THE RISK OF STILLBIRTH IN ASSOCIATION WITH PARITY AND OTHER FACTORS
Keywords:
Stillbirth (SB) , Intrauterine death, Parity maternal, hypertension.Abstract
Purpose: The objective of the study was to determine the possible association between maternal age and rate of stillbirths at Mousl city Al-batool Maternity Teaching Hospital.
Background Stillbirths account for between one and two per cent of all births. The primary cause of death in the prenatal period is stillbirth. A stillbirth is the death of a foetus in the womb after 28 weeks of pregnancy. The reason for death in about two-thirds of such cases is not known. There are many possible maternal, foetal, placental, cord and intrapartum risk factors for stillbirth. Care providers target extreme parity groups for periconceptional counselling due to the substantially increased risk of stillbirth in this cohort. Diagnosis is made by ultrasound, clinical examination and patient history. There are two basic ways to treat stillbirth – induction of labour and cautious expectancy. Risk factors such as hypertension, diabetes, and Rh disease were reduced, antepartum foetal surveillance was improved, early delivery of at-risk foetuses was performed, and the rate of stillbirth was decreased. Study Design and Setting This is a prospective study carried out from 2008 to 2009 in Al-batool Maternity Teaching Hospital in Mosul city. We studied 343 pregnant women with a gestational age of 28 weeks or more. The study included primiparas and multiparas who were randomly chosen from the labour room. They were from fifteen to forty-five years old. A control group of 100 pregnant women at 28 weeks of gestation with healthy foetuses was selected. The remaining two hundred and forty-three women were allotted to the study group, which included pregnant women with intrauterine death. Both participant groups completed the same questionnaires regarding their ages, parities, blood types, Rh, and other possible risk factors. The pregnant ladies were classified into 3 groups according to their parity: Category 1 (primipara): very low parity…'Parity moderate' is defined as 2 (paragraphs 1-4 of previous births)…Category 3 (grandmultipara): five or more previous births.
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