الفهرس 
Definition of stillbirthOnly 14 pages are availabe for public view
 |  | from | 148 |  |  |
| | | from | 148 | | |
Abstract
Background: Stillbirth is an important public health concern and its rate indicates the sanitary development of society. Counting stillbirths is the first step in analysis and prevention. For public health prospective, there is a need for information, associated conditions and underlying causes of stillbirths. This information will guide efforts to prevent stillbirths and improve quality of care. Screening and monitoring in pregnancy are strategies used by health care providers to identify high risk pregnancies. Theoretically, appropriate management of maternal and fetal risk factors and complications that are detected in pregnancy and labour could prevent a large proportion of the world stillbirths, as well as minimize maternal and neonatal morbidity and mortality.
Objective: The aim of this study is to determine the prevalence of stillbirths and its associated causes and risk factors to provide recommendations for appropriate diagnosis and timely intervention.
Design: A retrospective cohort study of all stillbirth cases.
Sitting: Ain Shams University Maternity Hospital.
Timing: The documented cases of stillbirth in the period from 2008 to 2012.
Methods: Data was collected from the patient’s admission records and files in the hospital archive after taking permission from the ethical committee of obstetrical and gynecological department to determine maternal history and characteristics and fetal characteristics of all stillbirth cases.
Results: The total deliveries during the study period was 58167 cases, the total number of stillbirth was 1398 cases. The prevalence of still birth in this period was 2.4%. The highest number of stillbirth was 310 cases in 2008 and the lowest number was 218 cases in 2012. The percentage of spontaneous SVD with stillbirth cases is higher 78.97% than CS 21.03%. High prevalence of stillbirth in PG women 47.78% compared to different other categories. 24.96 % of the mothers having a bad obstetric history in the previous pregnancy. 21.6% of stillbirths having CFMF. 76.68% of mothers having maternal medical diseases. 26.75% having maternal diabetes mellitus. 30.90% was hypertensive mothers. 24.64% of mothers having previous history of stillbirth. 25.54% was unexplained stillbirth.
Conclusion: Stillbirth is one of the most stressful life events. Stillbirth is a multifactorial problem has many risk factors. Despite a global progress in diagnostic tools and investigations of stillbirth, there are many unknown causes of stillbirth especially on the molecular and genetic levels.