The intrauteirne fetal death is defined as the intrauterine death after 20 weeks gestation or attainment of more than 500 gm body weight prior to the complete expulsion or extraction from its mother.
This is a clinical analysis of 101 cases of the intrauterine fetal death among 9834 deliveries of Seoul Koryo General Hospital during 10 years period from Jan, 1983 to Dec, 1992.
@ES The results of this study are as follows:
@EN 1. The 50.5% of the cases had not received any antenatal care.
2. The incidence of the intrauterine fetal death was 1.08%.
3. The age distribution of mothers with the intrauterine fetal death was between 21 to 48 years and was highest in the 26~30 years range(53.5%).
4. As for the parity distribution of mothers with intrauterine fetal death. The nulliparous group(57.5%) was most common and the next group was para-1(27.7%).
5. There were 3 cases(2.9%) with previous history of the intrauterine fetal death and 14 cases(13.8%) with the previous history of the spontaneous abortion.
6. The most common gestational weeks when intrauterine fetal death was detected was 20 to 24 weeks gestational period(35.7%).
7. The most common presentation was cephalic (76.4%) and the sex ratio of male verus female was 1.24: 1, and the 71.5% of dead fetus weighted less than 2500 gm.
8. The mode of delivery for the intrauterine fetal death showed that the induction of labor was most common(53.5%0 and the laparotomy was 25.7% and the spontaneous delivery was 20.8%. The most common indication of laparotomy was the failure of
induced
labor and the others were the previous cesarean section status, the uterine rupture, placenta previa and placenta abruption, in that orders.
9. The most common cause of intrauterine fetal death was unexplained cases(40.9%) and the others were preeclampsia (18.9%), placenta previa(8.9%), cord complcations (6.9%), placenta abruption (5.9%), chorioamnionitis (4.9%), uterine rupture
(4.9%),
maternal illness (3.9%), congenital anomaly (2.9%0 and syphils (1.9%), in that orders.
10. The incidence of maternal complication was 20.8% and the most common complication was hemorrage (42.9%), and the others were cervical laceration (23.8%), fever (19.1%), wound infection (14.2%), in that orders.
11. The DIC studies of intrauterine fetal death were as follows: the platelet count was decreased below the level of 100,000/mm* in 12.5% of the case, the fibrinogen levels were decreased below the level of 150mg/dl in 4.8% of the cases, the
FDPs
were
increased above the levels of 40μg/ml in 10.9% of the cases, the partial thromboplastin time was prolonged above 50 sec in 1.7% of the cases and the prothrombin time was not prolonged above 14 sec. In any case.
12. The most common blood type was Rh positive A type(35.7%).
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