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We conducted multinomial logistic regression to identify factors associated with early fetal losses (miscarriages and IUFD) and to compare preterm live birth with term live birth.
The aim of this study was to find the incidence and characteristics of pregnancies that resulted in IUFD in our institution with objective of:
Our cohort also had a history of poor obstetrical outcomes including previous abortions, previous preterm births, and previous IUFD or stillbirth.
Abbreviations ANC: Antenatal care ARM: Artificial rupture of membrane FHR: Fetal heart rate IUFD: Intrauterine fetal death ENND: Early neonatal death EFW: Estimated fetal weight GA: Gestational age HCT: Hematocrit HTN: Hypertension JUMC: Jimma University Medical Center MSAF: Meconium stained amniotic fluid NICU: Neonatal intensive care unit ObGy: Obstetrics and Gynecology OL: Obstructed labor OVD: Operative vaginal delivery PE: Preeclampsia PPH: Postpartum hemorrhage PNA: Perinatal asphyxia ROM: Rupture of membrane SSOL: Second stage of labor SVD: Spontaneous vaginal delivery SGH: Subgaleal hemorrhage WHO: World Health Organization.
Our patient was a 24-year-old G2P0010 woman of Mexican descent who was admitted in August of 2017 for induction of labor for IUFD at 36 weeks of gestation.
(a) The levels of SDAI and CRP from 31 years and 3 months old to 32 years and 11 months old when she became pregnant for the first time, which resulted in intrauterine fetal death (IUFD) at 9 weeks of gestation.
Maternal outcomes included caesarean section rates, maternal complications, spontaneous miscarriage and intrauterine fetal deaths (IUFDs).
Subsequently, other studies have also shown increased incidence of complications in patients with circumvallate placenta like abruptio placentae, preterm births, IUGR, oligohydramnios, non-reassuring foetal heart rate patterns (4, 5) and even a study reported increased incidence of IUFD as compared to controls (5).
One maternal death was reported in a patient who was admitted for IUFD and the postmortem examination concluded the reason of death as hemorrhagic shock secondary to uterine rupture.
Of the total singleton 384 breech presentations, 22 (5.7%) were IUFD and 362 (94.3%) were alive prior to admission.
The obstetric history included miscarriages (<16 weeks gestation), severe HD (preeclampsia, eclampsia, and HELLP syndrome), IUFD, preterm birth (<37 weeks), and SGA infants (birth weight < p10).
Intra-uterine fetal death (IUFD) at or after 28 weeks of gestation was diagnosed on ultrasound.
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- Iudoma-Maia Highland
- Iudoma-Maía Highland
- Iudovskii, Vladimir
- Iudovskii, Vladimir Grigorevich