Prevention of Intra Uterine Fetal Deaths

Amna Shahid, Salma Jabeen, Shabnum Muhammal Ali

Keywords: Stillbirth; Maternal Risk Factors; Fetal Causes; Placental Causes

ABSTRACT

Introduction: If a Woman’s baby dies inside its mother, it is very depressing for herself ,and the family members and the clinician. Some causes if are identified timely might prevent these happenings.

Objective: To find out identifiable and preventable causes of a fetal death helping prevent its incident.

Methods: An observational prospective study was done in( LGH) Lahore General Hospital in Gynae Unit 3, for a period of 1 yr from 1-1-24 To 31-12-2024. All the cases of the intrauterine fetal deaths ( IUFD) were included coming to the LGH. The, literacy, age, parity, nutritional socioeconomic conditions, co existing medical disorders were being noted also

Results: Maternal causes like diabetes ( DM), hypertension( HTN) , infections and Anemia were present in 45% cases, whereas fetal related causes like the Rh incompatibilities ,congenital malformations present in 20% cases. Pathology related to Placenta like antepartum haemorraghe were in 29% cases. But also 11% cases still remained unexplained.

Conclusion: : Most of these cases of the intra uterine, fetal deaths ,are due to , the reasons ,which were if managed timely and identified earlier can prevent intra uterine – death of a fetus , like DM, HTN ,Placental causes Abruption. A large %age is still classified unexplained in this modern era of the investigations and early diagnosis. Much further work is still required in finding out these reasons behind the deaths.

Keywords: Stillbirth; Maternal Risk Factors; Fetal Causes; Placental Causes