A CLINICAL STUDY ON OUTCOME OF IUFD IN 250 BEDED DISTRICT HOSPITAL MANIKGANJ

Dr. Mamata Manjari*, Dr. Fawzia Zaman, Dr. Zinat Ara Ferdousi, Dr. Jesmine Akter, Dr. Sayeeda Pervin, Dr. Shirin Shabnam

ABSTRACT

Introduction: One of the most sensitive indicators of maternal and perinatal health is intrauterine fetal death. Though in about (25-35%) of cases the cause remains unknown, it accounts for half of all perinatal deaths. This study was carried out to observe the maternal and fetal factors and outcome associated with intrauterine fetal death. Objective: To assess the incidence and outcome of pregnancy with intrauterine fetal death. Material and method: This was a retrospective and observational single center study. 36 pregnant women both primi and multi with IUFD were included in this study. These patients were admitted and treated in the department of Obstetrics and Gynaecology in 250 beded district hospital, Manikganj from October 2020 to March 2021. After admission full history including patients age, parity, duration of pregnancy, past obstetric history, past history of IUFD were taken. Result: A total of 36 intrauterine fetal death were reported amongst 958 pregnancies during the study period. The incidence rate of intrauterine fetal death was 37 per thousand live births. 28 cases (77.78%) were either no or irregular antenatal checkup. The other observations were maximum patients in age group of (25-29yrs). Previous history of IUD (11.11%), gestational hypertension and preeclampsia in (27.78%), GDM in (11.11%), antepartum hemorrhage (8.33%), congenital malformations in (8.33%) cases. Conclusion: The incidence of intrauterine fetal death in our population is higher than that reported from developed countries. It is possible to reduce the incidence of IUFD by 1) Preconceptional genetic counselling so to identify the pregnant women at risk.2) Develop a referral system so identify and referral of high-risk mother to feto maternal medicine specialist.

Keywords: Intrauterine, stillbirth, fetal death, pregnancy.