Factors Related to Late Intrauterine Fetal Death in a Tertiary Level Hospital: A Retrospective Study.

Q3 Medicine

Journal of Nepal Health Research Council Pub Date : 2026-10-15 DOI:10.33314/jnhrc.v24i02.5131

Rupesh Singh Basnyat, Suman Tamrakar, Abha Shrestha, Kumari Twayana, Jyoti Dahal, Amartya Dahal, Prabesh Gautam

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引用次数: 0

Abstract

Background: Intrauterine fetal death (IUFD) is an unfortunate perinatal occurrence with serious global and local impacts. Despite improved diagnostic methods, a significant fraction of stillbirths remains unexplained, especially in resource-constrained settings such as Nepal. Thus, the present study aimed to determine the frequency and associated characteristics of late intrauterine fetal death (?28 weeks) in a tertiary-level hospital in Nepal.

Methods: A retrospective descriptive study was conducted at Dhulikhel Hospital, Nepal, from January 2024 to January 2025. Medical records from 36 women with late IUFD (?28 weeks of gestation) were reviewed. Data on sociodemographic variables, obstetric history, antenatal care (ANC) attendance, and fetal factors were gathered and analyzed using descriptive statistics.

Results: The mean maternal age was 27.3 ± 6.3 years, with most women (88.9%) in the age group between 20-34 years. The majority were multigravida (80.6%) and had attended at least four ANC visits (83.3%). The mean gestational age at delivery was 35.8 ± 4.1 weeks, with a mean fetal birth weight of 1905±834 grams. 41.7% of fetuses weighed less than 1500 grams. Male fetuses prevailed (61.1%). Surprisingly, 80.6% of instances were unexplained. Fetal malpresentation (8.3%), hypertensive disorders (5.6%), and other maternal comorbidities were all identifiable variables.

Conclusions: This study highlights a high proportion of unexplained stillbirths despite appropriate antenatal care in a tertiary care setting.

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某三级医院晚期宫内胎儿死亡相关因素的回顾性研究

背景：宫内胎儿死亡（IUFD）是一种不幸的围产期事件，具有严重的全球和局部影响。尽管诊断方法有所改进，但很大一部分死产仍然无法解释，特别是在尼泊尔等资源有限的地区。因此，本研究旨在确定晚期宫内胎儿死亡的频率和相关特征(？28周)，在尼泊尔的一家三级医院。方法：于2024年1月至2025年1月在尼泊尔Dhulikhel医院进行回顾性描述性研究。36例晚期IUFD (？妊娠28周)进行回顾。收集社会人口学变量、产科史、产前护理（ANC）出席率和胎儿因素的数据，并使用描述性统计进行分析。结果：产妇平均年龄27.3±6.3岁，以20 ~ 34岁年龄组占88.9%；大多数是多胎孕妇（80.6%），至少参加过4次ANC就诊（83.3%）。平均胎龄35.8±4.1周，平均出生体重1905±834 g。41.7%的胎儿体重不足1500克。男胎占61.1%。令人惊讶的是，80.6%的事件无法解释。胎儿畸形（8.3%）、高血压疾病（5.6%）和其他母体合并症都是可识别的变量。结论：本研究强调，尽管在三级医疗机构中进行了适当的产前护理，但仍有高比例的原因不明的死产。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nepal Health Research Council Medicine-Medicine (all)

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.