Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study

Introduction: India shares the highest magnitude of stillbirths among all South East Asian Countries in the world. Along with known preventable causes of still births, there are other associated factors which also plays an important role. The main objective of our study was to find out the causes of...

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Main Authors: Bharti Sharma, Neelam Aggarwal, Ankit Raina, Bharti Joshi, Vanita Suri, Nandita Kakkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Community and Family Medicine
Subjects:
Online Access:http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=40;epage=45;aulast=Sharma;type=0
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author Bharti Sharma
Neelam Aggarwal
Ankit Raina
Bharti Joshi
Vanita Suri
Nandita Kakkar
author_facet Bharti Sharma
Neelam Aggarwal
Ankit Raina
Bharti Joshi
Vanita Suri
Nandita Kakkar
author_sort Bharti Sharma
collection DOAJ
description Introduction: India shares the highest magnitude of stillbirths among all South East Asian Countries in the world. Along with known preventable causes of still births, there are other associated factors which also plays an important role. The main objective of our study was to find out the causes of Still Births and associated logistic issues in all those pregnant women who were admitted with live fetus in a tertiary care centre but had still birth during their stay in a tertiary care hospital. Material and Methods: This study included all pregnant women who had SB during hospital stay over a period of one year. Results: The still birth rate during period of study was 63 per 1000 total births. Out of these 376 women, 66(17.5%) were admitted with live fetuses but had still births during hospital stay. The main causes of still births were hypertensive disorder of pregnancy (21), birth defects (18), antepartum hemorrhage (12) and prematurity (7). There were 17 (25.7%) still births attributed to lack of space in Neonatal intensive care unit or lack of funds due to poor socioeconomic status. Conclusion: The mostcommon preventable causes of still births were hypertensive disorders of pregnancy and iatrogenic prematurity. Other associated factors were limited health facilities, patient related factors, illiteracy, poor socioeconomic status, logistic issues in accessing health care and delayed referral also has a significant role. These could be prevented by improving the premature infant care with strengthening health care facilities and targeting hypertensive disorder of pregnancy at root level.
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spelling doaj.art-92203b3d35d74cb6a6931e14d24534f22023-03-21T08:34:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132017-01-0132404510.4103/2395-2113.251891Evaluating intramural stillbirths in a tertiary care centre of North India - An observational studyBharti SharmaNeelam AggarwalAnkit RainaBharti JoshiVanita SuriNandita KakkarIntroduction: India shares the highest magnitude of stillbirths among all South East Asian Countries in the world. Along with known preventable causes of still births, there are other associated factors which also plays an important role. The main objective of our study was to find out the causes of Still Births and associated logistic issues in all those pregnant women who were admitted with live fetus in a tertiary care centre but had still birth during their stay in a tertiary care hospital. Material and Methods: This study included all pregnant women who had SB during hospital stay over a period of one year. Results: The still birth rate during period of study was 63 per 1000 total births. Out of these 376 women, 66(17.5%) were admitted with live fetuses but had still births during hospital stay. The main causes of still births were hypertensive disorder of pregnancy (21), birth defects (18), antepartum hemorrhage (12) and prematurity (7). There were 17 (25.7%) still births attributed to lack of space in Neonatal intensive care unit or lack of funds due to poor socioeconomic status. Conclusion: The mostcommon preventable causes of still births were hypertensive disorders of pregnancy and iatrogenic prematurity. Other associated factors were limited health facilities, patient related factors, illiteracy, poor socioeconomic status, logistic issues in accessing health care and delayed referral also has a significant role. These could be prevented by improving the premature infant care with strengthening health care facilities and targeting hypertensive disorder of pregnancy at root level.http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=40;epage=45;aulast=Sharma;type=0still birth rateintramural still birthhypertensive disorder of pregnancysuboptimal careprematurity
spellingShingle Bharti Sharma
Neelam Aggarwal
Ankit Raina
Bharti Joshi
Vanita Suri
Nandita Kakkar
Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
Indian Journal of Community and Family Medicine
still birth rate
intramural still birth
hypertensive disorder of pregnancy
suboptimal care
prematurity
title Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
title_full Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
title_fullStr Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
title_full_unstemmed Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
title_short Evaluating intramural stillbirths in a tertiary care centre of North India - An observational study
title_sort evaluating intramural stillbirths in a tertiary care centre of north india an observational study
topic still birth rate
intramural still birth
hypertensive disorder of pregnancy
suboptimal care
prematurity
url http://www.ijcfm.org/article.asp?issn=2395-2113;year=2017;volume=3;issue=2;spage=40;epage=45;aulast=Sharma;type=0
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