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A study on profile of stillbirths
S Dasgupta1, I Saha, A K Mandal
1Department of Community Medicine, NRS Medical College, Calcutta.
Journal of the Indian Medical Association
|June 1, 1997
Summary
A study found a high stillbirth rate of 38.4 per 1000 live births, with intra-uterine growth retardation being the primary cause. Most mothers lacked antenatal care, highlighting a critical gap in maternal health services.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Public Health
Background:
- Stillbirth remains a significant global health challenge.
- Identifying risk factors is crucial for stillbirth prevention strategies.
- Antenatal care plays a vital role in monitoring fetal well-being.
Purpose of the Study:
- To determine the incidence and identify the leading causes of stillbirth.
- To analyze adverse fetal conditions and birth weights in stillbirth cases.
- To assess the correlation between antenatal care and stillbirth outcomes.
Main Methods:
- Retrospective record analysis of stillbirth cases over a one-year period.
- Data collection included fetal conditions, birth weight, and maternal antenatal care history.
- Statistical calculation of stillbirth rate per 1000 live births.
Main Results:
- A stillbirth rate of 38.4 per 1000 live births was recorded.
- Intra-uterine growth retardation (45.4%) was the most frequent cause.
- Other significant factors included intra-uterine hypoxia (18.4%) and malpresentation (11.9%).
- 53.1% of stillbirths had birth weights below 2000g.
- 78.5% of mothers had not received antenatal care.
Conclusions:
- Stillbirths in this cohort were strongly associated with intra-uterine growth retardation and lack of antenatal care.
- Improved access to and utilization of antenatal care services is essential for stillbirth reduction.
- Targeted interventions for high-risk pregnancies, including those with growth-restricted fetuses, are recommended.
Keywords:
AsiaBiologyCohort AnalysisDelivery Of Health CareDemographic FactorsDeveloping CountriesFetal Death--determinantsHealthHealth ServicesIncidenceIndiaMaternal Health ServicesMaternal-child Health ServicesMeasurementMortalityPopulationPopulation DynamicsPrenatal CarePrimary Health CareResearch MethodologyResearch ReportRisk FactorsSouthern Asia