|
KMID : 0376119940210020233
|
|
Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 2 p.233 ~ p.242
|
|
|
The Clinical Study of Intra Uterine Fetal Death
|
|
|
|
|
Abstract
|
|
|
The intrauterine fetal death is defined as the intrauterine death after 20 weeks gestation or attainment of 500 gram body weight prior to the complete expulsion or extraction from it's mother.
This is a clinical study of 105 cases of intrauterine fetal death among 5012 deliveries of Seoul Red Cross Hospital from Jan, 1989 to Dec, 1993 using as a base the medical records.
The results of this study were as follows.
1) The incidence of the intrauterine fetal death was 2.09%.
2) The age distribution of mothers with the fetal death in uterus was 18~~42 years and was highest in the 25~29 years range(49.5%).
3) The highest parity group of mothers on the intrauterine fetal death was nulliparous one 954.3%) and the next group was para-1(20.5%).
4) There were 9 cases(8.6%) with the previous history of the intrauterine fetal death and 19 cases(18.1%) with the previous history of the spontaneous abortion. The incidence of antepartum maternal anemia was 24.8%(26cases) and the largest blood
group
was Rh positive A type (31.4%).
5) The largest group according to the gestational age was 25 to 28 weeks gestation one (21.9%). The sex ratio of male versus female fetus was 1.23:1. The most common presentation was cephalic (64.8%) and the 77.1%) of dead fetus weighted less
than
2500
gram.
6) The mode of delivery for the intrauterine fetal death showed that the induction of labor was the most common(44.8%) and the spontaneous delivery and laparotomy were 41.9% and 13.3%. respectively the common indication of laparotomy were
placenta
previa, previous cesarean section state and placenta abruption.
7) There were 30 cases of maternal complications. The most common was fever 917.1%) and the others were hemorrhage (10.5%), urinary tract infection(4.8%), uterine subinvolution(3.8%) and etc.
8) The DIC studies of IUFD were as follows: The FDP was increased above the levels of 40ug/ml in 4.4%of cases. the fibrin levels were decreased below the level of 150 mg% in 10.2% of cases. The prothrombin time was above the level of 14 sec in
9.8% of
the case. The platelet count was decreased below the level of 150,000/㎣ in 7.7% of the cases.
9) The 21.9% of the cases did not receive any prenatal care, but 37.1% of the cases received prenatal care only l or 2 times, and 27.6% of the case received it 3 or 4 times.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|