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Decoding stillbirths using the Relevant Condition at Death classification: Study from the developing world

Neeraj Kulkarni1, Deepti Pinto Rosario1, Liji Sarah David1

  • 1Department of Obstetrics and Gynecology, Christian Medical College, Vellore, India

Journal of the Turkish German Gynecological Association
|October 27, 2018
PubMed
Summary
This summary is machine-generated.

The stillbirth rate in South India was 16.8 per 1000 births in 2017. Fetal growth restriction and hypertensive disorders were major causes, highlighting the need for improved antenatal care.

Keywords:
StillbirthReCoDe intrauterine fetal demisedeveloping worldgestational hypertensionuteroplacental insufficiency

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Area of Science:

  • Perinatal Medicine
  • Public Health
  • Obstetrics & Gynecology

Background:

  • Stillbirth remains a significant global health challenge, particularly in low- and middle-income countries.
  • Accurate classification of stillbirth causes is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To determine the stillbirth rate in 2017 at a tertiary care center in South India.
  • To identify the causes of stillbirths using the Relevant Condition at Death (ReCoDe) classification.

Main Methods:

  • Retrospective analysis of medical records for all stillbirths in 2017.
  • Application of the ReCoDe classification system to determine causes of death.
  • Statistical analysis using SPSS software.

Main Results:

  • A stillbirth rate of 16.8 per 1000 births was recorded.
  • Major identified causes included fetal growth restriction (25.9%), hypertensive disorders of pregnancy (27.5%), and uteroplacental insufficiency.
  • Lethal congenital anomalies accounted for 18.2% of stillbirths.

Conclusions:

  • The ReCoDe classification is effective in identifying stillbirth causes in developing regions.
  • Improved antenatal care, early risk identification, and close monitoring are vital for stillbirth prevention.