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Abstract

Objective: IUFD is an important indicator of maternal and perinatal health of a
given population. To know the incidence, etiology and mode of delivery of IUFD and
Stillbirths in our institute.
Materials and Methods: This is a retrospective observational study over 3 years, from
medical records of IUFD and still births, with gestational age >24 weeks. We focused
on gestational age, investigations, medical history, maternal and foetal antenatal and
intrapartum complications.
Results: During the study period 40 intrauterine fetal deaths were recorded among
1050 total deliveries, counting to an incidence of 3.8%. Amongst those, unexplained
were 12 [30%], fetal abnormalities 7 [17.5%], maternal infection 6 [15%], cord
accidents 4 [10%], APH [7.5%], hypertension, rupture uterus, abnormal placenta 2
[5%] each, diabetes and IUGR 1 [2.5%] each. Primigravidae contributed to 62.5% of
them, 67.5% were male fetuses and 87.5% were delivered vaginally.
Conclusion: To decrease the occurrence of IUFD and prevent its recurrence, it is
crucial to engage in early booking, identifying risk factors and prompt intervention.
The majority of the causes can be prevented through a collaborative approach. However,
it is imperative to encourage stringent monitoring throughout the labour and delivery
to prevent intrapartum stillbirth.
Keywords: Intrauterine foetal death, Still Birth, Incidence, Riskfactors

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