[Intrauterine fetal death syndrome: analysis of cases from 2008 to 2012 in Institute for the care of mother and child]. / Syndrom intrauterinního úmrtí plodu: analýza souboru za období 2008-2012 v Ústavu pro péci o matku díte

ABSTRACT

OBJECTIVE: We made an analysis of number of intrauterine fetal deaths in our institute, it's causes, risk factors and patient's main complaints. METHODS: Retrospective study of all intrauterine fetal deaths in Institute for the care of mother and child in years 2008-2012. RESULTS: We had 60 cases of intrauterine fetal death from 2008 to 2012 which represented 2.4 of all deliveries (24884). The examination started in 45% of cases due to information about decreased fetal movements, 28.3% was diagnosed during regular visit, 13.3% came for contractions, 10% because of PPROM and 3.3% due to vaginal bleeding. In 58.3% we used induction of delivery, in 10% delivery started spontaneously and in 31.7% a caesarean section was performed. CONCLUSION: Decrease in fetal movements was the most frequent complaint of our patients. Spontaneously delivered 68.3% patients, caesarean section was indicated in twins, due to maternal diseases or from vital indication. In 70% of cases we approved the cause of intrauterine fetal death. Mostly umbilical cord or placental abnormalities were present.