A study of fresh stillbirths weighing 2500 ce:hsp>g or more at three academic hospitals in South Africa

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• 作者：Marlene Bothma ; ^{marlene.bothma@ogdr.co.za" class="auth_mail" title="E-mail the corresponding author} ; Eckhart J. Buchmann
• 关键词：Birth asphyxia ; Fetal monitoring ; Intrapartum-related deaths ; Low-income countries ; Perinatal mortality ; Stillbirth
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：134
• 期：2
• 页码：186-189
• 全文大小：156 K

文摘

To determine the frequency of fresh stillbirths weighing 2500 g or more, to assess the risk factors and direct obstetric causes, and to describe avoidable factors in terms of substandard intrapartum management.

c_2">Methods

A prospective, cross-sectional, descriptive study was conducted at three obstetric teaching units in Johannesburg, South Africa. Data were consecutively collected for 6 months at each of the hospitals, leading to an 18-month data collection period from May 1, 2011, to October 31, 2012. The study population was hospital-born, singleton fresh stillbirths weighing 2500 g or more.

c_3">Results

Overall, 52 fresh stillbirths were eligible. Intrapartum catastrophic events were recorded in 30 (58%) cases (16 placental abruption, 7 cord prolapse, 4 ruptured uterus, and 3 entrapment of aftercoming head during breech delivery). Intrauterine fetal death was recorded on arrival at hospital in 15 (29%) cases. Twenty-two (42%) women underwent cardiotocography monitoring; 15 (29%) had no fetal monitoring. Among 25 cases in which the emergency was recognized, the median time from recognition of emergency to delivery was 182 minutes (range 13–360).

c_4">Conclusion

There appears to be a failure to detect or respond to evidence of fetal distress even in facilities with skilled staff and available resources.