A Retrospective Analysis of Intra-Uterine Fetal Demise Cases in Our Clinic

Özge Şehirli Kıncı; Firangiz Mirzazada; Mehmet Onur Arslaner; İsmail Gökbel

Makale detayları

A Retrospective Analysis of Intra-Uterine Fetal Demise Cases in Our Clinic

Yazarlar:

Özge Şehirli Kıncı | Firangiz Mirzazada | Mehmet Onur Arslaner | İsmail Gökbel

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Cerrahi

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.10 Issue 3, pp.155-159

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001305174

pISSN:

2148-8118

Anahtar kelimeler:

Özet:

 The present study aims to retrospectively analyze the frequency, demographic characteristics, affecting risk factors and outcomes of intra-uterine fetal death IUFD cases delivered between 2015 and 2022 in our clinic, a tertiary center. Between January 2015 and December 2021, 92 pregnant women between 22-41 weeks of gestational age who gave birth due to IUFD in Muğla University Education and Research Hospital clinic were included in the study. Age at presentation, gravida, parity and body mass index BMI data, gestational weeks, and if after birth, birth weight, mode of delivery, infant sex and pathologic examination results were recorded. There were 92 cases of IUFD between the specified dates. The ratio of cases to the number of births was 1.03. Of the cases, 88 95.65 were singleton pregnancies and 4 4.34 were multiple pregnancies. The mean age was 29.475.71 years. Among the cases, 1 1.08 pregnant woman was under 18 years of age and 1 pregnant woman was over 40 years of age. The mean BMI was 25.543.90 kgm2 and 2 2.16 pregnant women were morbidly obese 40 kgm2. The mean gestational age was 31.074.87 weeks. When the causes of IUFD were evaluated, placental abruptio1n was observed in 12 13.18 pregnant women. Hypertensive disorders of pregnancy were present in 6 50 of the pregnant women with placental abruption. While 5 5.49 pregnant women had diabetes mellitus, 2 2.19 had placenta previa. A total of 7 7.60 pregnant women had anhydroamniosis, a sign of uteroplacental insufficiency, during hospitalization, while 20 21.97 pregnant women had fetal anomaly. One 1.09 pregnant woman developed disseminated intravascular coagulation. In addition, 3 3.26 pregnant women had COVID-19 and were hospitalized. The predictability of IUFD cases is low. But despite this, each center can partially reduce the incidence of IUFD with a pro-active approach by evaluating its own outcomes and identifying risk factors.

 The present study aims to retrospectively analyze the frequency, demographic characteristics, affecting risk factors and outcomes of intra-uterine fetal death IUFD cases delivered between 2015 and 2022 in our clinic, a tertiary center. Between January 2015 and December 2021, 92 pregnant women between 22-41 weeks of gestational age who gave birth due to IUFD in Muğla University Education and Research Hospital clinic were included in the study. Age at presentation, gravida, parity and body mass index BMI data, gestational weeks, and if after birth, birth weight, mode of delivery, infant sex and pathologic examination results were recorded. There were 92 cases of IUFD between the specified dates. The ratio of cases to the number of births was 1.03. Of the cases, 88 95.65 were singleton pregnancies and 4 4.34 were multiple pregnancies. The mean age was 29.475.71 years. Among the cases, 1 1.08 pregnant woman was under 18 years of age and 1 pregnant woman was over 40 years of age. The mean BMI was 25.543.90 kgm2 and 2 2.16 pregnant women were morbidly obese 40 kgm2. The mean gestational age was 31.074.87 weeks. When the causes of IUFD were evaluated, placental abruptio1n was observed in 12 13.18 pregnant women. Hypertensive disorders of pregnancy were present in 6 50 of the pregnant women with placental abruption. While 5 5.49 pregnant women had diabetes mellitus, 2 2.19 had placenta previa. A total of 7 7.60 pregnant women had anhydroamniosis, a sign of uteroplacental insufficiency, during hospitalization, while 20 21.97 pregnant women had fetal anomaly. One 1.09 pregnant woman developed disseminated intravascular coagulation. In addition, 3 3.26 pregnant women had COVID-19 and were hospitalized. The predictability of IUFD cases is low. But despite this, each center can partially reduce the incidence of IUFD with a pro-active approach by evaluating its own outcomes and identifying risk factors.

