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Information Journal Paper

Title

SURVEY ON INTRA UTERINE FETAL DEATH FREQUENCY AND ITS FACTORS IN KOSAR HOSPITAL URMIA

Pages

 Start Page 498 | End Page 503

Abstract

 Background & Aims: IUFD (Intra uterine fetal death) is defined as the lack of fetal heart beat during last twenty weeks of pregnancy and it is a threat to pregnancy outcomes. Additionally it has great expenses to family and health system with emotional effects on PREGNANT WOMEN and may carry some poor prognosis on the next pregnancies. Prevalence rate of IUFD after twenty two weeks of pregnancy was reported 3/3-20 per 1000 birth in other countries. There are few studies done on IUFD in the world and also Iran. The aim of this study was to survey its frequency at Kosar hospital to achieve the exact statistics and investigate the possible related causes of IUFD as a descriptive method.Materials & Methods: This cross-sectional descriptive study was carried out on patients who were hospitalized in Kosar hospital and their pregnancy was terminated in more than twenty weeks of gestational age due to IUFD. (4, 5).Results: The results showed that IUFD frequency after 20 weeks of gestation in studying population was 33.4% per 1000 birth and the mean age of IUFD incidence was 30.87 + 5.7 weeks. The Frequency of³ 22w IUFD was 23.9% and 25.2% of total CIUFD's had occurred in 34-36 weeks of pregnancy.48.4% of cases had one of the highly known related causes of IUFD and 51.6% had none. Among the factors which were strongly related to IUFD, preeclampsia with 24.5% frequency had the highest rate. Discussion: Comparison of IUFD frequency in studied population with other studies indicated that its prevalence rate was high in Urmia, Iran. Probably, it is due to referral origins of our hospital and also the lack of ideal of prenatal cares especially in high risk women. The occurrence of 25.2% of IUFD at 34-36 weeks of pregnancy indicates the last problem. It is suggested to improve the quality of prenatal care in this group and necessary actions must be performed.

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