Analysis on risk factors associated with stillbirth in a tertiary care centre

Objective To analyse the risk factors associated with stillbirth and percentage of stillbirth reported in a tertiary referralteaching centre for 1 yr.Design Descriptive studySetting Tertiary referral teaching hospitalMethods Retrospective study of stillbirth among deliveries conducted at a tertiary referral medical college hospital from June 2009 to May 2010. Stillbirths are classified according to ReCoDe classification of stillbirth. Probable causes and risk factors associated with stillbirth were identified.Results Still birth rate is 20.7 per 1000 live birth of which 22 (55)are fresh stillbirth and 18(45) are macerated birth. Among the stillbirth 72.5 (29 cases) were nulliparous and 27.5 (11 cases) were multiparous women. Stillbirth is seen more in pre term. Cause of death is broadly classified and fetal, placental and maternal ranks in descending order. Risk factors like prematurity, pre eclampsia, DM, oligohydramnios, abruptio placenta were identified to play a role in stillbirth.Conclusion The identified antepartum risk factor should be evaluated for antepartum intervention and due importance of maternal movement scoring must be stressed at risk patient because which in expensive. Diabetes, hypertension, and a history of placental abruption also carry higher rates of recurrent fetal loss. thus proper antepartum and intrapartum care can reduce the still birth which inturn reduces the perinatal mortality rate.