Maternal morbidity and mortality associated with intrauterine fetal demise: five-year experience in a tertiary referral hospital.

Publication/Presentation Date

5-1-2001

Abstract

BACKGROUND: Risk factors for and management of intrauterine fetal demise (IUFD) have been investigated, but the maternal morbidity has not been evaluated.

METHODS: Over a 60-month interval, all cases of IUFD after 20 weeks' gestation were reviewed for maternal trauma and maternal postpartum complications.

RESULTS: In this retrospective analysis, 498 singleton and 24 twin pregnancies with an IUFD were identified. A cervical or perineal laceration requiring surgical repair complicated 9.4% of pregnancies. One uterine dehiscence and one uterine rupture occurred. Endometritis, the most common postpartum complication, occurred in 63 of 522 patients (12%). One maternal death occurred. Total mean hospital stay was 4.9 +/- 5.7 days.

CONCLUSION: Maternal morbidity and rarely mortality can follow IUFD, but this morbidity is similar to that observed without IUFD.

Volume

94

Issue

5

First Page

493

Last Page

495

ISSN

0038-4348

Disciplines

Medicine and Health Sciences

PubMedID

11372798

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

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