SciELO - Scientific Electronic Library Online

 
vol.78 número6Aspectos sociales de la muerte materna: análisis de 5 años en el Hospital General de Occidente: Jalisco, México índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

VALLADARES B, Zoila et al. Muerte fetal intrauterina: ¿podemos actuar en su prevención?. Rev. chil. obstet. ginecol. [online]. 2013, vol.78, n.6, pp.413-418. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262013000600002.

Objective: Analysis of the pathogenetic maternal fetal and placental factors associated with stillbirth. Analysis of progress in the diagnoses of the cause of stillbirth after the establishment of a specific protocol. Methods: Retrospective descriptive study. Analysis of the cases of late fetal death in singleton pregnancies occurred at the University Hospital of Vigo during the period 2005-2010. Results: We found 56 late fetal deaths. Four were under 17 and 19 above 35 years old, 21% were smokers, 60% had a BMI ≥ 25 kg/m2 and 18% had not prenatal care. Thyroid disease was the most prevalent whereas gestational diabetes, preeclampsia and threatened preterm labour were the main obstetric pathologies. The main reason of consultation was decrease of fetal movements. Pathological exam of the placenta was made in 82% of cases and necropsy in 73%. Rate of unknown cause in the cases of no protocol was 20% while in the protocol group was 15%. Conclusion: The cause of intrauterine fetal death is difficult to establish. The recognition of certain risk factors is possible. The implementation of a study protocol allowed a better approach to the cause of fetal death and its management. Autopsy, placental examination, cytogenetic analysis, maternal thrombosis study was basic tests for the diagnosis of intrauterine fetal death.

Palabras clave : Antepartum stillbirth; intrauterine fetal death; risk factors; guideline; fetal necropsy.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons