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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 11 Issue 11, November 2022

Second Trimester Intrauterine Death: Still an Enigma

Dr. Sunny Solanki ^[2] | Dr. Ashima Yadav | Dr. Ranjana Desai

Abstract: Introduction: Intrauterine Fetal Demise (IUFD) is a major obstetrical catastrophe at any gestational age which causes emotional pain, distress to patient and her family. IUFD indicates no fetal heartbeat detected after 20 weeks gestation. Incidence of IUFD in India reported between 24.4-41. 9%. Causes of stillbirth fall into following 3 broad categories; Maternal, Fetal & Placenta or Umbilical cord related. The importance of determining the cause of fetal death is that only when the cause is known, the patient can be counselled about the chance of recurrence and attempts at prevention or treatment can be initiated. In case of III trimester IUFD, the obstetrician and mother may remain doubtful whether the fetus could be saved if delivered earlier but in case of II trimester IUFD, cause of death is more important as the fetus is not salvageable. Material and Methods: This study was conducted under Department of Obstetrics and Gynaecology, Dr. S. N. Medical College, Jodhpur which is hospital-based Case Control Observational study. 50 patients were included in both study and control groups and desired data collected. Results: The major causes of II trimester IUD were hypertensive disease of pregnancy and abruptio placenta with maximum incidence seen in multipara and age group 21-30 yrs. 10% cases had congenital abnormalities in fetus. Conclusion: 2nd trimester IUFD is disappointing both for obstetrician as well as mother, prevention is therefore the hallmark. The antenatal fetal deaths can be minimized with regular ANCs, early detection of antepartum complications and treatment. Improving education status, emergency transportation facilities, socio-economic status and facilities available at the peripheral centres can help in reducing the mid trimester IUFD rate.

Keywords: Second trimester, IUD, intrauterine death, Maternal, fetal, umbilical, observational, case control, hypertensive, abruptio placenta, multipara, congenital, ANC, Antenatal care

Edition: Volume 11 Issue 11, November 2022,

Pages: 1352 - 1356

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