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Epidemiology of ante-Partum Intra-uterine Fetal Death

المصدر: مجلة الساتل
الناشر: جامعة مصراتة
المؤلف الرئيسي: El Mahaish, M. O. (Author)
مؤلفين آخرين: El Sraiti, O. A. (Co-Author) , Asherkaci, H. M. (Co-Author)
المجلد/العدد: س3, ع5
محكمة: نعم
الدولة: ليبيا
التاريخ الميلادي: 2008
الشهر: أغسطس
الصفحات: 37 - 44
رقم MD: 813143
نوع المحتوى: بحوث ومقالات
قواعد المعلومات: HumanIndex
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المستخلص: Objective: To determine ante-partum maternal risk factors for intrauterine fetal death Methods: we carried out a case control retrospective study, in Misrurata central hospital (gyn.& obst. Department) we included all pregnant women diagnosed as singleton intra-uterine fetal death in the third trimester with fetal weight of 1500 gm and more. Admitted to the hospital over a 5-year (2001-2005) period (study group). We examined the following risk factors: diabetes .hypertension, abruptio-placenta. age .gestational age. parity trauma .sepsis .booking .congenital anomalies previous history of intra-uterine fetal death (IUFD) and intra-uterine growth restriction (IUGR) we compared the result to those pregnant women with live pregnancy admitted before and after each case (control group ). Results: There were 314 cases of singleton IUFD during that period .the intra-uterine fetal death rate was 10.5 per 1000 deliveries .in 28% of the cases .we could not determine the associated risk factors .Among cases there were 57.3% lacking antenatal care, cord accident in 56.6% , 29.3% hypertension, 26.1% diabetes, IUGR in 24.8%, 14% abruptio-placenta, and previous history of IUFD in 8.3%.0ther risk factors were age between 20-30year in 51.6% , gestational age between 37-41 weeks in 58.6% , party between 0-5 in 77.1% and congenital anomalies in 5.7% . Conclusion: the identified risk factors for IUFD in our community appear preventable .we should pay attention to health education with emphasis on antenatal care the benefits of regular clinic attendance. Patient’s compliance is important in most of these preventable fetal deaths

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