Intrauterine fetal death and stillbirth: evaluations in a tertiary center

Osman Samet Günkaya; Seher Koyuncu

Article Details

Intrauterine fetal death and stillbirth: evaluations in a tertiary center

Authors:

Osman Samet Günkaya | Seher Koyuncu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Fetal Gelişim ve Tıp | Kadın Hastalıkları ve Doğum

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.186-190

Document Type:

Article

Publication Date:

3/2025

Document Language:

English

Document ID (Org No.):

2001343095

pISSN:

2636-8579

Keywords:

Abstract:

 Aims: Despite routine prenatal care, intrauterine fetal death IUFD is unpredictable. With early diagnosis and prompt treatment of maternal and obstetric problems, IUFD may become less common. The aim of this study was to determine the prevalence of IUFD in pregnant patients in a tertiary care center. Methods: A descriptive cross-sectional study was conducted at a tertiary center from January 2020 to August 2024 and was approved by the Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital Scientific Research Ethics Committee Date: 08.11.2024, Decision No: 2024318. Demographic characteristics of pregnant women, medical and obstetric complication rates, and histopathological findings of the placenta were recorded. Results: IUFD was diagnosed in 137 of 20,356 deliveries 0.67. Of these, 104 cases were included in the study. The period with the highest stillbirth rate was 28-33 weeks 36.3, 46.2 of pregnant women gave birth for the first time and 77.9 were between the ages of 20-24. The most common maternal problems were maternal anemia n39, 37.5. The most common perinatal outcomes were preeclampsiaeclampsia n12, 11.5 and the rate of pregnant women without any perinatal problems was 57.7 n60. The caesarean section rate was 37.5 n39. In addition, the most common placental histopathological examinations were placental infarction n26, 25. Conclusion: A significant amount of IUFD can be prevented with routine prenatal care of patients and society, close monitoring of risk groups, and educating pregnant women.

 Aims: Despite routine prenatal care, intrauterine fetal death IUFD is unpredictable. With early diagnosis and prompt treatment of maternal and obstetric problems, IUFD may become less common. The aim of this study was to determine the prevalence of IUFD in pregnant patients in a tertiary care center. Methods: A descriptive cross-sectional study was conducted at a tertiary center from January 2020 to August 2024 and was approved by the Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital Scientific Research Ethics Committee Date: 08.11.2024, Decision No: 2024318. Demographic characteristics of pregnant women, medical and obstetric complication rates, and histopathological findings of the placenta were recorded. Results: IUFD was diagnosed in 137 of 20,356 deliveries 0.67. Of these, 104 cases were included in the study. The period with the highest stillbirth rate was 28-33 weeks 36.3, 46.2 of pregnant women gave birth for the first time and 77.9 were between the ages of 20-24. The most common maternal problems were maternal anemia n39, 37.5. The most common perinatal outcomes were preeclampsiaeclampsia n12, 11.5 and the rate of pregnant women without any perinatal problems was 57.7 n60. The caesarean section rate was 37.5 n39. In addition, the most common placental histopathological examinations were placental infarction n26, 25. Conclusion: A significant amount of IUFD can be prevented with routine prenatal care of patients and society, close monitoring of risk groups, and educating pregnant women.

 Aims: Despite routine prenatal care, intrauterine fetal death IUFD is unpredictable. With early diagnosis and prompt treatment of maternal and obstetric problems, IUFD may become less common. The aim of this study was to determine the prevalence of IUFD in pregnant patients in a tertiary care center. Methods: A descriptive cross-sectional study was conducted at a tertiary center from January 2020 to August 2024 and was approved by the Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital Scientific Research Ethics Committee Date: 08.11.2024, Decision No: 2024318. Demographic characteristics of pregnant women, medical and obstetric complication rates, and histopathological findings of the placenta were recorded. Results: IUFD was diagnosed in 137 of 20,356 deliveries 0.67. Of these, 104 cases were included in the study. The period with the highest stillbirth rate was 28-33 weeks 36.3, 46.2 of pregnant women gave birth for the first time and 77.9 were between the ages of 20-24. The most common maternal problems were maternal anemia n39, 37.5. The most common perinatal outcomes were preeclampsiaeclampsia n12, 11.5 and the rate of pregnant women without any perinatal problems was 57.7 n60. The caesarean section rate was 37.5 n39. In addition, the most common placental histopathological examinations were placental infarction n26, 25. Conclusion: A significant amount of IUFD can be prevented with routine prenatal care of patients and society, close monitoring of risk groups, and educating pregnant women.

 Amaçlar: Rutin doğum öncesi bakıma rağmen, intrauterin fetal ölüm IUFD öngörülemezdir. Erken tanı ve maternal ve obstetrik sorunların hızlı tedavisi ile IUFD daha az yaygın hale gelebilir. Bu çalışmanın amacı, üçüncü basamak bir bakım merkezindeki gebe hastalarda IUFD prevalansını belirlemekti. Yöntemler: Ocak 2020 ile Ağustos 2024 arasında üçüncü basamak bir merkezde tanımlayıcı kesitsel bir çalışma yürütüldü ve Kurumsal İnceleme Kurulu ve Etik Komitesi tarafından onaylandı hibe numarası: E-46059653-050.04-259016740. Gebe kadınların demografik özellikleri, tıbbi ve obstetrik komplikasyon oranları ve plasentanın histopatolojik bulguları kaydedildi. Sonuçlar: 20.356 doğumun 137sinde 0,67 IUFD tanısı konuldu. Bunlardan 104 vaka çalışmaya dahil edildi. Ölü doğum oranının en yüksek olduğu dönem 28-33 haftalar arasında 36,3 olup, gebe kadınların 46,2si primipar ve 77,9u 20-24 yaş arasındadır. En sık görülen maternal sorunlar maternal anemi 37,5, açıklanamayan obstetrik sorunlar 39,4 ve preeklampsi 11,5 olup, sezaryenle doğum yapan annelerin 37,5i bu sorunla karşılaşmıştır. En sık görülen plasental histopatolojik incelemeler plasental enfarkt 25 olmuştur. Sonuç: Hastaların ve toplumun rutin doğum öncesi bakımı, risk gruplarının yakın takibi ve gebe kadınların eğitilmesiyle önemli miktarda IUFD önlenebilir.

Article Details

Intrauterine fetal death and stillbirth: evaluations in a tertiary center

Authors:

Osman Samet Günkaya | Seher Koyuncu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Fetal Gelişim ve Tıp | Kadın Hastalıkları ve Doğum

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.186-190

Document Type:

Article

Publication Date:

3/2025

Document Language:

English

Document ID (Org No.):

2001343095

pISSN:

2636-8579

Fetal demise

intrauterine fetal death

perinatal deaths

stillbirthfetal ölüm

intrauterin fetal ölüm

perinatal ölümler

ölü doğum.

Issues

Article Details

Authors: Osman Samet Günkaya | Seher Koyuncu

Publisher: MediHealth Academy Yayıncılık

Main Topics: Fetal Gelişim ve Tıp | Kadın Hastalıkları ve Doğum

Journal: Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.186-190

Document Type: Article

Publication Date: 3/2025

Document Language: English

Document ID (Org No.): 2001343095

pISSN: 2636-8579

Issues

Authors:

Osman Samet Günkaya | Seher Koyuncu

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Fetal Gelişim ve Tıp | Kadın Hastalıkları ve Doğum

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.186-190

Document Type:

Article

Publication Date:

3/2025

Document Language:

English

Document ID (Org No.):

2001343095

pISSN:

2636-8579