Analysis of Maternal Factors and Treatment of Intrauterine Fetal Death: 40 Cases

doi:10.3877/cma.j.issn.1673-5250.2011.02.008

Objective

To study the maternal factors and treatment of intrauterine fetal death (IUFD).

Methods

From March 2004 to March 2010, a total of 40 cases with intrauterine fetal death were recruited into this study. They were at the age of 20~38 with the average age of 30. Among them, primipara were 32 cases (80.0%) and multipara were 8 cases (20.0%). The gestational age was 22~39 weeks with the average gestational week of 34. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Second People's Hospital of Yunnan Province. Informed consent was obtained from all participants. Maternal factors and treatment of intrauterine fetal death were analyzed retrospectively.

Results

The main cause of intruterine fetal death was obstetric complications, including hypertensive disorder complicating pregnancy (12/40, 30.0%), placenta previa (9/40, 22.5%), and placental abruption (7/22, 17.5%). Cord factors were the second main cause. Meanwhile, positive prevention the complication of disseminated intravascular coagulation (DIC).

Conclusion

Fetal hypoxic-ischemic death plays the most important role in intrauterine fetal death. The key to deal with intrauterine fetal death lies in diagnosing as early as possible, stopping pregnancy in time and treating complication being induced by fetal deaths.

Key words: intrauterine fetal death, maternal factors, treatment, complication

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