The fetal death in utero is defined as the intrauterine death of a fetus after 20 week gestation of attainment of 500 gm body weight prior to the expulsion or extraction from its mother.
This is a clinical study of 293 cases of the fetal death in utero among 23167 deliveries at Dongsan Medical Center, Keimyung Umversity during 6 years forom january 1987 to December, 1992.
@ES The results of this study were as follows :
@EN 1. The incidence. of the fetal death in utero was 1.03%.
2. The age distribution of mothers with the feal death in utero was 16~45 years and was highest in the 26~30years (54.0%)
3. The parity of mothers in the fetal death in utero was the most highest in the nulliparous group (61.5%), and the next group was para-1 (31.4%).
4. There were 22 cases (9.2%) with the previous history of the fetal death in utero and 84 cases (3.6%) with the previous history of the spontaneous abortion.
5. The most subjective sign of the fetal death in utero was no quickening (88.7%) and the others were abdominal change (10.5%), and breast change (0.8%).
6. The most common gestational weeks when the fetal death in utero was detected, was 33~36 weeks gestational period (22.2%), and the most common presentation was cephalic (77.6%). The sex ratio of male vs female fetus was 1.09: 1, and the cases
of
the
fetal death in utero wighting less than 2500 gm were 193 cases (80.8%).
7. The hematologic findings of the fetal death in utero showed positive F.D.P (29.7%), a lower serum fibrinogen less than 200mg (4.5%).
8. The mode of the delivery for the fetal death in utero showed that the induction of labor was most common (66.1%), and the spontaneous delivery 31.4%, the laparotomy was 2.5%.
9. The etiologic factor of the fetal death in utero: unexplained causes (54.8%), cord problem (14.2%), preeclampsia (11.3%), congenital anomaly (54.%), abruptio placenta (6.3%), syphilis (2.9%), chorioamnionitis (2.9%), maternal chronic disease
(0.8%),
placenta previa (0.8%), uterine anomaly (0.8%).
10. There were 26 cases. (10.8%) of the maternal complication. The most common complication was intra and postpartum fever (33.3%) and the others were hemorrage (22.2%), sepsis & DIC (19.4%), U. T. L. (8.3%) , cervical laceration (5.5%),
postpartum
cardiomyopathy (5.5%
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