TITLE:
Epidemiology of Fetal Death and Analysis of Causes According to CODAC Classification at Amath Dansokho Regional Hospital of Kedougou, Senegal
AUTHORS:
Mouhamadou Wade, Mamour Gueye, Abdoul Aziz Diouf, Mouhamet Sene, Khadim Faye, Adjie Betty Faye, Heyssam Ghais
KEYWORDS:
Obstetrical Complications, Fetal Death, CODAC Classification
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.12,
December
4,
2023
ABSTRACT: Objectives: This paper aims to study the epidemiology and causes of fetal deaths in utero at Regional Hospital Amath
Dansokho of Kedougou (RHADK). Methodology: This was a
retrospective epidemiological study conducted at the Maternity Ward of the
Regional Hospital Amath Dansokho of Kedougou from June 01, 2022 to June 30,
2023, including all patients seen for delivery care. Data were analyzed using
Statistical Package for Social Science (SPSS 22, Windows version). The parameters studied were the frequency of in-utero
fetal death, sociodemographic characteristics, pregnancy and delivery data, neonatal
data and cause-of-death classification according to the Cause of Death
and Associated Conditions (CODAC) classification. Results: We recorded 1628 deliveries, with 231 cases of in-utero
fetal death, a frequency of 14.2%. Fetal death occurred most
frequently in multiparous women (64.5%). The majority of patients (72.3%) were
transferred. 51.9% of patients with fetal death had at least 3 antenatal
visits. On admission, fetal heart rate was absent in 73.2% of patients. The etiology of in-utero fetal death was
dominated by maternal factors (high
blood pressure, anaemia and diabetes), which accounted for 36.9% of
deaths, followed by placental pathologies (retroplacental haematoma) and
intrapartum pathologies (uterine rupture, abnormal presentation). Conclusion: In-utero fetal death can be prevented, and is mainly due to direct obstetric complications. The focus should be on the
prevention and management of hypertensive disorders and their
complications during pregnancy, the fight against anaemia and, above all, the
rapid and correct management of dystocia.