Cogprints

Stillbirth in a Tertiary Care Referral Hospital in North Bengal - A Review of Causes, Risk Factors and Prevention Strategies

Bhattacharya, Shritanu and Mukhopadhyay, Gautam and Mistry, Pallab Kumar and Pati, Shyamapada and Saha, Shyama Prasad (2011) Stillbirth in a Tertiary Care Referral Hospital in North Bengal - A Review of Causes, Risk Factors and Prevention Strategies. [Journal (On-line/Unpaginated)]

Full text available as:

[img]
Preview
PDF - Published Version
Available under License Creative Commons Attribution No Derivatives.

149Kb

Abstract

Background and Aims: Stillbirth is one of the most common adverse outcomes of pregnancy, accounting for half of all perinatal mortality. Each year approximately 4 million stillbirths are reported, with 97% occurring in developing countries. The objective of the present study was to evaluate the stillbirth rate, exploring the risk factors and causes of stillbirth and suggest policies to reduce it. Settings and Design: A retrospective study of stillbirth among all deliveries over 5 years at North Bengal Medical College, a referral tertiary care teaching hospital in a rural background. The stillbirth rate and its trend were defined and the probable causes and risk factors were identified. Results: Stillbirth rate is 59.76/1000 live births, and Perinatal Mortality 98.65/1000 births. Of the still births, 59.72% were fresh and 40.27% were macerated. Among the causes of stillbirths, poor antenatal attendance and low socioeconomic status were important; other risk factors included prematurity, PIH, birth asphyxia, poor intrapartum care including prolonged and obstructed labour. In 23% cases, the cause remained unexplained. Conclusion: In addition to poor antenatal care, low socioeconomic condition, poor referral service, suboptimal intrapartum care in health facilities including tertiary centre were mainly responsible for majority of still births which could have been prevented. We speculate that upgrading the existing health system performance, particularly high quality intrapartum care by skilled health personnel, will reduce stillbirths substantially in our institute

Item Type:Journal (On-line/Unpaginated)
Keywords:Still birth; Intrapartum stillbirth; Perinatal Mortality
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:7246
Deposited By:Kakkilaya Bevinje, Dr. Srinivas
Deposited On:02 May 2011 18:18
Last Modified:02 May 2011 18:18

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Neonatal and Perinatal mortality: country , regional and global estimates. World Health Organization: Geneva 2006.

2. Mc Clure EM, Wright LL, Goldenberg RL et al. The global network. A prospective study of stillbirths in developing countries. Am J Obstet Gynecol. 2007 Sept;197(3):247.e1-5

3. Korde-Nayak VN, Gaikward PR. Causes of Stillbirth. J Obstet Gynecol India. July/Aug2008;58(4):314-318. Available at http://medind.nic.in/jaq/t08/i4/jaqt08i4p314.pdf

4. Goldenberg RL, Thompson C. The infectious origins of stillbirth. Am J Obstet Gynecol. 2003;189(3):861-873.

5. Mc Clure EM, Saleem S, Pasha O, Goldenberg RL. Stillbirth in developing countries: a review of causes, risk factors and prevention strategies. Journal of Maternal, Fetal and Neonatal Medicine. 2009;22(3):183-190

6. Smith GCS, Fretts RC. Stillbirth. Lancet 2007;370:1715-1725

7. Nayak AH, Dalal AR. A review of Stillbirth. J Obstet Gynecol India. 1993;43:225-229.

8. Kameshwaran C, Bhatia BD, Bhat BV et al. Perinatal Mortality; Perinatal Mortality : a hospital based study. Indian Paediatrics. 1993;30:997-1001.

9. Githa K, Yamuna, Gopal et al. Perinatal outcome in Pregnancy induced hypertension in a referral Maternity hospital. J Obstet Gynecol India 1992;42:607-610

10. Ravikumar M, Devi A, Bhat V et al. Analysis of stillbirths in a referral hospital. J Obstet Gynecol India 1996;46:791-796.

11. Chitra Kumari, Kadam NN ,Kshirsagar A et al. Intrauterine foetal death; a prospective study. J Obstet Gynecol India 2001;51;94-97.

12. Sujata, Das V, Agrawal A. A study of perinatal deaths at a tertiary care hospital. J Obstet Gynecol India. May/June 2008;58(3):235-238. Available at http://medind.nic.in/jaq/t08/i3/jaqt08i3p235.pdf

13. lawn JE, Cousens S, Darmstadt GL, Paul V, Martines J. why are 4 million babies dying every year? Lancet 2004;364:399-400

14. Mc Clure EM, Nalubamba-Phiri M, Goldenberg RL. Stillbirth in developing countries. Int. J Gynecol Obstet. 2006;94:82-90

15. Neonatal and Perinatal mortality: country, regional and global estimates. World Health Organization: 2006. pp 31.

16. Lawn JE, Shibuya K, Stein C. No cry at birth; globalestimates of intrapartum stillbirth and intrapartum related neonatal deaths. Bull World Health Organization. 2005;83:409-417.

17. Jehan I, Mcclure EM, Salat S. Stillbirths in an urban in Pakistan. Am J Obstet Gynecol. 2007;197(3):257.e1-e8

18. Bhutta ZA, Memon Z, Zaidi S, Billoo AG, Hyder AA. Etiology of Perinatal and neonatal death in a rural population of Pakistan: A verbal autopsy Preliminary report. Global forum for health research. 2002.

19. Fenton P, Whitty CJM, Reynolds F. Cesarean section in Malawai : Prospective study of early maternal and Perinatal mortality. BMJ. 2003;327:587-591

20. Ali M, Hotta M, Kuroiwa C, Ushijima H. Emergency Obstetric Care in Pakistan: Potential for reduced maternal mortality through improved basic EmOC facilities, services and access. Int J. Gynaecol Obstet. 2005;91:105-112

21. Fikree FF, Mir MA, Haq IU. She may reach a facility but will still die. an analysis of quality of public sector maternal health services, District Multan, Pakistan. J Pak Med Assoc. 2006;56:156-163

22. Das L, Satpathy U, Panda N. Perinatal mortality in a referral hospital of Orissa.- a 10 years review. J Obstet Gynecol India 2005;55(6):517-520

23. Kiely JL, Paneth N, Susser M. Fetal death during labor: an epidemiologic indicator of level of obstetric care. Am J Obstet Gynecol. 1985:721-726

24. Ronsmans C, Etard JF, Walraven G, Hoj L, Dumont A, de Bernis L, Kodio B. Maternal mortality and access to obstetric services in west Africa. Trop Med Int Health. 2003;8(10):940-948.

Metadata

Repository Staff Only: item control page