 (60.49%. Over 85% of the mothers had vaginal delivery while 15% had cesarean section.

Conclusion: A significant portion of IUFD can be prevented by providing patient and community health education for regular antenatal care regarding warning signs during antenatal, hospital delivery, early referral.