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Study of cases of still births at tertiary maternity care hospital (ReCoDe)

Authors: Ami Yagnik and A. V. Gokhle

Int J Med Res Health Sci.102-121 | pdf PDF Full Text

To study the characteristics of pregnancies which end in antepartum still births using the classification system-
ReCoDe (Relevant Condition at Death) and to suggest measures to reduce incidence of still births in our study
population. The study is a retrospective study of cases of stillbirths. In the present study 100 cases with still births
admitted to Deptt. Of Obs & Gynecology Govt Medical College, Sir.T.Hospital, Bhavnagar fulfilling the inclusion
criteria was included. All these cases were subjected to routine investigations and the placenta with cord was sent
for HPE in all the cases and followed up to one week in the postpartum period. All the cases were classified
according to relevant condition at death classification of still births (ReCoDe). On classifying the aetiology of
stillbirths in all cases according to the ReCoDe classification we were able to classify 90% of cases and only 10%
remain unclassified. In the present study 28% stillbirths were attributed IUGR as a cause, 22% cases mother had
hypertensive disorder, 21% with antepartum haemorrhage as a cause and 15% with congenital fetal anomaly. Of
100 cases 53 had a positive correlation in placental and cord on histopathological examination. The present study
helped to classify and study the aetiology of stillbirths in study population in simplified way on condition relevant at
death. This study lets us know that most of the causes can be taken care of by instituting appropriate measures at
right time. The importance of antenatal care, nutrition, counseling early detection and medical help, timely referral
to tertiary care hospital, awareness among the patients, doctors and the society can be emphasized in reducing the
incidence of stillbirths.

Keywords: stillbirths; ReCoDe classification; IUGR; antepartum haemorrhage; histopathological examination.

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