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Federación Mexicana de Ginecología y Obstetricia, A.C.

2014, Number 09

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Ginecol Obstet Mex 2014; 82 (09)

Characterization of fetal deaths and associated factors in a high complexity hospital in a Latin American country

Molina-Giraldo S, Solano-Montero AF, Gómez-Parra SR, Rojas-Arias JL, Acuña-Osorio E

Language: Spanish
References: 23
Page: 595-603
PDF size: 317.70 Kb.


ABSTRACT

Background: Stillbirth remains a problem; therefore requires delving analyzed to assess their causes and strategies that prevent or decrease.
Objective: to establish the frequency, describe the sociodemographic and medical characteristics, and factors associated with fetal death in a high complexity hospital in Bogotá, Colombia.
Materials and methods: a cross-sectional study quantifying stillbirth and associated factors was conducted in the period from January 1, 2010 to December 31, 2013.
Results: There were 112 fetal deaths, from a total of 15408 births, for a fetal mortality rate of 7.3 per 1000 live births. The average age of the patients was 27.9 years (SD 7.7), 70.5 % of fetal deaths occurred in mothers aged 20-35 years, in primigravidae (33%), between 20 and 28 weeks gestational age (42.9 %), in fetuses with weights between 500 and 1000 gr (47.8 %). The most frequent medical history was hypothyroidism (5.4 %) and chronic hypertension (4.5 %). The most common diseases associated with pregnancy were oligohydramnios (21.4 %), hypertensive disorders of pregnancy (17%), intrauterine growth restriction (IUGR) (17%), and polyhydramnios (16.9 %). The most frequently altered test for evaluation of fetal wellbeing was the absent or decreased fetal movements (44.6 %), autopsy was performed in 45.5 % of cases being the main reported causes of death, chorioamnionitis (21.5 %) and placental insufficiency (15.6 %).
Conclusion: Stillbirth remains a prevalent problem, our findings suggest the need to develop methods to implement the fetal surveillance in patients with risk factors in order to make timely decisions.


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