ArticleAnnals of medicine and surgery (2012)2025
Maternal and fetal risk factors for intrauterine fetal death (IUFD): a cross-sectional study in Khorramabad, Iran (2018-2020).
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Infant mortality serves as a key indicator of a society's health, cultural, and economic status. Intrauterine fetal death (IUFD) affects approximately 6-8 per 1000 pregnancies globally, with higher rates in low- and middle-income countries. This study evaluates risk factors for IUFD in a single-center population. Methods: This descriptive cross-sectional study included all women who delivered a stillborn baby (≥20 weeks gestation, ≥500 g) at Asalian Hospital in Khorramabad during the years 2018 to 2020. Data were collected via a checklist and analyzed using SPSS 18. Results: Among 162 cases of intrauterine fetal death (IUFD), the mean maternal age was 28.43 ± 7.22 years, mean fetal weight 1233.15 ± 620.29 g, and mean gestational age 28.03 ± 4.34 weeks. The cause of death remained undetermined in 69.8% of cases. The most frequently identified cause was respiratory distress syndrome (RDS) (7.4%), documented postmortem and attributed to extreme prematurity or pulmonary hypoplasia. The majority of mothers were primiparous (43.8%), experienced no complications (96.9%), and underwent vaginal delivery (82.7%). Conclusion: Congenital anomalies and undetermined causes predominated, emphasizing the need for improved prenatal monitoring, pre-pregnancy counseling, and folic acid supplementation. Future studies should expand sample size and include genetic analysis.
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