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Risk factors of intrapartal fetal death in a low-resource setting

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DOI: 10.4236/ojog.2014.43018    3,594 Downloads   4,832 Views   Citations

ABSTRACT

Objective: To identify the risk factors of intrapartal fetal death in a tertiary hospital in Yaoundé. Methods: It was a case-control study comparing 53 women who delivered with intrapartal fetal death to 106 women who delivered without intrapartal fetal death, carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon. Results: The risk factors of intrapartal fetal death identified at bivariate analysis were: maternal age <20 years (OR = 3.1; CI = 1.1 - 8.3), absence of regular income (OR = 2.4; CI = 1.2 - 4.7), single motherhood (OR = 2.9; CI = 1.5 - 5.7), illiteracy and primary level of education (OR = 4.7; CI = 1.9 - 11.5), referral (OR = 5.0; CI = 2.5 - 9.9), parity 0 and 1 (OR = 2.3; CI = 1.1 - 4.5), no antenatal care (OR = 9.2; CI = 2.4 - 35.6), number of antenatal visits <4 (OR = 4.2; CI = 2.1 - 8.6), antenatal care in a health center (OR = 3.8; CI = 1.9 - 7.5), antenatal care by a midwife (OR = 2.5; CI = 1.3 - 4.9) or a nurse (OR = 5.2; CI = 1.4 - 18.7), absence of malaria prophylaxis (OR = 10.6; CI = 2.9 - 39.5), absence of obstetrical ultrasound (OR = 4.7; CI = 1.9 - 10.9), prematurity (OR = 3.4; CI = 1.5 - 7.3), abnormal presentation (OR = 2.6; CI = 1.1 - 5.9), ruptured membranes at admission (OR = 2.7; CI = 1.3 - 5.4), ruptured membranes >12 hours at admission (OR = 5.1; CI = 2.5 - 10.3), stained amniotic fluid (OR = 4.8; CI = 2.4 - 9.7), labor lasting more than 12 hours (OR = 18.1; CI = 8.0 - 41.0), presence of maternal complications (OR = 4.7; CI = 2.2 - 10.3), and presence of fetal complications (OR = 48.6; CI = 18.3 - 129), particularly acute fetal distress (OR = 52.3; CI = (14.6 - 186), cord prolapse (OR = 12.1; CI = 3.3 - 43.4), and birth weight <2500 g (OR = 2.8; CI = 1.2 - 6.6). Conclusion: Close attention should be offered to pregnant women, so as to identify these risk factors and promptly provide an appropriate management.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Foumane, P. , Mounton, A. , Sama, J. , Nguefack, S. , Pisoh, W. and Mboudou, E. (2014) Risk factors of intrapartal fetal death in a low-resource setting. Open Journal of Obstetrics and Gynecology, 4, 101-104. doi: 10.4236/ojog.2014.43018.

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