Retrospective Analytical Study on Intrauterine Death and its Causes in Pregnancy greater than28 Weeks

Background: This study was done to identify the causes of intrauterine fetal death after the age of viability and take early intervention measures to decrease its incidence in developing countries and improve the pregnancy outcomes. Materials and methods: The retrospective study was done over a period of 6 months. Out of 2800 deliveries, 140 were IUFDs. All cases beyond the period of viability were included. The IUFDs were confirmed on ultrasound examination following which the decision for termination of pregnancy was taken. Result: According to the study, the incidence of IUFDs beyond the age of viability was 140 (5.7%). Out of these, 95% of the cases were delivered vaginally. Amongst the common causes of IUFDs were abruption due to hypertensive disorders (33.5%) and Anaemia (10.7%). Conclusion: Intrauterine fetal death is a good parameter to assess the maternal and perinatal health in a given population. A significant proportion of IUFDs is preventable by health education, routine antenatal visits, identification of warning signs, early referral and hospital delivery.