The majority of perinatal deaths are stillbirths, and India has the largest absolute number of stillbirths. Women in the most disadvantaged categories, such as those who are impoverished, have less education, live in rural regions, and are not actively employed, are most at risk for stillbirths. This study's main goal was to evaluate the stillbirth rate at our institution as well as its causes and risk factors. All stillbirths born at or above 28 weeks of gestation or weighing more over 1000gm in P.D.U. Medical College and Hospital, Rajkot, were included in the study during the study period of one year. The stillbirth rate at the institute was looked at. The rise in stillbirths was highly correlated with socioeconomic deprivation indicators. 70% of patients were from rural areas, and 48% of cases were referral cases. Multigravida women had stillbirth rates of 67.2 percent. Male newborns made up 57.01 percent of stillborn infants, and 34.71 percent of them were preterm and had extremely low birth weights. Maceration affected 54.78 percent of stillbirths. In 24.8% of instances, the cause of the stillbirth was not known. In our study, pre-eclampsia caused 12.1% of stillbirths, hypoxia caused 16.8%, and antepartum haemorrhage caused 19% of stillbirths. Focusing on modifiable risk factors, comprehensive screening, prenatal and intrapartum supervision, and prompt referral to a tertiary care facility can all help reduce the number of stillbirths.
Author(s) Details:Zalak V. Karena,
Department of Obstetrics and Gynecology, P. D. U. Medical College, Rajkot, Gujarat, India.
Kruti D. Shah,
Department of Obstetrics and Gynecology, P. D. U. Medical College, Rajkot, Gujarat, India.
Please see the link here: https://stm.bookpi.org/NHMMR-V11/article/view/7147
No comments:
Post a Comment