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Related Experiment Videos

Stillbirths--ten years experience at Toa Payoh Hospital.

K C Tan, N K Ho, B L Tay

    Singapore Medical Journal
    |April 1, 1989
    PubMed
    Summary

    This study analyzed 287 stillbirths, finding intrauterine anoxia and congenital malformations as common causes. The overall stillbirth rate remained stable over ten years.

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    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Medicine
    • Public Health

    Background:

    • Stillbirth remains a significant concern in perinatal healthcare.
    • Understanding the causes and incidence of stillbirth is crucial for improving neonatal outcomes.

    Purpose of the Study:

    • To analyze the incidence and causes of stillbirths over a ten-year period at Toa Payoh Hospital.
    • To identify common etiological factors and associated maternal/infant characteristics.

    Main Methods:

    • Retrospective analysis of 287 stillbirth cases from 47,171 deliveries (1978-1987).
    • Review of medical records to determine causes of death, considering factors like maceration and autopsy rates.

    Main Results:

    • The stillbirth incidence was 6.1 per 1,000 total births.
    • Known causes (intrauterine anoxia, congenital malformations) accounted for 51.9% of cases; 48.1% were undetermined.
    • 54% of stillborn infants were premature, and 64.2% had low birth weight (<2,500g).

    Conclusions:

    • The stillbirth rate showed no significant change over the study decade.
    • Maternal history of abortions or previous stillbirths was noted in a small percentage of cases.
    • Improved diagnostic methods and autopsy rates could enhance etiological understanding.

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