Frequency of Stillbirths at MCH Centre FGPC Islamabad
Objective: To determine the frequency of stillbirth and analyze its causes at Mother and Child Health Center (MCH) at Federal Government Polyclinic (FGPC) Islamabad Pakistan.
Place and Duration: The data is collected from the year 2012 to 2016. This is a convenience sampling method in which every woman who had stillbirth was taken into consideration.
Methodology: This observational study was performed at Obstetrics & Gynaecology department of MCH Centre FGPC Islamabad. The gestational age was determined by ultrasound, and causes, feto-maternal characteristics were collected on predesigned proforma and analyzed using descriptive statistics.
The 109 pregnant women included in the study were residents of Islamabad these pregnant women were scheduled for delivery at the center at their due time if at all the delivery was expected normally. Stillbirth was defined as Infant born with no signs of life as breathing, crying or heartbeat. Stillbirths occurring after 24 completed weeks of gestation or more, or weighing at least 500 g, were included in the study.
Results: The stillbirth rate was 11.9/1000 births despite 100% of women receiving prenatal care, all attended by skilled providers in hospital and 35% cesarean section rate. 19.3% of stillbirths occurred ≥ 37 weeks and 26% from 33-36 weeks. 24.8% had congenital anomalies. Preeclampsia (14.7%) and APH (14.7%) were also associated with increased stillbirth rate.
Conclusions: In our country with limited health resources it is vital to record and maintain stillbirth data so that it can be properly utilized to prevent and to find out exact etiology of stillbirths. There should be a special focus on preconceptionally and antenatal care. As most of the stillbirths were late preterm, with congenital anomalies PE and APH, suggesting that many Pakistani stillbirths may be preventable with higher quality obstetric care.
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