TITLE:
Fœtal Death in Utero: Maternal Epidemiological and Prognostic Aspects at Sylvanus Olympio Teaching Hospital in Lomé
AUTHORS:
Baguilane Douaguibe, A. S. Aboubakari, A. Bassowa, D. Ajavon, T. Ketevi, K. E. Logbo-Akey, B. Baramna, K. Fiagnon, K. Akpadza
KEYWORDS:
Fetal Death in Uterus, Etiology, Maternal Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.4,
April
18,
2019
ABSTRACT: The fetal death In Uterus is
relatively a common problem in developing countries. In Africa, the rate of deaths
varies from one hospital to another. We wanted to evaluate
the prevalence, to describe the epidemiological aspects, etiologies and
maternal prognosis associated with fetal deaths in Uterus in 2017 at Sylvanus Olympio
Teaching Hospital in Lomé. Patients and methods: This was a retrospective descriptive study conducted
from January 1st to December 31st, 2017. We have
included all pregnant cases received and treated on the spot for in uterus
deaths as defined by the World Health Organization. Medical termination of
pregnancy records, intrapartum deaths, less than 22 amenorrhea weeks’
pregnancies and complications of abortion were not included. Results: The fetal death rate in uterus was 3.64%. The multigravida and
multiparous were respectively 49% and
41%; the referees were 51%, 28% evacuated; 21% came on their own. The
gestational age of 28 - 37 weeks was 39% and 17% had no prenatal consultation. The analysis has
revealed that high blood pressure, preeclampsia, and retroplacental hematomas
were the main etiologies associated with fetal deaths in uterus. Conclusion: In uterus fetal deaths remain common in our country.
The main causes were hypertension disorders of pregnancy. There were also some
unknown causes which could be related to economic or cultural reasons. For
instance, autopsies of in uterus deaths and placental anatomopathology examination
are not performed because of culture.