TITLE:
Risk factors of intrapartal fetal death in a low-resource setting
AUTHORS:
Pascal Foumane, Aicha Chumbe Mounton, Julius Dohbit Sama, Séraphin Nguefack, Walter Dobgima Pisoh, Emile Telesphore Mboudou
KEYWORDS:
Risk Factors; Intrapartal Fetal Death; Intrapartum; Labor; Birth Outcome; Cameroon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.3,
February
21,
2014
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 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