Amaç
To determine the risk factors in the etiology of stillbirths and to investigate the fetal anomalies in these cases.
Yöntem
A prospective study was performed to investigate the risk factors and fetal anomalies in 257 stillbirths out of 7200 deliveries occurred in our clinic between November 1992-July 2002. Evaluation was made according to the Wigglesworth classification.
Bulgular
Two hundred fifty seven stillbirths (3.5%) were detected out of 7200 deliveries in our clinic during a 10-year period. The mean maternal age was 29.3±3.1 years, mean parity was 2.53±0.8 and mean gestational age was 30.73±4.8 weeks. Hypertension was the most common obstetrical complication detected in 17.5% of the patients. The rate of the other complications were; 5.4% antenatal bleeding, 2.7% Rh isoimmunisation, 1.5% diabetes mellitus. No obstetrical complications were detected in 30.3% of patients. Forty-nine percent of the stillbirths were male and 42.3% were female. Autopsy was performed in 17.6% of the fetuses. Central nervous system anomalies were the most common anomaly detected by autopsy (10.6%). No identifiable cause was detected in 61.8% of the fetuses by autopsy. Maternal TORCH infections were not detected in these patients.
Sonuç
The rate of unexplained stillbirths can be reduced by adding special tests like karyotyping and anticoagulants to the investigation protocol. Parents must be persuaded for the autopsy permission.
Anahtar Kelimeler
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