Foetal Autopsy-Categories and Causes of Death
Introduction: Intrauterine death(IUD)/ Stillbirth forms a major part of perinatal mortality which thereby is a good indicator of pregnancy wastage as well as quality of healthcare available. The key objectives of autopsy examination are to know the cause(s) of death, elucidation of pathogenic me...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4920/9226_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh).pdf |
| Summary: | Introduction: Intrauterine death(IUD)/ Stillbirth forms a major
part of perinatal mortality which thereby is a good indicator of
pregnancy wastage as well as quality of healthcare available. The
key objectives of autopsy examination are to know the cause(s)
of death, elucidation of pathogenic mechanism and quality
control of clinical management. The aim of this study was to
identify the prevalent causes of IUD, thereby taking appropriate
measures to prevent them and decrease the perinatal mortality
rate.
Materials and Methods: The study included 14 cases of IUD
received for autopsy in the Department of Pathology over a
period of five years. Autopsies were performed as per standard
protocol and included full anthropometric profile, external
examination, gross and microscopic evaluation of different
organs and placenta.
Results: Total number of 14 fetal autopsies were performed
over a period of 5 years. The causes were broadly classified
as fetal, maternal and placental. Placental causes were seen in
majority of cases (48.57%) followed by fetal (35.72%) and then
maternal (21.42). Most prevalent cause of death was congenital
anomalies (28.6%) followed by placental insufficiency (21.4%)
and chorioamnionitis (14.2%).
Conclusion: Determination of causes of fetal death would
prove beneficial to the clinicians and parents for better
management and care in future pregnancies as well as in
genetic counseling. |
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| ISSN: | 2249-782X 0973-709X |