Risk factors of intrapartal fetal death in a low-resource setting

作     者：Pascal Foumane Aicha Chumbe Mounton Julius Dohbit Sama Séraphin Nguefack Walter Dobgima Pisoh Emile Telesphore Mboudou 

作者机构：Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences (FMBS) The University of Yaoundé 1 Yaoundé Cameroon Department of Pediatrics Yaoundé Gyneco-Obstetric and Pediatric Hospital Yaoundé Cameroon 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2014年第4卷第3期

页      面：101-104页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Risk Factors Intrapartal Fetal Death Intrapartum Labor Birth Outcome Cameroon 

摘      要：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 2500 g (OR = 2.8;CI = 1.2 - 6.6). Conclusion: Close attention should be offered to pregnant women, so as to identify these risk factors and promptly provide an appropriate management.