Risk Factors Associated with Intrauterine Fetal Demise (IUFD) in Pregnant Women Managed at a Tertiary-Level Hospital in Neiva, Huila, from January 2018 to September 2023
DOI:
https://doi.org/10.22517/25395203.25747Keywords:
Stillbirth, Risk factors, Maternal characteristics, Fetal characteristicsAbstract
Objective: Determine the risk factors associated with stillbirth at the Hospital Universitario Hernando Moncaleano Perdomo from January 1, 2018, to September 30, 2023.
Methodology: Retrospective, observational study conducted at a single center on the clinical characteristics of pregnant women who experienced stillbirth. A probabilistic sampling, by convenience, using simple randomization was performed. Consecutive records from patients diagnosed with stillbirth and admitted to the Hospital Universitario Hernando Moncaleano Perdomo in Neiva, Huila, Colombia, between January 2018 and September 2023.
Results: A total of 79 patients were included during the study period who met the inclusion criteria. The main findings related to fetal death in the studied population were that 49.4% of the mothers had attended fewer than three prenatal visits (21.5% had no prenatal visits), with the presence of pathologies such as diabetes (5.1%) or hypertension during pregnancy (3.8%), as well as excess weight during pregnancy.
Stillbirth occurred more frequently in the third trimester (82.3%), however, 74.7% of the deaths occurred before 37 weeks. Additionally, 3.8% of fetal deaths occurred in women with a history of ≥2 previous losses in 5.1% of the patients.
Conclusion: The most frequent findings in cases of fetal death were intrauterine abruptio placentae, followed by cord prolapse and fetal malformations, mainly congenital heart defects. None of these findings showed statistical significance.
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References
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