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Indian Journal of Obstetrics and Gynecology

Volume  12, Issue 3, July – September 2024, Pages 110-116
 

Original Article

Analysis of Risk Factors Causing still Births in a Tertiary Care Hospital of Northern India

Seema Singhal1, Aruna Batra2, Rajesh Kumari3, Divya Wadhawan4, Pratima Mittal5

1,3Additional Professor, Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi 110029, Delhi, 2Professor and former Head, 4Senior Resident, 5Professor and Head, Department of Obstetrics and Gynecology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, Delhi, India.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.12324.1

Abstract

Background: In developing countries most deliveries take place at home or peripheral settings, therefore, information on causes of still birth remain insufficient. ReCoDe (Relevant condition at death) is a classification system that helps to understand causes of still births in low resource settings.  Aims: Present study was conducted to identify various clinical conditions that could lead to still births and to classify the still births according to Re.Co.De system.  Materials and Methods: An observational study was conducted for six months and records of all the deliveries including still births were reviewed. The causes were classified according to the ReCoDe classification. Any association between maternal factors and still births was analysed.  Results: During study period 11,748 births occurred and 283 of them were still births. Still birth rate was 2.41% (24.1/1000 births). 9.5% (27) of still births were intrapartum and 90.5% (256) were ante partum. 9.4% of still births occurred in women having antepartum haemorrhage and 8.1% with fetalgrowth restriction. This was followed by multiple pregnancy, hypertensive disorders of pregnancy and obstructed labour. When classified as per ReCoDe cause of still birth could not be explained in 9.4% cases.  Conclusion: ReCoDe is an effective method to classify the causes of still births without extensive workup. Health care providers should be encouraged to use RecoDe to decrease the number of unexplained still births even in low resource setting  


Keywords : Still birth; Re.Co.De classification; Perinatal audit; Risk factors.
Corresponding Author : Seema Singhal,