 The present study aims to retrospectively analyze the frequency, demographic characteristics, affecting risk factors and outcomes of intra-uterine fetal death IUFD cases delivered between 2015 and 2022 in our clinic, a tertiary center. Between January 2015 and December 2021, 92 pregnant women between 22-41 weeks of gestational age who gave birth due to IUFD in Muğla University Education and Research Hospital clinic were included in the study. Age at presentation, gravida, parity and body mass index BMI data, gestational weeks, and if after birth, birth weight, mode of delivery, infant sex and pathologic examination results were recorded. There were 92 cases of IUFD between the specified dates. The ratio of cases to the number of births was 1.03. Of the cases, 88 95.65 were singleton pregnancies and 4 4.34 were multiple pregnancies. The mean age was 29.475.71 years. Among the cases, 1 1.08 pregnant woman was under 18 years of age and 1 pregnant woman was over 40 years of age. The mean BMI was 25.543.90 kgm2 and 2 2.16 pregnant women were morbidly obese 40 kgm2. The mean gestational age was 31.074.87 weeks. When the causes of IUFD were evaluated, placental abruptio1n was observed in 12 13.18 pregnant women. Hypertensive disorders of pregnancy were present in 6 50 of the pregnant women with placental abruption. While 5 5.49 pregnant women had diabetes mellitus, 2 2.19 had placenta previa. A total of 7 7.60 pregnant women had anhydroamniosis, a sign of uteroplacental insufficiency, during hospitalization, while 20 21.97 pregnant women had fetal anomaly. One 1.09 pregnant woman developed disseminated intravascular coagulation. In addition, 3 3.26 pregnant women had COVID-19 and were hospitalized. The predictability of IUFD cases is low. But despite this, each center can partially reduce the incidence of IUFD with a pro-active approach by evaluating its own outcomes and identifying risk factors.

 Tersiyer bir merkez olan kliniğimizde, 2015-2022 yılları arasında doğumu gerçekleşen intra-uterin fetal ölüm vakalarının sıklığını, demografik özelliklerini, risk faktörlerini ve sonuçlarını retrospektif olarak değerlendirmek. Ocak 2015-Aralık 2021 tarihleri arasında Muğla Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde intra-uterin fetal ölüm nedeni ile doğumu gerçekleşen, 22-41 hafta arasındaki, 92 gebe değerlendirildi. Gebelerin başvuru anındaki yaş, gravida, parite, vücut kitle indeksi VKİ verileri, gebelik haftaları, doğum sonrası ise doğum ağırlıkları, doğum şekilleri, bebek cinsiyeti ve patolojik inceleme sonuçları kayıt edildi. Belirtilen tarihler arasında 92 intra-uterin fetal ölüm gerçekleşmiştir. Doğum sayısına oranı 1.03 olarak saptanmıştır. 88 95.65 tanesi tekil gebelik, 4 4.34 tanesi çoğul gebelik idi. Yaş ortalamaları 29.475.71 idi. 1er 1.08 gebe 18 yaşın altında ve 40 yaşın üzerine idi. VKİ ortalamaları 25.543.90 kgm2 iken, 2 2.16 gebenin VKİsi morbid obez 40 kgm2 seviyesinde izlenmiştir. Gestasyonel yaşları 31.074.87 hafta idi. İntra-uterin fetal ölüm nedenleri değerlendirildiğinde, 12 13.18 gebede plasenta dekolmanı saptanmıştır. Plasenta dekolmanı saptanan gebelerin 6 50sinde gebeliğin hipertansif bozuklukları mevcuttu. 5 5.49 gebede diabetes mellitus, 2 2.19 gebede plasenta previa saptanmıştır. 7 7.60 gebenin yatışında uteroplasental yetmezlik bulgusu olan anhidroamniyoz saptandı. 20 21.97 gebede fetal anomali izlenmiştir. 1 1.09 gebede dissemine intravasküler koagülasyon gelişmiştir. 3 3.26 gebede ise COVID-19 saptanmış olup hospitalize edilmiştir. İntra-uterin fetal ölüm vakalarının ön görülebilirliği düşüktür. Fakat bu duruma rağmen, her merkez kendi sonuçlarını değerlendirerek ve risk faktörlerini belirleyerek pro-aktif yaklaşım ile intra-uterin fetal ölüm vakalarını kısmi olarak azaltabilir.

Makale detayları

A Retrospective Analysis of Intra-Uterine Fetal Demise Cases in Our Clinic

Yazarlar:

Özge Şehirli Kıncı | Firangiz Mirzazada | Mehmet Onur Arslaner | İsmail Gökbel

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Cerrahi

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.10 Issue 3, pp.155-159

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001305174

pISSN:

2148-8118

Intra-Uterin Fetal Death

Stillbirth

Risk FactorIntra-Uterin Fetal Ölüm

Ölü Doğum

Risk Faktörü

Sayı

Makale detayları

A Retrospective Analysis of Intra-Uterine Fetal Demise Cases in Our Clinic

Yazarlar: Özge Şehirli Kıncı | Firangiz Mirzazada | Mehmet Onur Arslaner | İsmail Gökbel

Yayıncı: Mugla Sitki Kocman University

Ana Başlıklar: Cerrahi

Dergi: Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.10 Issue 3, pp.155-159

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001305174

pISSN: 2148-8118

Intra-Uterin Fetal Death

Stillbirth

Risk FactorIntra-Uterin Fetal Ölüm

Ölü Doğum

Risk Faktörü

Sayı

Yazarlar:

Özge Şehirli Kıncı | Firangiz Mirzazada | Mehmet Onur Arslaner | İsmail Gökbel

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Cerrahi

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.10 Issue 3, pp.155-159

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001305174

pISSN:

2148-8118